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� � <br /> ��° �' f�NSTRUCTION ..�-:. .�_ � ! <br /> everett PERMIT PERMITNO. � ��JO <br /> ��X�4"'`�� zs9-aeoo i <br /> ❑ DEMOLITION O CCA881NATION [,� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> OWNER M�ILADDRE55 CrtV ZIP PMONE � �� <br /> Par�.gor_ Const. 17371 67th CT A-6 RecL.tond 98052 885-3900 <br /> ARC/IItECTOR0E51GNER MFILADOPE55 CICV LP PHOYE I <br />� GENER�I CONTRACTOR MAIi.A00RE5S CRY LP VHONE LIG[HSE� �i I' <br /> Same PARGCI134PL ',, 'i <br /> MECHANICALCONTqACtOR MAII.npDRE55 CITY ZIP PNONE �ICCNSE+ , <br /> PWMBINGCONTRACT09 Mali AUDFESS CITY ZIP PHONE UCE45E� ' <br /> ClFS50FWORN .. �i <br /> �NEW ❑ ADDITION � ALTER.4TION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION � <br /> VALUNTION OG VfORK <br /> 5 72����.�� � <br /> OESCRIBE WOPN . 'i <br /> Ne„ Construction <br /> HEATSOUFCE I <br /> ❑ EL�TALG�YEdirtily r2���CB � WOODSTOVE ❑ OTHER '� <br /> aiy�. <br /> PRJPOSED USE OF pUIL�ING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXA�9INEC THIS j <br /> APPLICATiON AND KNOW THE SAME TO BE 7A�E AND . <br /> LEGALOESCRIPTIONOFPROf'ERTY�SHOWDELOWORATTFCMFOURCOPiES� CORRECT ALL PROVISIONS UF LAWS AND ORDINANCES <br /> ior 6 o�ocK _ oF West @K8IdL6f1C Creek Div u2 GOVERNhJG THIS TYPE OF WORK WILL BE COMPUED WITH �� <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GR.4NTING OF A i <br /> PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS (�F ANY OTHER I <br /> STATE O LOCAL LA AEGULAT�NG CONSTRUCTION OR <br /> THEPERF MANCE � ONSTRUCTION. <br /> JOB FO�FESS SIGNAtURE O ONTR R. U ORIZLO AGENT Oq OR'NER DATE <br /> \ � <br /> 1os17 Sth Ave. SE � 3� <br /> PLUMBING ME A CAL i <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATERCLOSET�TOILE�) .LO OO A'C-A�HNDLGUNITS-HP. <br /> 1 BATHT�'9 S OO REFRIGGAATI(�N UNITS-�H P.EA. <br /> Z LAVA(GRY�WASHBASIN� IO OO �OILERS-�.TLM.P. <br /> 1 SHOWER r, Q� GAS FIPED AL.UNITS-B.T.U. <br /> 1 KITCHEN SI�.N 8�ISP. y Q(� FORCEU AIR SYSTEMS-B.T U. M EA. <br /> ]_ DISHWASHER S OO WALLHEf,TERS-BT.U. M <br /> LAUNDRVTRAY UNITH'eATERS--B.T.U. M <br /> 1 CLOTHES WASHER S OO EV�PORATIVE COOLERS <br /> URINAL CLOTHES�RVERS <br /> �RINKING FOUNTAIN 9 VENTILATION FAN <br /> FIOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROt7F ORAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-�AR,ETC 1 METAL FIREPLAC[8 CHIMNLY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL 5 SUB�YOTAL��� -"���� �� '-�-� °'�' � � � <br /> PERMIT S PENMIT <br /> TOTALFEE 5 TOTAL�FEE�-� � <br /> Fr+oNr SEToncK nEnR 5[tenCK SmE S[TFiACv VLAN CHECK NUM6ER FEE� '�- �� -�REGEIPT NO. <br /> 20 20 6 87/�SO50 ' "2�5.20, - -" 89600 <br /> 115E ZONF lOT AREA <br /> vncar�.siTe FEES 4ALUATION � � <br /> R-1 7333 k�Y�s ❑no t FEE <br /> TVPEOFCONST OCCUPANCYGROUP NOOFDWELIINGlINRS BUILDING S.' 77�� 000.00 `°"" Sl� >O <br /> V-N R-3 1 _ _...,. _: ��..� <br /> PLUMeING �-� -� SS 00 <br /> size oF��oc; NO OF STORiES r.+nx occ iono <br /> 1863 2 n��p naecr+nNicn� '.l i`_ : 1 58 50 <br /> INVES"iIGA710NFE�dd. PL ri� {„a�-3091c) � � SS SO <br /> FIRE SPFiINNLERS REOUIRED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE .. . _ � ]. SO <br /> STATEENERGYSURCHARGE � � LS CO <br /> nnaucnnomncc or atnrsc:��ecrc[oov nrrr� roms�u,wcF:nv — <br /> or�ivewnv Pearnir <br /> _IlfL <br /> S.H. B.E. L.C. TOTAL 712 00-- <br /> — PERMIT VALI�ATION <br /> WHEN PROPEiiLV VALIDATED!IN THIS SPACE�THIS 6 YOUR PERMIT <br /> � <br /> �� <br /> � <br /> �� <br /> T- <br />