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`�E"�" ''°"' C'�NSTRUCTION � � 1c <br /> cirv oF <br /> everett PERMIT PERMIT NQ:= � 1 `�S� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION �1 BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN „ <br /> OVMER MAILADDFE55 �ITY ZIP VHONE <br /> Don Reid 1062'/ Sth Av�:. SE Everett 98208 347-3168 <br /> ARCHITECTOFDESIGNER MAILApofiESS CITV 21P PHONE <br /> GENERPLCONTF.ALTOR MAILADDRE55 CITY ZIP f'HONE LICENSE� <br /> Silverlake Const. P.O. Hox 5145 Everett 98206 252-1131 SILVEZI161M5 <br /> MECMr1NIGRLCONTRACTOR MAILAOORE55 CITY 21P PHONE LICENSE� <br /> PLUAIpING CONTR4CTOR MAI�ADORE55 CRY 21P PHONG LICENSE� <br /> GLA55 OF WORN <br /> ❑ NEW O ADDITION L� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORN <br /> $ 14��.�� <br /> OESCRIpE WORK <br /> Add bay window. <br /> HEATSOURCE <br /> ❑ ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF pUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCRIPTIONOFPROPERTY�SHOWBELOYIOfiATTACMFOUi1CO�1E51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 5 o�ocK _ oF Westcreek Div. 2 _ GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHER <br /> STAT OR LOCAL LAW REGULATING CONSTRUCTION OR <br />! TH P FORMANCE OF CONSTRUCTION. <br /> JOBNDORESS 51 A fi[OFC NtfiF AUT110RI2[�AGENT.OROWNER DATE <br /> 10827 Sth Ave. SE � 7 <br /> PLUMBING 11 ECHANICAL <br /> NO. TVPE OF FIXTURE Oq ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFflIGERATION UNITS—H.P.EA. <br />� LAVATORY�WASH BASIfJ� BOILERS—B.TLJH.P. <br /> SHOWER GAS FIRED A.C.UNITS—B T.U. <br /> EHITCHEN SINN 8�ISP. FORCED AIR SYSTEMS—BS.U. M EA. <br /> t� DISHWASHER WALLHEATERS—BT.U. M <br /> I LAUNDRYTRAY UNITHEATERS—BS.0 M <br /> 4 CIOTHES WASHER EVAPORATIVE COOLERS _ <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATIOM FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATF.RHEATER � <br /> ROOF ORAINS—F7AINLEADEFS WO00 STOVE <br /> SINK(SERVICE—BAF,ETC� METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS FIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT S PERKIT <br /> TOTALFEE S TOTALFEE <br /> FF.:NTSETBACK REARSETBACN SIpESFfBACN PLANCHECKNUMBER t� � ` ����� <br /> � <br /> 7 <br /> USE20NE LOTAHEA VFCFNTSITE <br /> ❑ves ❑r+o FEES ATION FEE <br /> TYPEOFCONST. OCCUPANCVGaOUP NOOFDWELLINGUNiTS BUILDING �ZBR1UlOO 3.SO 33 OO <br /> V—N R-3 1 pLUMBING � <br /> SILE OF BLDG NOAF STORIE:i MF% OCC LO�D <br /> N�A 1 N/A MECHANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIFED ❑YES NO <br /> STATE BUILDING SURCHARGE 3 SO <br /> STATEENERGYSURCHARGE <br /> AVPIICATIONACCOV PLANSCMECHFOOY APPRFORISSUANCEOV <br /> DRIVEWAY PERMIT <br /> S.H. J.W. J.W. T07AL 36 50 <br /> — PEPMIT VALIDATION <br /> WHEN PROPEFLV VALIDATED�IN TNIS SPACE)THIS IS YOUR PERMIT <br /> M <br /> CA <br /> L.C� <br /> �--- <br /> N <br /> n,,_�„_;:;; r '�,LE � � <br />