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� theEuergreen ,� <br /> °�TM°F (�"7NSTRUCTION �` '� <br /> ever ett PERMIT PERMIT NO. � 6��� 6 <br /> �❑ DEMOLITION [� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEN MAILADDRESS CITY ZIP PHONE <br /> P.4C WEST CONSTRUCTION & DEVELOf'MENT 10512 - 19th Ave SE Everett WA 98204 337-1565 <br /> ARCMITECTONOESIGNER MAILRODRE55 CITY LIP PMONE <br /> GENEPNLCONTRACTOR MAILApDRE55 • CIIY ZIP PHONE LICENSEt <br /> Same <br /> MECHANILALCONTRACTOP MAILADDflE55 CITY ZIP PNONE LILENSE+ <br /> PLUMBING CONTPACTOR M41L AOORESS LITY ZIP PIIONE UCENSE� <br /> CLASS OF WORN <br /> �1 NEW ❑ ADDITIOM ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILOING RELOCATION <br /> VPLUATION OF Y/OHK <br /> S 55,000.00 <br /> OESCRIBE WORK <br /> Coiis�ruct residence <br /> HEATSOUPCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PPOPOSE�USE OF BUILOING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCRIPTIONOFPROPERTY�SHOWBE.O\40RATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 31 '�i3CK _Of Legion Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4W REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDNESS SIGNATURE ACiO .� 4HORIZED AGENT.OR OWNER DATE <br /> 2114 - 5th St. X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUflE OR ITEM FEE NO. TVPE OF EC,UIPMENT FEE <br /> WATER CLOSET(TOILET) AiC—A/HNDLG UNITS— H.P. <br /> BATNTUB REPRIGERATION UNITS—HP.EA. <br /> LAVATORY(WASH BASIN) BOILEflS—B.TLIM P. <br /> SHOWER GAS FIRED A Q UNITS—BS.0 <br /> YRCHEN SIYN 8�ISP. FORCED AIR SVSTEMS—B TL. M EA. <br /> DISHWASHER WALLHEAiERS—B.T.U. M I <br /> LAUNDRYTRAV UNITHEATERS—B.T.U. �Q/G9IBA B�3 OI�IJA�"�I1Z ��KA�X I <br /> CLOTtIES WASHEF EVAPORATIVE COOLERS � ' <br /> URINAL CLOTHESDRYEflS qp0016916 li <br /> DRINNING FOUNTAIN VENTILATION FAN ,[�p(j 4437. � <br /> FLOOR DRAIN RANGE HOOD ��`,(`j �60. <br /> BACKFI.OW PREVENTERS 1YATER HEATEfl �� �'z/}� <br /> ROOFDRAINS—RAINLEADERS WOODSTOVE RLN CH ��15. <br /> SINN(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMN3J' SRCH $I. O <br /> FIREPLACEINSERT 3SJ. <br /> HEATPUMP g'20� <br /> GAS PIPING <br /> EXHAUSTFAN <br /> � t <br /> suarorn� s sue Y3 <br /> PERMIT f PEN 'T — $� <br /> TOTALFEE f TOT � $16�7 <br /> FaaNr58TBnCK REnnSEiBncrc SiDEs[TenCK p�qNCHECKNUMBEB FEE RECEIPTNO. <br /> 20' 20' 6' 86/16916 284.05 80287 <br /> USEZONE LOTAREA <br /> vncnNrsrtE FEES VALUATION FEE <br /> R-1 c�es ❑no <br /> TYPEOPCONST. OCCUPANCYGROUP NGOf01VEllIUGUNiiS dUILDING 555,000. 437 OO <br /> V�N '�-3 � PW1d8iNG 60 00 <br /> 512E OF BL�G NO OF$TORIES MA%.OCC LOAO <br /> 1352 + 486 � MECHANICAL 24 00 <br /> INVESTIGAiIONFEEAGf�� anS29t��R� X <br /> FIRE SPNINKLERS REOUIiiE� ❑YES ❑NO <br /> STATE BUILDING SURCHARGE � 5O <br /> S7ATELNERU'YSURCHARGE � 5 OO <br /> APPLICATIONACC DY PLANSCMECKEDOY APPR (OpI55UANCEdV . <br /> DRIVEWAYPERMIT ZO OO <br /> S9 SJ �C TOTAL ti�2 5� <br /> PEflMIT VALIDAT10N <br /> WHEN Pr70PEf1LY VALIDATED QN THIS SPACE)THIS IS VOUR PERMIT <br /> �� <br /> r� <br /> Q�� <br /> �D <br /> [� <br />