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the F,uer,qrcen � <br />eve�ett � `��TFiUCTION <br />259-8745 P�nMOT PERMITNO. � U�62 <br />❑ DEFAOLITION Jr„�COMBINATION ❑ BUILDING ❑ MECHANfCAL ❑ PLUMBING ❑ SIGN <br />OWNEP MNLApDHE55 CiiV ZIP FMONE <br />Melum & Smith P.O. Box 592 Lk Stevens, WA 98"58 653-2025 <br />ARCMItELTORO[SIGNER R�FILAODIiE55 CITY ZIP PHON[ <br />G[NERALCONTR�CTOfI <br />Same <br />MGCHANtCnLCONiRNC <br />MAIL AOORES$ <br />MAIL ApDfi[55 <br />M41L �ODRESS <br />CL/5 i OF WORK <br />C�t2EW ❑ ADDITION ❑ A�TERATION [I REPAIR <br />V�LUATION OF YlORK <br />5 41�5�� <br />OESCRI�E N'ORH <br />New Single family residence - Basic #1152 <br />MEnT SOURGE <br />❑ ELECTRICITY ❑ GAS ❑ tNOODSTOVE <br />Single fami <br />.EGFL OESCRIFTION OF PRC <br />LOT �'S 9LOCK _ <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATEF CLOSET �TOILET� <br />BATHTUB <br />LAVATORY�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUN�RYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />residence <br />of. Larsen Place <br />Q <br />1p <br />C <br />� <br />1n <br />!1 <br />USE <br />SUB TOTAL <br />PEflM1T <br />TOTALFEE <br />lOT AREA <br />TYPEOFCONST. OCCUPANCVGROUP <br />V-N R-3 <br />512EOF��DG. NO.OPSTORiES <br />1163+4E34GAR 1 <br />MPLICATIONqCC OY <br />PLANS CH[CNEO OY <br />FEE <br />451 00 <br />V�CANT SITE <br />j�vES [] NU <br />Np pF DWELLING 11NIiS <br />1 <br />IA�% JCC 10�0 <br />N/A <br />�PPR !OR ISFUPHCF. flV <br />M.M. I B.E. I L.0 <br />QTY <br />CITY <br />❑ DEMOLITION <br />❑ OTHER <br />LIP PHCNE LICENSE u ', <br />MELUA]180P7 � <br />ZIP P110NE UCENSE u �i <br />ZIP PHON[ LICENSE a �I <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMI�JFD THIS <br />APPLICAT�O�' AND KNOW THE �AME TO BE TRUE AND <br />CORRECT. ALL PRn��!SIONS OF LAWS ANG ORDINANCES <br />uOVERNING THI ; TYPE C;� WORK WILL BE COMPLIED WITH <br />WHETHER SPECiFIED HEREIN OR NOT. THE GNANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEN <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />91GN4iU OF CON�T�RA?C�TO�R. AUTHORIZED AGENT. OH OIVNER OnTE �/ <br />X � �i.., ,/l //[:i./'�or,. ���7% r�" d <br />�AECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />NC — AMNDLG UNRS — H P <br />REFRIGEFATION UNITS — H P. EA. <br />BOILERS — BS.UlH.P <br />GAS FIRED A C. UNITS — BS.U. <br />FORCED AIF SYSTEMS — B.T.U. M E4. <br />WALLHEA'.ERS--BS.U. AS <br />L1NIT HEATERS — �.T.0 M <br />EVAPORATIVE COOLERS <br />�. CLOTHES DRVERS 6 S O <br />1 VENTILATION FAN 4 5 0 <br />1 RFNGE HOOD 6 S O <br />I. WATER HEATER � �+' ��`F S " <br />WOODSTOVE <br />METAL FlflEPLACE & CHIMN � <br />FIREPLACEINSERT ` <br />HEAT PUMP <br />GAS PIPING � <br />E%HAUSTfAN ' <br />� <br />PLAN CHECK NUM�ER <br />87/18862 <br />FEES <br />sus ��p:,, ,,,, '�-"sF"' 2 81 5 0 <br />Bt��U�6`7D��•00 9 0 3 5 7 <br />FEE <br />oUILDING �I��{�5��7�4�.50 362 50 <br />PLUMBING 45 00 <br />MECHANICAL 2 $ S 0 <br />INVESTIGATION FEE Sec.304�e) <br />STATE BUILDING SUFCHARGE 3 S 0 <br />STATE ENEfiGV SURCHARGE 15 0 O <br />DRIVEVIAVPERMIT 20 00 <br />TOTAL 474 50 <br />PERMIT VALIDATION <br />NJH[N FROfERLV VALIDA7FD �IN TI�I�S SPACE) THIS I$ YOUR PERMIT <br />N <br />CO <br />� <br />� <br />t--- <br />