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12031 14TH DR SE 2016-01-01 MF Import
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12031 14TH DR SE 2016-01-01 MF Import
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Last modified
4/4/2017 11:47:36 AM
Creation date
4/4/2017 11:47:33 AM
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Address Document
Street Name
14TH DR SE
Street Number
12031
Imported From Microfiche
Yes
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t,�E��,�:�„ _ -';ONSTRUCTICI�'-' " <br /> CITY OF ' ' <br /> e�,����� P�RAIIIT PERMITNQ:_. � ��0 � <br /> 259 -8745 - <br /> ❑ DEMOLITION LY•] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDPE55 CIiY ZIP PMONE <br /> Ric Owens �&8 3513 103 P1 SE Everett, WA 98204 337-3119 <br /> APLHITECTORDESIGNER MPILADDRESS QTY ZIP PMONE <br /> GENERAL CONTPACTOR IAAIL q00RE55 CITV Z�P PMONE LICEYSE i <br /> Same Ol4ENSR162J8 <br /> MECNANICALCONTRACTOR MAILAD�RE55 CITV ZIP PHONE LILENSEd <br /> PWAIPINGCONTRACTOR MAILADDRE55 CITV ?IP PHONE LILE�ISE• <br /> CLr155 OF WORN <br /> $] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORH <br /> 5 1����0� <br /> DESCHIBE WORK <br /> New residence <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODS70VE ❑ OTHER <br /> PPOPOSED USE OF BOILOING <br /> Si ngl e family residence I HEREBY CERTIFY THAT I HAVE REAG AND EXAMINED THIS <br /> APPLICATiON AND KNOW THE SAME TO 6E TRUE AND <br /> �Eca�oeseaianoNotanoaeaTr�sNoweE�owoenrrncNFouneoaiesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 4 S81ver Lk Vista GOVERNING TFIIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN _ OF <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> Block &�0x� OOOD-00-Lot 4 PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONu OF ANY OTHER <br /> TdB Acct 7439-000-004-0002 STATE OR LOCAL LAW flEGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSi RUCTION. <br /> JO�ADDRE55 SIGN�TUREO�CONiH iOR.AUtHORIZEDAOENT.OROWNEH OAiE <br /> 12031 - 14th Drive SE ' <br /> X /r'�{ i �L /u � — G�' E+ <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 2 WATER CLOSET(TOILET� A/C—A/HN�LG UNITS—H P <br /> 1 BATHTUB qEFRIGERATIONUNITS—H.P.EA. <br /> 2 LAVATORY�WASHBASIN� BOILERS—BT.U/H.P. <br /> 1 SHOWER ], GASFIREDA.C.UNITS—B.T.U. <br /> 1 NITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B T.U. M EA. <br /> 1 OISHWASHEfl WALLHEATERS—BTL M <br /> LAUNDRYTRAY UNITHEATEFS—B.T.U. M <br /> 1 CLOTHES WASHEFl EVAPORATIVECOOLERS <br /> URINAL CLOTHES�FYERS <br /> DRINKING FOUNTAIN 3 c � ^ ������3���' <br /> VEIJTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> � <br /> BACKFLOW PREVENTERS 1 WATER MEATER � � � <br /> ROOF DRAINS— RAINLEADERS W00�STOVE � � <br /> SINK�SEBVICE—BAR.ETG� METAL FIREPLACE 8 CNIMN � <br /> FIREPLACEINSERT �`� <br /> HEAT PUMP E �{C� e'� � <br /> _ GAS PIPING � ,i <br /> E%HAUSTFAN � <br /> 1 �1 �C�l C <br /> 11 ` <br /> SUB TOTAL s 45 00 SUB � 1.��_ � <br /> PERMIT = ' � PER ✓ ' <br /> —' v � <br /> TOTALFEE S Q5 OO TOTAL r <br /> �nOr+TiE�r�nCrc REaa�rOeqCrc 5ioE5EToncK PLANCHECKNUMBER F �� , !?±�R EIPTNO <br /> � 6' 86/17207 �43�5s68 �65 .�6 81935 <br /> usezone �ornaea CHECfC $16� .00 <br /> R-1 8400 Sf VAC�NTSITE <br /> ves ❑rvo FEES VlALUATION FEE <br /> TYPE(�FC�pNST OCCUF^NC�YGROUP M1OOFDWELLINGUNITS �UILDIN(�i sl�o���� 539 J� <br /> v N �� s 1 <br /> PLUMBING 45 Q� <br /> 512EOF�LOG NOOFSTORifS h�A% OCCLOnD <br /> 1604 + 462 1 MECHANICAL 29 Q� <br /> INVESTIGA710N FEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIFED ❑YES �]ND <br /> S7ATE BUIL�ING SURCHARGE 1 5O <br /> STATEENERGYSURCHAPGE LS OO <br /> APPLICFiIONqCC �Y PLANSCHECNED�Y A�Vq FORISSUANCEPV <br /> DRIVEWAV PERMIT ZO OO <br /> M.M. SG L.C. TOTAL 750 00 <br /> PERMIT VALIDATION <br /> WHEN PROPEfiLY VALIDATED(M THIS SPACE)THI515 VOUR PERMIT <br /> �� <br /> � <br /> N <br /> N <br /> � <br /> r1�-..;`!;C'�S f:L� <br />
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