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�r� C 1NSTRUCTION <br /> , � <br /> e�Terett PERMIT PERMITNO. 17936 <br /> 259 -87�95 <br /> ❑ DEMOLITIOM ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL Q PLUMBING ❑ SIGN <br /> ovrti[n u•ii �no��Ess �.irr riv r�or�E <br /> Greqerson H��mes 23930 tiwy 99 Edmonds WA 96YBS 90020 776-0101 <br /> �AMRF.ClOBDFSiGNFR M��1�p011F5ti (;iT �IP AIONE <br /> GENER�ICONiR�C�00 Meii�pORE55 CiTY ZIV VNONE LiCFIISF• <br /> Same <br /> MECN�NIGI CONTfUCTOR M�II�DDFE55 (;liv /iP P��ONf LICEN9.• <br /> RUMBINGCONTR�CTOR M�itA0p11F55 C�tY IIC P11pNF I�f,ENSE• <br /> CL�SS Of V/ONK <br /> ❑ NEW O ADD�TION ❑ ALTERATION O REPAIR ❑ �EMOLITION ❑ BUILOINO RELOCATION <br /> V�W�TIONOf WpRK <br /> s <br /> OESCRiPE WORK -- <br /> plumbing to mobile home <br /> NE�i50URCE — <br /> O ELECTRICITY O �AB ❑ WOODSTOVE ❑ OTHEH <br /> PROPOSEO USE Of BUILUIN6 <br /> single family residence - mobile home I HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINE� THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �Eoeioesc,niviwaovvnovcarrisHowntiowon�rtncarouncowesi CORNECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 78 Faixway Estates GOVERNIfJG THIS TVPE OF WORK WILL BE COMPLIF.D WITH <br /> ior_ni or.n _ nr <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE UR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW HEGULATING CONST TIO OR <br /> �THE PERFORMANCE OF CONSTRUCTION. c/^I� <br /> JOfl�U0AE55 til(iNRtURE01 CONiPACi q iMOPo1f0AfENf 0110WN[R � / IEd / <br /> ia2� - iootn st sw spd�e a�a -x <br /> PLUM�IN6 MECHANICAL <br /> NO. TYPE OF FII(TURE Oq ITEM FEE NO. TYPE OF EOU! ENT FEE <br /> WATERCLOSET�TOILET� q'C - 4'HNUIGUNITS HF <br /> P4THTUB qEFRICERATIONUNITS HP EA <br /> LAVATORY�WASHB�SIN� BOILERS �TU HP <br /> SHOWER GAS Flt1E0 n C UMTS [i t U <br /> NITCNEN SINK 6�ISP FOHCED AIR SYSTEMS� B T U M F.A <br /> DISMWASMER WALl1�F.ATERS �BTU M <br /> LAUN7PV TRAY UNIT HEATERS � [I T U M <br /> CLOTHE$WASHER EVAPORATIVECOOlERS <br /> UPINAL GLOTNES OPIERS <br /> DRINKIN6 FOUNTAIN VENTIL�TION FAN <br /> FIOCR DRAIN RANGE MU00 <br /> BRCNFLOW PPEVENTERS WqTER H[ATER <br /> NOOF DRAINfi -� RRINLEA�ERS WpOp SiOVE <br /> SINK�SERVICE �- BAR ETC I METAL FIllEPLACE 6 CNIMNEY <br /> FINE°LACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> ERH4USTFAN <br /> 6UlTOTAL f ],� 0p suerorr� � <br /> �pM�T f — PE!.MIT <br /> TOTAL FEE { SO OO ��!T�L fEE <br /> aaoNisEie�r.n nEnnsE�xncn smESEttucn PLANCHECNNUMBER FEE RECEIPTNO <br /> u5E20NE lainnE� y�C�NISRF. <br /> ❑r¢s ❑no FEES VAWATION FEE <br /> TVPE Of CONSi UCCuI'�NCv OROUC NO Of pWEi�ING uNrtfi BUIIOING S <br /> PLUMBINO LO OO <br /> SiZE Of BLOG NO O�STORiES M�e JCC 104� <br /> MECHANICAL <br /> INVES71GA710N FEE Ser. 9041e) <br /> FIl7E SMIINKLERS REOUIRED YES NO <br /> STATE BUILDING SURCHAPGE � � <br /> STATEENERGYSURCHARGf <br /> IPPIIGTION�CL AV CUNSfHECNEf1AY �PPB fO1i651b1NCEAY <br />� DRIVEWAV PERMIT � <br /> I M.M. TOTAL 10 00 <br />� PERMIT VALIDATION <br /> WHEN PFOPERLV VAUDAiED�IN THIfi S��CE�THI915 YOUR PERMIT <br /> �� <br /> M <br /> m <br /> L`— <br /> .-- <br />