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rlht £ver�rern <br />i . �if�0� <br />e�'�rett <br />CITY HRLL 259-87�5 <br />ri cucAEtryw�l a�xo7 „�] <br />� �CONSTRUCTI0�1 � <br />PERMIT PERMIT NO. 1 5159 <br />�iOMBINATION C� BUILDINO Q MECHANICAL Q PLUMBINO <br />OWNER M�IL �ODRE£S GITY ZIP PHpNE <br />Boyden Aealty, Inc. 1429 Sroadway Everett 98201 252-1166 <br />ARCHITECT OR �E IQNEN M�IL �D�RE55 pfY 21P PHONE <br />ENER�L CONTReCTLP M�II AUDRE55 CITY 21P PMUNE LICE'ISE � <br />J 6 D Builders 1429 Broadway Everett 98201 252-1166 <br />MECNANIC�L CONTR/.CTOP M�IL �OD�E53 CITY 21P PNONE IICENSE � <br />RUMBIN6 CONTqAf,TOR 1A�IL I10DRE35 CIiY 21P PHONE LICENSE I <br />CU55 OF WOHM <br />fL}INEW O ADDITION ❑ ALTERATION ❑ qEPAIR ❑ DEMOLIiION ❑ FENCE ❑ SICiN ❑ WOOD STOVEIFiHEPLACE INSERT <br />VAIU�TION OF WORN <br />f41�000.00 <br />OESGRIBE WORII <br />Conatruct Single Family Residence <br />PROPOSEO USE OF BUIlDINO <br />Single Family Raeidence I HEREBY �ERTIFY THAT I HAVE READ AND EXAMINED THIS <br />50 <br />l0T_BLOCN_OF <br />Sunridge Div. II <br />Plan C <br />IOBADDXE55 <br />126 94th Street S.E. <br />PLUMlINO <br />HO. TYPE OF FIXTUP <br />WATER CLOSET �TOILEn <br />BRTHTUB <br />LAVRTORYIWASN BASIN) <br />7 SMOWER <br />DISH W ASHER <br />LAUNDRYTRAV <br />CIOTHES WASMER <br />WA1ER HEATER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRRIN <br />HOOf DRRINS — <br />SINK ISERVIC.E — <br />A13 284 <br />fEE <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FEE t <br />PRD PRD <br />USF ZONE LOT AREA <br />PRD 5002 Sq. <br />7YPE OF CONST. OCCUPANCY C� <br />V-N R-3--M <br />SIZE OF BLDG. NO. �F STORIES <br />-3� 1 <br />FIRE ZONE BRSEMENT <br />None <br />APPNOVALS <br />1. ENVIHONMENTA� CHECK LIST <br />2. BUILDINO PLANS <br />�. FIRE NVORANT <br />4. FIRE PROTECTION SYSTEM <br />S. ORADIN4 <br />B.DRAINAOE <br />7.ENVIRONMENTALIMPAGTSTATEMENT <br />� R NEALTM DISTRICT � ' <br />� APPLICATION ACC. BV LANB CMECKF <br />c <br />� , HWM <br />� ; - . <br />� <br />) <br />PRD <br />VACANT SITE <br />Ft. �'ES NO <br />�UP NO.OFDWEL <br />1 <br />MAX. OCQ lC <br />4 <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PHESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCF.L THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMAN E OF CONSTRUCTION. <br />SIGNATUPE OF� TRAGiOR OR �UiNORRED �OENT � D TE <br />X /-- . -- - . - � i% _... ?`' i% i/: <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — M.P. 5A. <br />BOILEFS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNA6E EA. <br />FORCED AIR SVS7EM5 — B.T.0 M ER. <br />WALI MEATERS — B.t.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES ORYEHS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR MANDlINO UNIT — GF.M. <br />aiuvc — vruvu <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />MERTPUMP <br />85/15159 <br />FEES <br />BUILDING <br />PLUMBING <br />MECMFNICAL <br />OTMER <br />PENALTV <br />SUB TOTAL <br />PERMIT <br />TOTRL FEE <br />FEE SaB�C <br />VALU�TION <br />s41.000. <br />U B.C. <br />SEC. 90J Ia1 <br />FEE <br />�f <br />CMECK FEE <br />RECEIPT NO. <br />FEE <br />242 <br />20 <br />ZZ <br />70TAL 285 00 <br />VERMIT VI1lIDATION <br />WHEN PROPERLV VAlI0A7E011N TMIS SPACEI TMIS IS YOUijPEPM1T � <br />�"'{ <br />� <br />FOR ISSUANCE BY ' ' � � <br />7,C <br />ADDRESS FILE <br />