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� <br /> `�� "' C�NSTRUCTION --� "" � p Cn <br /> everett PERMIT PERMIT NQ. _ � US`� J <br /> 259 -8745 <br /> ❑ DEMOLITION I� COMBINATION ❑ BUII.DING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNFP M411 Al)fII1F9:� UIY IIV PHUNE <br /> Melum 6 Smith P.O. Box 592 Lk Stevens, WA 98258 653-2025 <br /> /1PCIIITF.CtOfipE51CNER M41lRpDq[55 GiY IIP 1'FIONF <br /> CEN(ML([ONiMCi0f1 MMl�OU�ESS C11Y ZIP %IONf UCENSE• <br /> Same MELUM100P7 <br /> A�ECIUNIC.RL COHi11Rf.1pq M�II �[lllfiE55 C.ITY ZIP P110HF IIf.FNSE• <br /> Pl.UM01NGC0!lill�CiOR MPR �pDRF55 filv IU` �910N[ IICENSE• <br /> r.uss or wnnn <br /> �IEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOUTION ❑ BUILOING RELOCATION <br /> vnw�noNorwonx <br /> : 44 , 250. 00 <br /> nEsr.ninE wonK <br /> New single family XiflsYBMEeMde resldence , Basic N1232 <br /> nF�tsouncE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE Of PUR OiNG <br /> I fiEREOV CERTIFY THAT I FiAVE READ AND E%AMINED THIS <br /> Sinqle family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND . <br /> ira��.nescnmrioHorrnor¢nrv�sr�nwnciownnnnnc�u�,uncorrt;i CORRECT ALL PqQVISIONS OF L.AWS AND O�iDINANCES <br /> ,�, 13 �,.�,�„ _ �,� Larson Place GOVERNING THIS TVPE OF WORK WILL BE CG� �IED WITH i <br /> � WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOPITY TO <br /> VIOLATE OR CANCEL THE PRGVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRI�CTION. <br /> JOfl�O�(�S� I I�� �� (J�' `I11N5ti ;0,1 ONfNn(�tO11 Pllll�On`<lPG[Nt OROWNFq� ��E � r�" <br /> Y � <br /> PLUM6ING MECHAN�CAL I <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATE�CLOSET i101!F.T� 1 OO A C A MNOIG UN1T5 M V �� <br /> �_ [3AT11TUA 1 QQ REIf11GFRATIONUNITS MP EA <br /> LAVATQRV�WASMPASIN� 1 Q� f301lERS ATU HP � <br /> SHOWE� GPSfiREDAC UNITS� flTU ' <br /> NITCHEN SINK d DISP Q Q FORCED AIR tivSTEMS P i U M EA <br /> �ISNWASMER QQ W�LIHEATFRS ATI/ M <br /> �AUNOAY TRAV 11N1T NEATERS P T U M <br /> CLDTHESWPSHER �0 [VAPORATWF.COOLERS <br /> URINAL 1 CLOTMES�RYERS (j rjO I <br /> OFINNINGFOUNTAIN Z �ENTII.ATION�AN J OO � <br /> FLOOA ORaIN 1 RnNGE MOO� G 5 Q , <br /> BACKFLOW PREVENTERS 1 WATER NFATER � 6 S O � <br /> FOOFD�A�NS- AAWLEAOERS WO00@TOVE <br /> SINR�SERVICE—[3AR ETC� MF.TAI �IPEPIACE d CHIMNE� <br /> fIREPInCEINSEfiT <br /> HE�7 PL1MP <br /> OAS PIPING <br /> EMHr1U5T FAN <br /> sue ror�� s sue roT�� 2 8 5 0 <br /> PERMIT f PERMIT <br /> TOT�I fEE f TOTl.L FEE <br /> n�nN�SAB��,n ��enn�Ctifnrk siut tit rnnr e P�AN CHECM Nl1Mf3ER FEE RECEIPT NO <br /> b � 87/18859 248. 30 90357 <br /> li`.[IUNF LOIAIIFA <br /> I J°��"'�'"F FEES VALUATION FEE <br /> Nrs I �n�n <br /> .vr� nrcovsr ocr.arnNcrcaour au rn uweiur�cur�ns BUiLDWG S qq Z � 382 00 <br /> V—N R-3 1 PLUMPING <br /> siteovmno r+unrsronies un� occionn 45 00 <br /> 1232+484GAR 1 N/A MECHANICAL 28 50 <br /> INVESTIGATION FFE Src 3041e1 <br /> FIf1E5PFINNLE�ISREOl11REU VES O <br /> STATE BUILDING SURCHARIiE �� <br /> SiATF ENERGV SUfiCHAHGE 1 �0 <br /> nrPn�n�n,qniC Or r�nNSO�fcnEOPv nP�9� rnnrv.unqr� u� � <br /> onrvewnvreaMir 2U 00 <br /> TOTO L ��,� <br /> t-0. M. P.. E. L. C. - <br /> __ ----- PEPMITVALIDATION <br /> WI�FN PIIUPfRI Y Vnl il�rJf I�I�N IHi'1 SPACf1111i'�I'�.V(lUP PFRMIT <br /> �) <br /> V I <br /> a� <br /> �� <br /> r' <br /> I <br />