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rhe Ll��verren <br />��"+�� � �ON:�TRUCTIO�� � <br />�V�rel." PERMII' 'r'ERMIT N0. 1.E6G4 <br />CITY MALL 25^F7A5 <br />EVERETT.IYA 98201 ❑ C�MBIN.4710N �( BUII.DING ❑ MECHANICAL t� PLUMBI40 <br />OWNER M�il ACCRESS • CIiV Z�P PMONI. <br />JACK JONES i801 - 126th 5t. SE Everett WA 98204 337-0593 <br />qRCNIfEGT OP UESIGNEH M�IL APORCSS G*v JIP PHOIIE <br />fFNFPAI GONiRACfOR �dAIL �D!)P[S! <br />Same <br />MECIUNIUL CONiR�CiOri M�IL AOORES! <br />PLIIMBINO CONiR�CTOP M�R �ODREE i <br />CU55 UF '.VORh <br />I� NEW ❑ ADOITION ❑ ALTER�TION ] REPAIR <br />V�LU�110N OF WORN <br />t 50�.�� <br />DFSCPIBF W09M <br />Install foundation under existing house <br />����oroseo use � ,� �wioiHc <br />Residence <br />i tGRI �ESGRIPi�ON Of 140PERrv i5n01Y P'�OW OR Ait4CN FOUf1 ]OPiESi <br />ior 4_n�orK 2_0� H0f150�' S addfl� _�j1YQ� <br />Lake the East 45ft of Lot 4 Blk 2 <br />JOP �OORESS <br />2024- 120th PL SE <br />PLUMBINO <br />NO. TYf'E OF FIXTURE OR ITEM FEE <br />WATERCLOSET�TOILET) <br />BATMTUB I � <br />LAVATORVIWASHBASIN� � <br />SHOWFR <br />NI(CMEN SINN d DISP. <br />UISNWASMER <br />LAUNDAYTflAV <br />CIOTMES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING POUNTAIN <br />FWOR DRAIN <br />VACUUM BREAKERS � <br />POOF ORAINS — HAINLEADERS <br />SINN (SENVICE — BAR. ETC.� <br />— �— <br />—_ { _ <br />I <br />SUB TOTAL i <br />PERMIT f <br />�OTAL FEE ! <br />fiIUE VAHD SETBACK S:HEE7 $EiOACN 7EAR YAR� SETBACK <br />USE 20NE LOT A9EA VACANT SIfC <br />\'F:: NO <br />TYPE OF CONST. OCCUPA4CV GPOUP NO. UF UWELUNG 1'NI7 <br />SIZE OF OIOG NO OF S10RIE5 MA% OCC LOAC <br />RRE ZUNE BASEMF Ni I FIRE SPRINN�FRS <br />APPROVRLS _.. . _ _ <br />1 ENVIIi^•lMENTAL CHECN LIST _ <br />7. Bl11LDING PLANS <br />J.FlREH�DfiANT <br />4 FIRE PROTECTION SYSTFM <br />5 GRA�WG <br />V!5 NO <br />BY— L DATE • <br />6 DRAINAGE <br />L ENVIRONMFNTAL IMPACi STATEIAENT <br />8. HEALTM DISTRICT <br />APPLICRTION ACC. BY PI.PNS CMECh.ED PY APPR. <br />�C <br />bP 4`MONE LICFNSC � <br />PNONE l iCFNSE � <br />PN04E IICENSE • <br />❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 S70VElFIREPIACE INSERT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATiON AND KNO�V THE SAME TO BE TRUE A�JD <br />CORRECT. ALL PFiOVISIOIJS OF LAWS AND OFDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BF. COMPLIED WITH <br />WHETHER SPECIfIEO HEREIN OR NOT. THE GRANTING OF A <br />PEP"'T DOES NOi' PRESUME TO GIVE AUTHORITY TO VIOLA'i E <br />OR �ANCEL THF. PROVISIONS OF ANY OTHER STATE OH <br />LOCAL LAW REGULATING CON3TfiUCTION OR THE <br />PERFOR ANCE OF GON CTION. <br />SIGf1A1 Of .ONiRtf,lOAO nUi1109i CPa6F.N1 U41t <br />X / �{/� fi/19/Afi <br />� TYPE O�MENT I FEE <br />AIR CGNO 11NIiS — MP. EA _ _ <br />REFRIGERATION UNITS — H P. EA <br />tlOILENS — HP. EA. <br />GAS FlFlED A.C. UNITS — TONNAGE EA. <br />FORLED AIR SVSTEMS — 8?.U. M EA. <br />WnLL HEATERS — B.LU. M <br />UNIT MEATERS — O.T.U. M <br />EVAPORAIWECOOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIi �- QF.M. <br />STOVE -- WOOD <br />METAL FIqEPLACE 8 CMIMNEY <br />FIREPL4CE INSER7 <br />HEAT PUMP <br />GUB TOTIIL S � <br />PERMIT t <br />—'----'--TOTAIFEE f�� <br />PLAN CHECN NUMBEH PLAN 1;4ECK FEE <br />�I FE[ RECEIPT NO. <br />—_ __ � _ _ <br />FEFIS VALUATION FEE <br />State Building Surcharge __ 1 <br />❑uaowc ` 500.00 15 <br />-- -- - ' ----- <br />PLUMBPJG �� <br />IdECMA4ICAL � <br />o,„EP iive�c 9t - OOOR1101A9 <br />_ . _ __ .�. _ _ _' __— __ <br />PR�A�iV ��� �4 —_—' <br />rora� B � •� 16 <br />PERMIi VAIIDATION `,L r�� <br />WHFY aPOF6qLV VALIOATED pN�PACE� 7�N6�1B�Y[iGN PERMIT <br />xu: <br />