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r� a,�gr�ee,i <br />cin oF <br />everett <br />259-8745 <br />f''�3NSTRUC710N � '^ � CC <br />PERMIT PERMITNQ:_-� ��U', <br />❑ DEMOLITION gl COMBINATION jr„�BUILDING 'E7 MECHANICI�L ❑YPLUMBING ❑ SIGN <br />ONMER MAILAOORESS CITY 21P VHONE <br />Kurt F Stahl fi3 4529 Federal Everett, WA 98203 252-4666 <br />ARCMREGTOR�ESIGNER MAILAOORESS CIfY ZIP PhONE <br />5� <br />GENEFALCONTflACTOH MAILAUURE55 CITY ZIP PMONE LICENSE� <br />Same <br />MECHANICALCONTRACTOR MAILADORESS CITY ZIP PHONE LICENSEN <br />Same <br />PLUMBING CONTR�CTOR MAIL ADOFESS dTY ZIP PHONE LICENSE • ' <br />Same <br />cuss oF woRK I <br />❑ NEW C�ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION �� <br />VALU�TION OF WORK <br />S 24�000 <br />Addition rec room bedroom and garage <br />MEATSOUPGE <br />❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE O OTHEH <br />Single family residence <br />2 & 3 25 <br />�or _ eiocK _ <br />OBADORE55 <br />4529 Federal <br />PLUMBING <br />1 <br />R-1 <br />Victory Heights Add. <br />TYPE OF FU(TURE OR ITEM <br />WATER CLOSET (TOILET) <br />LAVATORV ( WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />URINAL <br />DRINKING FOUNTA�N <br />FIOOR DRAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — RAINIEADERS <br />SINK ISERVICE — 9AR. ETC 1 <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />f <br />S <br />20' I 20' I 6� 6� <br />•va� oF cor+sT. <br />V-N <br />]TAREA ypCANT5ITE <br />approx 41,000 ❑YES [F,o <br />R-3 I � <br />SIZEOFBLDG. NO.OFSTORIES <br />1743 sf addn 1 <br />�vp�ICFTION ACQ BV <br />SH <br />PLANS C:IECKE� BY <br />II2 <br />19_�:� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <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 PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LQCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORJyANCE OF CONSTF�t'�CYION. <br />X <br />TYPE OF EOUIPMEN7 <br />A/C — A/HNDLG UNITS — H.P. <br />REFPIGEFATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B T.U. <br />WALL HEATEfiS —� B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />WATEfl HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />[XHAURTFAN <br />87/18365 <br />FEES <br />BUILDING <br />PLUMBING <br />NC I MECHANICAL <br />APPR. FOR ISSUANCE BY <br />L.C. <br />INVESTIGATION FEE <br />M EA. <br />M <br />M <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />157.95 <br />VALUATION <br />$24,000 <br />0'r;13/E t : <br />t� `I� R?. S <br />nl '$PI'a. 304(e) �. <br />OWNER DATE <br />�_�3, <br />FEE <br />ECEIPT NO. '� <br />86882 , <br />FEE j <br />243 00 <br />H OOOAIfoO'35 od=:::� <br />4 50 <br />00 <br />STATE BUILDING SURCHARGE p���,�{ � *,`;r� <br />STATEENERGYSURCHARGE �= SRLH '.Sh <br />DRIVEWAY PERMIT � �y JJ <br />TOTAL <br />PENMIT VALIDATION <br />WHEN PROPERLV VALIDATED QN THIS SPACE) THIS IS VOUR PERMIT <br />nr,or,Ess � n t <br />3 <br />"r�:�� � � <br />