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ene �l�ag,+�n <br />CITV OF <br />everett <br />259-8745 <br />� <br />t''`7NSTRUCTION <br />PERMIT <br />� <br />PERMIT NQ: : � � 6 � � <br />❑ DEMOLITION ❑ COMBINATION �EI BUILDING ❑ MECHANICAL ❑ PLUMBIttG ❑ SIGN <br />OWNEN MAILnDDRE55 CITY 21P MONE <br />Steven Bartlow Const. 10612 39th Dr. S.E. Everett, WA 98204 337-9079 <br />�RCMITECiORDE5IGNER MqILADDRESS CITY 21P PHONE <br />GENERqLCONTRACTOR MAILADDPESS CITY ZIP PNONE UCENSE� <br />Owner STEVEBC212JR <br />uF�ypNICAI CONTRAGTOR MAIL ADDRESS CITY ZIP PNONE LICENSE � <br />PWMBINGCONiRRCTOR MAILRO�RE55 CITY IIP pHONE 4CENSE� <br />CUSS OF WORK <br />� NEW ❑ ADDITION ❑ ALTEF.ATION ❑ pEPAIR O DEMOLITION ❑ BUILD�NCa RELGCATION <br />VALI RTION OF WORK - <br />s 88000.00 <br />New single family home <br />1EAT SOURCE <br />❑ ELECTRICITY ❑ GAS <br />'ROPOSED USE (:F BUiLDING <br />Single family home <br />.EGAL �ESCRIPTION OF M10PERTY �SMOW BELOW OR A <br />�or _SL BLOCN _ OF Edq�moor <br />OORDORE55 <br />4932 Dover �, <br />PLUMBING <br />NO. TYPE QF FIXTUHE OR �TEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASM BACIN� <br />SHOWER <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />IAUNDRVTRAY <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINK (SERVICE — BAR, ETC.) <br />30 <br />USE ZO� <br />R-S <br />V-N <br />sae oF o�oc <br />2320+GAR720 <br />RPPIICAPON ACC <br />M.M. <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />REARSETBRCK <br />25 <br />LOT AREA <br />18960 <br />OCCUPANCYGROUP <br />R-3 <br />NO OF STORIES <br />1 1/2 <br />❑ WOODSTOVE <br />FEE <br />7.5 <br />VACANT SITE <br />qpres ❑r+o <br />NJ OF OWELLING UNITS <br />1 <br />IEGKE�OY APPfiFORI55UANLENV <br />B.E. L.C. <br />❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMI�JED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO <br />CORRECT. ALL PRUVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TY� ' OF WORK WILL BE COMPLIED WITH <br />WHETHFR SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GI\'e AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAI_ LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANC OF CONSTRUCTION. <br />SIGNAiUREy� C NTR CT AUTIIOFIZED AGENT, OR OYMER DATE <br />X ')ll ��.�. _ > � _ �' 7 <br />MECHANICAL <br />NO. <br />A/C — A/HNDLG UNITS — HP. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 MP. <br />3AS FIRED A C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — fl T.U. M EA. <br />WALLHEATERS—B.T.0 M <br />UNITHEATERS—BTL. M <br />EVAPORATIVECOOLERF <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />wOODS70VE <br />METAL FIREP�ACE d CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />G' ?ING <br />EXHAUSTFAN <br />87/17637 <br />PEES <br />BUILDING <br />PLUMBINC� <br />�dECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />sue iDriLLli 31U4Y <br />PERMIT <br />TOTALFEE <br />FEE RECEIPTNO. <br />380.57 83479 <br />STATEENEqGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />VALUAT�ON <br />58(3000.00 <br />��/OJ8? 10:4 RN <br />�c. fe <br />ELDG 45 .50 <br />e s�cH s�.�o <br />FEE <br />PEPMIT VALIDATION p rn �(� <br />WHEN PaOPERLV VALIDATED QN TWIST9P710E) THI�Y9'r� PERMIT <br />k00026051 ti <br />SEWER 5�0.00 M <br />GCO�'1Qi� 4 <br />� <br />�— <br />;.I':'kE::S F�i E <br />