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ene �,e,pem <br />an oF <br />everett <br />259-8745 <br />� P�NSTRUCTION � <br />PERMIT <br />i <br />E'':�;RMIT NQ. 18430 <br />❑ DEMOLITION I� COMBINATI(IN ❑ BUILDING ❑ MECHANICAL C1 PLl:M81NG ❑ SIGN <br />pWHEp MFILADDRESS CITY ZIP PHONE <br />Steve Bartlow 10612 39 Dr SE Hverett, WA 98208 337-9079 <br />ARCNRECTORDESIGNER MRIIADORE55 CITY 21P PMONE <br />GENEMLCONTRRCTOi� N'a.AUDRE55 CiTY IIP PHONE LICENSE• <br />Same STEVEBC212JR <br />MECHANIC�L CONTRACTOR MAI� ADORESS CIN ZIP PHONE 4CENSE � <br />PLUMBING CONTRACTOR 1.'AIL AODRESS CITY ZIP PHONE 4CENSE • <br />CUSS OF WORK <br />f.] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ OE6101IT10N ❑ BUILDING HELOCATION <br />VFLU�TION OF WORK <br />s 75,000. <br />Construct new aingle fami <br />HEATSOUPCE <br />❑ ELECTRICITY ❑ (;AS <br />Sing12 £ami.ly residence <br />7 <br />LOT __ BLOCN _ <br />5004 Dover St. <br />PLUMBING <br />�SHOW OELOW OR <br />Edgemoor ; <br />NO. � TYPE OF FI%TURE OR ITEM <br />3 WATER CLOSET (TOILET) <br />3 OATMTU[i <br />3 LA\ATORV (JYASH BASII:) <br />S SHGWER <br />1 KITC: �EN SINK 8 DISP. <br />1 DISHWASHER <br />1 UUNDRV TRA" <br />1 CIOTHES WASHER <br />DR�NKING FOUNTAIN <br />FLOOP ORAIN <br />BACKfLOW PREVENTERS <br />ROOF DFAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.1 <br />SUBTOTAL <br />� PERMIT <br />TOTALFEE <br />RONTSETBACR RE�RSETBRCK <br />55' from ROW 25' <br />R-S <br />OFCONST. <br />V-N <br />2424 sf <br />SH <br />19,335 sf <br />OCCUPANCVGROU^ <br />R-3 <br />NOAF STORIES <br />2 <br />i REOUIRED ❑ YES ❑ NO <br />BY PLANSCHECKED OY <br />Be <br />residence <br />❑ WOODSTOVE ❑ OTHER <br />.'V� 3T^ %i 'rJ� <br />1ACANT SITE <br />�VES ❑ NO <br />JO OF DWELLING UNITS <br />1 <br />AR% OCC. LOAO <br />N.A. <br />APPR FOfl ISSURNCE BY <br />L.C. <br />I HEREBY GERTIFY THAT I HAVE FEAD AND EXAMINEO THIS <br />AS'PLICATION 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 DOF_S NOT PRESUME TO GIVE AUTHOFITY TO <br />VIOLATE OR CANCEL THE PROVISIONS f`G ANY OTHER <br />STATE OR LOCAL LAW REGULATING COtv�THUCTION OR <br />XHE PERPo� � E Of CONSTRUCTION. <br />SIGNAIUREOf�C TRA OR��iTMOf11ZEUTGENt.OROWNE�N7 OPTE r7 <br />�� 7��� � / �� �' � / <br />riPE OF EOUIPMENT <br />A/C - A/HNDLG UNITS - H.f. <br />REFRIGERATION UNITS - M.P. EA. <br />BOILERS - B T.U./H.P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCED AIR SYSTEMS - B,T.U. M EA. <br />WALLMEATERS-B.T.U. M <br />UNITHEATERS-BS.U. M <br />EVAPORATNE COOLEfiS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS FIPING <br />EXHAUSTFAN <br />87/18430 <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />II:VESTIGATION FEE <br />PERMIT <br />Ui�.'vW1' <br />1 <br />55 4.7� ���9iII 90436 <br />STATE BUILDING SURCHAFGE -� -- ;�, <br />STATE ENERGV SURCHARGE Cj{�C'', 'i- <br />ORIVEWAY PEaMiT <br />TOTAL <br />f 52% 0� <br />ih� %5 00 <br />2.00 <br />OU <br />�;� 3 so <br />�� 15 �0 <br />2� 00 <br />712.50 <br />PEflM1T VALIDIITION <br />WHEN PPOPERLY VALIDATED �IN THIS SPACE� THIS IS VOUR PERMIT <br />A�DRESSFIL[ <br />u <br />