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d�e C• ��ery:reeii <br />ever�t� r -CONSTRUCT�OP" <br />PERMIT PERMIT N0. 121H6 <br />CITV HALL'[Sg.8745 <br />EVERETT,WA9B201 }� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADOflESS CITV ZIP PMONE <br />BILL KRUEGER 10109 Kenwanda Dr Snohomich 98290 668-398A _ <br />ARCHITEGt OF DESIGNER MAII ADDflE55 CITY ZIP PHONE <br />. GENERALCONTRACTOR MAILAOPRESS CITY ZIP PMONE LIGENSEN <br />K-Four Construction 1C:v� Kenwanda DR Sn9�omsh <br />MECMANICAL CONTpACTOF MAIL NDDRESS dTY ZIP PMONE LICENSE M <br />PL7MBING CONTRACTOR MFIL ADDRESS CIIY ZIP PMONE LICENSE N <br />O NEW ❑ ADDITION XX ALTERATION ❑ REPAIR ❑ DEMOLITION � FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INSERT <br />VPLUATION,lOF WOflK <br />=�5�V0�.�� <br />DESCRIBE WORK <br />Convert single family residence into duplex <br />ex <br />LOT_BLOCK_OF <br />' Lot 37 and N 15' <br />4+ <br />7110 Lower Ridge Road <br />PLUMBING <br />NO. TYPE OP FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />j BATHTUB <br />� LAVATORY(WASHBASIN) <br />SHOWER <br />� KITCHENSINKSOISP. <br />� DISHWASHEH <br />LAUNDRVTRAY <br />� CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DflAIN <br />VAGUUM BFEAKERS <br />ROOF DRAINS — RAINLEACERS <br />SINK (SERVICE — BAR, ETC.) <br />PERMIT <br />TOTALFEE <br />V-h Alter R-3 <br />ZE OF BLDG. NO. � F STORIES <br />1840 sf ; 1 <br />1. ENVIfl011MENTAL CHECK LIST <br />:. BUILDING PLANS �— <br />3.FIREHYDRANT vt <br />4. FIRE PROTEC�ION SYSTQAI <br />S.GRADINd: (� <br />.DRAINA(�E (= y� <br />1.ENVIRONM�NTALIMPA�STATEN <br />�. HEALTN�� S 1 T <br />APPLICATION 4SCC. BY PLANS <br />wE6 � m HWM <br />c -� I <br />w <br />FEE <br />3 <br />S <br />S <br />i�YES C';NO <br />LC <br />ISSUANCE BY <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 UJILL BE COAIPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHEH STPTE OR <br />LOCAL LAW REGULATING_CONSTRUCTION OR THE <br />AGENT �`ATl1E <br />.� � �_ �' /' '� <br />NO. I TYPE OF E�UIPMENT � FEE <br />AIR COND. UNIiS — H.P. EA. <br />REFRIGEflATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSiEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HES DRYERS <br />RANGE HOOD <br />AIR HANDLING 11NlT — QF.M. <br />S70VE — WOOD <br />METAL FIflEPLACE 8 CHIMNEY <br />FIREP'_ACE INSERT <br />HEAT PUMP <br />SUBTOTAL 5 <br />PEFMIi S <br />TOTALFEE 5 <br />82/12186 I FE�� •83 I 61664 EiPrNo. <br />FEES VALUATION FEE <br />BUILDING g <br />PLUMBING <br />IdECHANICAL <br />OTHER <br />PENALTY c <br />TO7AL. I � I �25��� <br />PERMIT VALIDATION � � <br />WHEN P�PERLY VALID(�;ED (IN THI$��!)C�1 THIS ��O�fl1P�it�A�T.�� � <br />7 J V 1 t� <br />; �:. A o t-i <br />� � �D � YOUR REGEIPT.� <br />°� � m a �H/x,�lK YOU <br />c -° I <br />-a <br />ADDRESS FILE <br />� 21J�83 <br />