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"�� � C"`NSTRUCTION � � <br />everett PERMIT PERMITNO. ZO�O4 <br />259-8745 <br />❑ DEMOLITION � COMBINATION CS BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MPILAODRE55 CITY LIP PNONE <br />Kenneth H. Bartley 6901 Highland Dr. Everett, WA 98203 353-4532 <br />ARC��ITECTORDESIGNER MARPOURESS CITY 21P PHONE <br />GENERAL CONTRRCiDR MRIL ADORE55 CItY 21P PH�NE LILENSE • <br />Owner <br />MF.CMANICAL CONTRACTOR MAIL AO�PESS CITY ZIP PHONE LIGENSE • <br />PLUMBINGCONTRACTON M4ILFDORE55 CITV 21P PHONE LICENSE� <br />CLASS OF WOfiN <br />❑ NEW ❑ ADDITION <br />VALUATION OF WORN <br />s 400.00 <br />OESCRIB! WOPK <br />nepairs to existing deck <br />HEArSouncE <br />� ELECTHICITV ❑ GAS <br />PpOPO5E0 USE Of OUILOING <br />deck at residence <br />LEGrII DESC�IPTION Ot PPOPERTY �SNOW DELO� <br />�oT _ oiocK _ or <br />JOBADDRE55 <br />6901 Highland Dr. <br />PLUMBING <br />WATER CLOSET (TOILET� <br />BATMTUB <br />�AVATORV (WASH BASIN) <br />SHOWER <br />NITCHEN SINK 8 DISP. <br />DISMWASNER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLE/ <br />SINK (SERVICE — BAR. E1 <br />20NE <br />512E OF <br />APPLICFTION <br />❑ ALTERATION <br />}{H HEPAIR <br />❑ WOODSTOVE <br />1R COPIES� <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <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 />WHETIIER 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 LUCAL LAW REGULATING CONSTRUCTION OR <br />T ORMANCE OF CONSTRUCTION. <br />NATUREI F CONTFACTO(R �AU+TMO�RIZ�E����qjRENT.O�R OWj�f$� D/TE <br />Jv .—N:/.t /I"/. / %�ZZ�dB <br />OR ITEM FEE NO. TYPE OF EOUIPMEN7 <br />A/C — AMNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — B.T.0 /H P. <br />GAS FIRED A C. UNITS — B T.U. <br />FOfiCE0AIR5VSTEMS—B.T.U. M <br />WALLHEATERS—�S.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLEFS <br />CLOTNESDRYER$ <br />VENTILATION FAN <br />PANGENOOD <br />WATER HEATE(i <br />3g WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE WSERT <br />HEATPUMP <br />GAS PIPING <br />E%H�USTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />NO OF <br />❑ves urvo <br />NO OF OWEIUNG <br />OLC LOAO <br />fOR ISSUr1NCE OV <br />SUBTOTAL <br />PERMIT <br />PLAN CHECK NUMBEH <br />FEES <br />BUILDING <br />PLUMOING <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVE\VAY PERMIT <br />FEE <br />E <br />CHECf: <br />Sec.30d1e) <br />FEE <br />M,M. TOTAL <br />PERMIT VALIDATION <br />NMEN PROPERLV VALIDATED �1N THIS SPACE� THIS IS YOUR PERMIT <br />18150 <br />�' <br />0 <br />�n <br />0 <br />N <br />