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. u�e.� <br />CITY OF <br />everett <br />259-8745 <br />❑ DEMOLITION <br />'�' ('�NSTRUCTION � �� - c C <br />PERMIT PERMITNQ:=��u�`� <br />❑ COMBINATION � BUILDING ❑ <br />❑ PLUMBING O SIfiN <br />OWNER MAIL �U�t1E55 CITY IIP PMONE <br />Rick Raderick 5001 Alki Dr. Everett 98203 348-5860 <br />qPCNITEGt OR UESIGNER MAIL ADORESS CITV ZIP PMON[ <br />Ronald Johnson 19601 2°rd N.W. Seattle 546-2288 <br />GENERRLCONTRACTOfI hIM�R0URE55 CITY ZIP PNONE LILENSE� <br />Re-Del-Co. Construction 1029 156th P1. S.E. N11 Millcreek WA 337-1001 REDEL1540T <br />MEf.MAf.CRL CONTRACiO� MAIL 4DDRESS CITY ZIP PNONE UCENSE � <br />PLUMBINGCONTR/.CiOR FIAILADOfiE55 CITY 21P M10NE IICENSE• <br />CUSS OF WORK <br />� NEW ❑ ADDITION �] ALTERATION O REPAIfl ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VAlUAT10N OF WORI( <br />3 1�0���.0� <br />DESCiIBE WORK <br />New single family construction <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE L� OTHER <br />o use or eunoinc <br />Single family residence <br />LOT _ BLOCN _ OF <br />See attached <br />IE55 <br />5102 Narbeck <br />PLUMBING <br />TYFE OF FI%TURE <br />WATER CLOSET (TOILET� <br />BATF7TUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCMEN SII�N 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASIIER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />R-s <br />TYPE OF CON: <br />V-N <br />SIZE OF BlliG <br />2669 <br />�PPLICNTION ACC �Y <br />M.M. <br />SU9TOTAL <br />PENMIT <br />FEE <br />� <br />f <br />f <br />ilOE SETpACN <br />7 1�2 <br />27720 S]pYESTOTNO <br />OCCUPANGY GPOUP NO OF DWELLIM <br />R-3 1 <br />NO OF STORIES M1IA% OCC LOAD <br />1 w/1/2 BSMT <br />OY <br />B.E. <br />APPR FOR ISSVANCE OY <br />L.C. <br />I HFREBY CERTIFY � HAT 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 LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE(O�LON$LRUCTION. <br />SIGN�TUREOFCONTRACTOR. UTMOR12E�Nb�1�lLOROWNEP � DR. � <br />TVPE OF EQUIVMENT <br />— A/HN�LG UNITS — HP. <br />PEFRIGERATION UNITS — H.P. EA. <br />�OILERS — B.T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—BS.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOiHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEP • <br />WOODSTOVE <br />METAL FIFEPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />u� 11 �1�R5 �o � S35! I <br />FEES l �E _ <br />BUILDING (�0�0.04(� �,� 639 <br />PLUMBING NECH SIO .SO 65 <br />MECHANICAL E SR��H �S �.0� O lO6 <br />� <br />INVESTIGATION FEE ��?OOIa) �'L • <br />t��� <br />STATE BUIL�ING SURCHARGE SEWER �Z� �.00 1 <br />STATEENERGYSURCHARGE IIiS—S 5����.UO 15 <br />,��?� <br />ORIVEWAY PERMIT , ti � � ZO <br />TOTAL CHECf: :115 .50 $Q7 <br />PERMIT VRLIDATION <br />WHEN PHOPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERM17IT <br />nr��cE:;s n,.e <br />�n <br />rn <br />co <br />� <br />�, <br />