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o�e F��e.�reen <br />cirr o� <br />everett <br />259-8745 <br />�ONSTRUCTIOMR�� <br />PERMI� <br />�._ <br />PERMIT NO. � 7 �� 2 <br />❑ OEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONNEN MML AD�1iE55 CITY ZIP PMONE <br />E. B. & JANET STEPHENSON 1312 McDougal Everett WA 98201 259-3693 <br />•RCHITECT OR pE51GNlR MMl AppRE55 CITY ZIP %10YE <br />GENEH�� CONTR�CTOR MAIL RDDRE55 GTY ZIP VHONE �ICENSE � <br />Krisco Corp. 2021 - 130th Ave NE Bellevue WA 98005 882-2021 KRISCC182DH <br />MEGNANiCALCONiR�GTON MnRApDPE55 CITV ZIP PMONE IILENSE� <br />MUMBING CONTRRLiOR <br />[j(NEW ❑ ADDITION <br />VI � ION OF WORK <br />d����.�� <br />DESCR�BE WORN <br />Build below ground swi;nmi <br />❑ ELECTRICITY ❑ GAS <br />Single family residence <br />LOT _ 9lOCK _ OI <br />JOBAOORE55 <br />1312 McDougal <br />❑ ALTEpATION ❑ REPAIR <br />g pool <br />❑ WOODSTOVE <br />ATTRCl1 <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �TOILET� <br />tiATHTUO <br />IAVATORY �1VASH CiA51N� <br />SHOW[fl <br />KITCNEN SINK 8 DISP <br />DISHWASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFlAIN <br />BACNFLUW PREVENTERS <br />ii00F DRAINS — RAINLEADEFS <br />SINN �SERVICE — BAR. ETC � <br />TYPE Of COtISt <br />512E OF <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />RCAPSETB4CK SIpE5CT0ALK <br />LOT ARE/ yp�qNT SITE <br />❑ YES ❑ NO <br />OCCUPANLYGROUP NOO�OR'ELLiNGUN1T5 <br />NO OF STORiES MA% OCC LOA� <br />) ❑ YES ❑ NO <br />PLANS CMECHEO OY qPPN FOR ISSU�NCE �V <br />CITv <br />❑ DEMOLITION <br />❑ OTHEfl <br />2m �MONE <br />❑ BUILDING RELOCATION <br />I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED TN!S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAVdS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMI'i 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 OF CONSTRUCT�ON. <br />SIGNATU OF ONTtiA R��O�IZEDhG[NT.ORON'NE(i �ATE <br />X .�j ;� � �lZ_ �,, �,e6 <br />TYPE OF EOUIPMENT <br />A�C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — N P. EA <br />�04EH5—OTLiHP. n4H7/pL <br />GASrIREDAC UNITS—BS.0 � <br />FOFCED AIR SVST[MS — B T,�J,,,,,�,(�p <br />�tltltl�f <br />WAL_HEATERS—OT.0 M�r, M <br />UNI � HEATEPS — BS.U. ���i� M <br />� <br />EVAPORATIVECOOLENS <br />CLOTHESDRVERS <br />VENTILATInN FAN <br />RANGEMOUD <br />WATER HEATER <br />wOODSTOVE <br />METAL Flfi[PL4CE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPWI. <br />E%HAUSiFAN <br />FEES <br />BUILDIIJG <br />PLUMBING <br />MECHANICAI <br />INVES7IGATION FEE <br />S7ATE �UILDING <br />FEE <br />SUBTOTAL <br />PERMIT <br />TGTALFEE <br />fEE RECEIPT NO. <br />VALUATION FEE <br />fJ <br />Sec.304�c� <br />ST�TE ENERGI' SURCHAIiGE <br />DRIVEW4V PERMIT <br />T07AL I I SOIOO <br />�ERMIT VALIDATION <br />WHEN PROPBRLV V4L�DATED QN THIS SPACEI THIS IS VOUR PERMIT <br />Gv <br />cn <br />� <br />� <br />� <br />