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r� �,mr.� <br />an oF <br />everett <br />259-8745 <br />� C^�NSTRUCTION � �- - G <br />PERMIT PERMITNQ:: � �`��`_ <br />� DEMOLITION ❑ COMBINATION � BUIIDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />OWNEH MPII ROUPE55 dTY 21P PHONE <br />Bradley s Peggy Boe 6007 Rockefeller Everett, WA 98201 355-3716 <br />�RCMITECTORpESIGNER MRIIADDRESS CITV ZIP PHONE <br />CHIP <br />GENEHAL LONTRRCTOH MRII ADDPE55 C�TY ZIP FMONE UGENSE � <br />Storms Construction 4331 129th P1 NE Marysville 98270 653-6879 STORMC163DT <br />MECHANIGLCONTRAGtOR Mr11LADORESS QTY 21P PMONE LICENSE• <br />PLUMBINGCONTRACTOR MAILROORESS CITY ZIP VMONE LILENSE• <br />CLA55 OF WORK <br />❑ NEW � ADDITION ❑ ALTEFATION ❑ REPAIR ❑ DEMOLITION O BUILDING RELOCATION <br />VALUATION OF WORN <br />s 1850.00 <br />Extending living room, add new front porch <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Residence <br />4 & 5 1 <br />LOt _ BIOCK � <br />Plat of Lang's first additior. <br />to Everett, together with vacated east 20 feet <br />of Fockefeller Ave. adjacent thereto. <br />6007 Rockefeller <br />PLUMBING <br />R-2 <br />V-N <br />OF FI%TURE OR ITEM <br />WATER CLOSEI� �TOILET� <br />BATHTUB <br />LAVATORV�WASH�ASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACNFLOW PREVENTERS <br />ROOF ORAINS - f7AINLEADFRS <br />SINK (SERVICE - BAR, ETC � <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />OACK REARSETOACK <br />20' 20' <br />LOT AREA <br />1NST OCCUPANCYGPOIIP <br />R-3 <br />SI2E OF BLDG NC OF ST <br />90' x 30' 2 <br />FL�NS CHECKED �Y <br />M.M <br />5� <br />VACANT SITE <br />❑ res �o <br />NO OF OWELLING UNITS <br />1 <br />MR% OCC IOAD <br />NA <br />APCR fOR ISSl/ANCE OV <br />L.C. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E 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 CANCE�_ THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PER AN E OF CONC�ON. <br />SiGNATU NTR O9�UT OWNER DRTE <br />X ,,�,, // iziioise <br />TYPE OF EOUIPMENT <br />A/C — A/HN�LG UNITS — H P. <br />REFRIGEliATION UNITS — H.P. EA. <br />BOII ERS — R. LUJH.P <br />GAS FIRED A�C. UNI7S -- B.T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />IYALL HEATERS — B.T.U. M <br />UNIT HEATERS — BS.U. M <br />EVAPORATWECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />wOODSTOVE <br />METAL FIFEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />NEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />8G/17539 <br />FEE: <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE RECEIPT NO. <br />9x48 9.7 83911 <br />INVESTIGATION FEE <br />S7ATE BUILDING SURCHARG <br />STA7EENERGYSURCHARGE <br />DRIVEWAY PERMI7 <br />VALUATION FEE <br />$ 1850.00 43 00 <br />�2/10/Bb lc: � � <br />#00017539 <br />E' .3041e� S 1. <br />CHEp: $ ' .SIJ 1 50 <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PRGPERLV VAUDATEO QN THIS SPACE) THIS IS VOUR PENMIT <br />A�DCESS FII_E <br />44150 <br />Qi <br />M <br />L.C) <br />ti <br />� <br />