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rne r�,�g.� <br />an oF <br />everett <br />259-8745 <br />� <br />C�NSTl�UCTIOIV � <br />PERMIT NQ: . � � � � � <br />�r. <br />PERMIT <br />❑ DEMOLITION Q�COMBINATION ❑ BUILDING ❑ MECHANICAL fl PLUMBING ❑ SIGN <br />OWNEli MnILApORE55 CITY ZIP PMONE <br />Steve Bartlow 10612 39th Dr. SE Everett, WA 98208 337-9079 <br />RRCHITECTORDESIGNER MnILADDRE55 GTV 21P PNONE <br />GENEPnLCONTRPCTOR MAiLADOPE55 LITY ZIP �MONE LICENSE� <br />O+mer STEVEBC212JR <br />ME� 1�NICALCONTRRCiOR MAILADDfVESS CI1Y ZIP PMONE LICENSE� <br />PLUN�ING CONT�ACTOR MRIL POORE55 CITY 21P PHONE LIC[NSE � <br />�NEW ❑ ADDITION <br />VALLI�TION OF WORN <br />5 84��a4.�a <br />�ESCqIBE WOPK <br />New construction <br />❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTnVE ❑ OTHER <br />Single fami:.y residence <br />.EGRL DESCNIPTION OF PR01'ERtt �SHOW OELOW OR <br />.oT 3 a�ock _ or Larimer <br />PLUMBING <br />CId�� <br />WATER C�OSET �TOILET� <br />BATHTUB <br />LAVATORV (WASF1 BASIM <br />SNOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — FAINLEADERS <br />SINN �SERVICE — �AR. ETC.) <br />20 <br />R-1 <br />TYPE OF CONST. <br />V-N <br />SIZE OL BL�G <br />1375+528GAR <br />APPLICNTION RCG BY <br />r�.m. <br />SUB TOTAI <br />PERMIT <br />TOTALFEE <br />�R SETORCK <br />20 <br />T FPEA <br />',CUPANCYGROUF <br />R-3 <br />i OF STORIES <br />1+BSMT <br />B.E. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />n.Tncrvou�corres� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Ridge GOVERNING THIS TVPE 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 LO AL LAW REGULATING CONSTRUCTION OR <br />THE PERFOR ,,�� E OF ONSTRUCTION. <br />SIGNALURE O( C 1 OR A 1 NZED AGPNT. OP OWNER OATE <br />X .L/�/.1 .S� l � - �' <br />6 <br />VACA4i SIiE <br />IR�ES ❑ NO <br />NO OF DWEILi <br />1 <br />MA% OCG LO/ <br />N/A <br />B.E. <br />TYPE OF EOUIPMENT <br />A�C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — BS.0 /H P. <br />GAS FIRED A C. UNITS — B.TL. <br />FORCED AIR SYSTEM$ — � TL. M EA. <br />WALL HEATEHS — 0 T.U. M <br />UNITMEATERS—Oi.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESOflvEPS <br />VENiILATION FAN <br />qANGEMOOD <br />WATERHEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CMIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN _ <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />'LAN CHECKNUM�ER FEE <br />88/14927 ps/��, <br />FEES VALU <br />DUILDING �. <br />PLUMBING <br />MECNANICAL <br />INVESTIGATION I <br />STATE BUILDING <br />� <br />B 9RLl6<��I <br />STATE ENERGV SURCHARGE I �IOOOOS8S7 <br />DRIVEWAY PERMIT <br />TOTAL <br />^�� <br />50 <br />I �� <br />°CEIPTNO. ', <br />M U��A(I19630 #�*� <br />FEE <br />5%z �� <br />00 0� �� <br />PERMITVALIDIITION `^•" •` '�""-- <br />WHE'! "ROPERU' VALIDATED QN TI��yE) TI��fY(�7 FERMIT <br />CHECK 41776.37 <br />AD!71C.`.;. f'.I 5 <br />