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e;verett ^ '�ONSTRUCTION� <br /> 259 -8745 PERMIT PERMITNO. 17376 <br /> C$DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGH <br /> CVMER MAILAOOHE55 CITY 21P PHONE <br /> G.K. and Peggy M. Doph 5113 - 23rd Ave W. Everett, WA 98204 355-1850 <br /> �P':HITECTORDESIGNER MARADDPE55 CITY 21P MONE <br />` .iENERALCONTRRCTOR MRILApOFE55 CiTY 21V MO��E VCENSE� <br /> 1 Self <br />' MEGHRNICALCONTR4CTOR MAILAOORE55 dTY IIP PMONC UCENSE� <br /> 1 <br /> PLUMBING CONTRACTOR MRIL ACDRE55 CITY 21P Pt10NE LiCENSE x <br /> C1�550F WONN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ HEPA�R � DEMOLITION ❑ BUILDING RELOCATION <br /> VAW�TION OF WORK <br /> I j <br />'�I DESCRI9E WOFH � <br /> i <br /> Demolition <br /> MEAT SOURf,E <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF BUILDING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KIJOW THE SAME TO BE TRUE ANO <br /> iLEWLDESGNIPTIONOFPROPERTYISHOWDELOWORATfACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />� LOT_BIOCN _ OF �ts 25 & 26 in IIlock 336 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> I WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> I Plat of Everett Division "N" PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCC•L THE PROVISIONS OF ANY OTHER <br /> STA1�E OR LOCA LAW R[GU N CONSTRUCTION OR <br /> THE PERFORM F C UC O . <br /> JOBAODRESS SIGNATU Of t RA .�UT ENT WNEN DATE <br /> 1614 Broadway j( 10/28/86 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TURE OH ITEM FEE NO. PE PF EOUIPMENT FEE <br /> WATE(i CLOSET(TOILET� A;C—NHNDLG UNITS—M.P. <br /> BAiHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV(WASH OASIN� BOILEFS—U.T.U./H P. <br /> SHOWEF GAS Fl�{ED A�C.UNITS—B.T.U. <br /> KITCHEN SINN 8 DISP. PORCED AIR SYSTEMS—BT.U. M EA. <br /> DISHWASHER WALIHEPTERS—�.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS—O.T.U. M <br /> CLOTHES WASHEP EVAPORATIVE COOLEFS <br /> i <br /> URINAL CLOTHESDRVERS <br /> iDRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> OACKFLOW PREVENTERS WATER HEATER <br /> ROOF DPAINS—RAINLEADEPS WOOD STOVE <br /> SINK(SERVICE—BAR,ETCJ METAL FIREPLACE 8 CHIMN'eV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PERMIT S PENMIT <br /> TOTALFEE f TOT�LFEE <br /> FNONTSETBACK REARSET9ACN SIDESETpACK PLANCHECHNUMBER FEE RECEIPTNU. <br /> USE 20NE LOT AREA yq�qNT SITE <br /> ❑ves ❑Na FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NOAFDWELLINGUNITS BUILDING S ^O- <br /> PLUMBING <br /> SIZE OF OIDG NO OF STORiES MA%.OCC LOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304l,e) <br /> FIRE SPRINKLERS REOUIRED ❑YES NO � � � # <br /> STATE BUILDING SURCHARGE � 1 SO <br /> STATEENERGVSURCHAFGE bD0017376 <br /> APPLICATION ACC BY PUNS CN[CNED BY APPR FOR ISSU>NCE OY <br /> DRIVEWl�Y PERMIT <br /> M.M. TOTAL S�� $ •� 1 50 <br /> PEHMIT VALIDATION � <br /> WHEN PROPERLV VALIOATED pN THIS SPACE)THIS IS VOUR PEHMIT <br /> �0 <br /> �` <br /> M <br /> � <br /> a-- <br /> 'r.1'�.� S'� i '..� <br />