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the Eiwrvvm <br />CITY OF <br />everett <br />259-8745 <br />C',NSTRUCTION , PERMIT NO. 19983 <br />PERMIT <br />® DEMOLITION ❑ COMBINATION ❑ BUILDING U MECHANICAL (U PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PH IA <br />CSC Truck Parts 21802 Hwy 99 Edmonds, WA ggnln 77a_Raaa <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Owner <br />' MECHANICAL CONTRACTOR MAIL AODPESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ETl DEMOLITION LJ BUILDING RELOCATION <br />VALUATION OF WORK <br />f <br />Demolish House <br />HEAT SOURCE <br />❑ ELECTRICITY LI GAS ❑ WOODSTOVE Cl OTHER <br />PROPOSED USE OF BUILDING <br />Single family --iii—g, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO DE 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 ANN' OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SyIGNATU A GTIIORI ADENi, OR OVMFR GAT <br />A �� <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <br />LOT _ BLOCK _ or <br />See Attached __ _ <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC- A/HNDLG UNITS -HP <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS - B T.0 /H P <br />SHOWER <br />GAS FIRED A C UNITS - B T U <br />KITCHEN SINK L DISP <br />FUDCED AIR SYSTEMS - R T U M EA <br />DISHWASHER <br />WALL HEAT ERS - B T.0 M <br />LAUNDRYTRAY <br />UNIT HEATER)-B T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOL FRS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />_ <br />FLOOR DRAIN <br />RANGE HOOD <br />GACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC I <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />f <br />BUB TOTAL <br />_ <br />PERMIT <br />f <br />PERMIT <br />TOTAL FEE <br />f <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />[I YES ❑ No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF OWELLINGUNITS <br />PLUMBING <br />SIZE OF RI OG <br />NO OF STORIES <br />MAX DOC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED Fl YES Q NO <br />INVESTIGATION FEE <br />SFK "IS) <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />3 <br />50 <br />DPRMIT VAI IDATIeM <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />cy-3 <br />00 <br />07 <br />V_ <br />ADDRESS FILE <br />