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the ESierpr"m <br />CITY OF <br />everett <br />259-8745 <br />('" )NSTRUCT6CN <br />PERMIT <br />PERMITNQ.- 17041 <br />D DEMOLITION ❑ COMBINATION W BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAII ADDRESS DITY ZIP PHONF <br />JAMES TINSLEY 2417 Chestnut Everett WA 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP F140NE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Everett Bldrs 5606 Evergreen Way Everett WA 98203 353-7161 EVEREB3111-3 <br />MECHANICAL CONTRACTOR MAIL ADDRESS ❑TY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION W ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />s 2060.00 <br />Foundtion repair <br />❑ ELECTRICITY [I GAS Cl WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 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 ANY OTHER <br />STATE O LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PE RMANC CONSTRUCTION. <br />:IGNA Hn if ;ONT FACTO OIORIZED AGENT On OWNER DATE <br />X 8/19/86 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BU OW OR AT UCH FOUR COPIESI <br />788 5 Match Heirs 1st Addn <br />LOT _ BLOCK _ OF <br />— <br />JOB ADDRESS <br />2417 Chestnut <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 />A C — A'HNDLG UNITS — H P <br />BATHTUB <br />REFRIGERATION UNITS — H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS — B T U /H P <br />SHOWER <br />GAS FIRED A C UNITS — B T U <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />WALL HEATERS — BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS B <br />9 <br />URINAL <br />CLOTHEGORYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE DED, <br />SINK (SERVICE — BAR, ETC) <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />f <br />TOTALFEE f <br />FRONT SETBACK <br />PEAR SE TRACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />IFEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S9060 <br />C VV <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />F'R- SPRINKLERS REQUIRED Q YES 0 NO <br />INVESTIGATION FEE <br />SPc 30e(e) <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC flY <br />sg <br />PLANS CHECKED BY <br />APPF FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />55PcomT <br />veI ImmCIN <br />WHEN PROPERLY VAL IDATEO (IN THIS SPACEI THIS IS YOUR PERMIT <br />11I bS I I F <br />