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the &wv-ecn <br />CITY OF CINSTRUCTION <br />e'verett PERMIT PERMIT NO. 21348 <br />259-8745 <br />❑ DEMOLITION R, COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS lily bF PHONE <br />Mark and Shelly Kreutz 6919 Colby Ave. Everett 98203 347-5295 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CFIT :IP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY <br />PHONE LICENSE F <br />PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY :RPHONE LICENSEE <br />CLASS OF WORK <br />❑ NEW MIEADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 36,384.00 <br />DESCRIBE WORK <br />Garage and bay window additions <br />HEAT SOURCE <br />❑ ELECTRICITY C1 GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE Of BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I 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 OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN,IIUJIE OF CONTRACTOR. AUTHO IZED AGE RE, OR OWNER DATE <br />X Alt, -a" <br />LEGAL DESCRIPTION OF PROPERTY (SHM% Bo_ OW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ Of W. 'z of lots 7&8 plat of <br />Pinehurst Div G <br />JOB ADDRESS <br />PLUMBING <br />MECHANICA �- <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET ITOILET) <br />5 <br />00 <br />A-C-A/HNOLG UNITS -H.P <br />BATHTUB <br />5 <br />REFRIGERATION UNITS - N.P. EA. <br />_ <br />l <br />LAVATORY (WASH BASIN) <br />5 <br />00 <br />BOILERS -8TU!HP <br />SHOWER <br />GAS FIRED A C. UNITS - B.T U <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS - B TU MCA <br />DISHWASHER <br />WALL HEATERS -BT. U. M <br />LAUNDRY TRAY <br />I UNI F HEATERS -BT. U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />_ <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EYHAUSTFAN <br />SUBTOTAL <br />fis <br />00 <br />SU IAL 14 <br />5 <br />PERMIT <br />f <br />PE <br />TOTAL FEE <br />f <br />TOT <br />4 <br />50 <br />FRONTSETBACK <br />20 <br />REAR SETBACK <br />20 <br />SIDE SETBACK <br />6 <br />PLAN CHECK NUMBER <br />68/21348 <br />F ff <br />I-LD663.8041 <br />RECEIPT NO <br />.00 14642 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT ��LLTIE <br />❑YES LgNo <br />FEES <br />�{IATION <br />FEE <br />BUILDING <br />)' 151.70 <br />3 4.00 <br />330 <br />OO <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />PLUMBING <br />DR VWY 41 <br />`.00 15 <br />00 <br />SIZE OF BLDG <br />1344 <br />NO. OF STORIES <br />1 <br />MAX. OCC LOAD <br />1 N/A <br />MECHANICAL <br />L c 4.4L <br />.70 — <br />9 <br />50 <br />PRE SPRINKLERS REQUIRED LJYES DINO <br />INVESTIGATION FEE Plan C <br />Sec a0alrl <br />50 <br />70 <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />_ <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY <br />M.M.. <br />— <br />PLANS CHECKED BY <br />J.W. <br />APPR FOR ISSUANCE BY <br />J.W. <br />DRIVEWAY PERMIT <br />on_ <br />TOTAL <br />423 <br />7 <br />PFRMIT VAUDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />co <br />'d" <br />CI <br />C\3 <br />