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MeCITY OF C'--NSTRUCTION .. <br />everett PERMIT PERMIT NG. 9383 <br />259-8745 <br />❑ DEMOLITION aCOMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />David Bigelow 5126 Narbeck Ave. Everett, WA 98263 347-0825 <br />ARCHITECT OR DESIGNER MAIL ADORi3S CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />Owner BIGELDL133CQ <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />I'i NEw ❑ ADDITION ElALTERATION ❑ REPAIR ElDEMOLITION ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />S 70,000.00 <br />DESCRIBE WORK <br />New Construction <br />HEAT SOURCE <br />❑ ELECTRICITY 17 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 />SIGNAT F CONTRAC AUTHORIZE .AGENT. OR OWNER DATE <br />X <br />LEGAL DESCRIPTION OP PROPERTY (SHOW BELOW OR AT EACH FOUR COPIES) <br />LOT I BLOCK _ of FAgnmanr Hr TTe <br />_ <br />JOB ADDRESS <br />4914 Dover St. <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 - AIHNDLG UNITS -- H P <br />BATHTUB <br />lo <br />oo <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN) <br />15 <br />oo <br />BOILERS — B T.0 /H P. <br />SHOWER <br />GAS FIRED AC UNITS—B.T.U. <br />- <br />KITCHEN SINK & DISR <br />FORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />5 <br />00 <br />WALL HEATERS —BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U. M <br />'CLOTHES WASHER <br />5 <br />ooEVAPORATIVE <br />COOLERS <br />URINAL <br />1 <br />CLOTS D-'ERS <br />HE <br />6 <br />SO <br />DRINKINQ FOUNTAIN <br />]. <br />VENTILATION FAN <br />4 <br />50 <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — OAR, ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTPAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />S33 <br />00 <br />PERMIT <br />$ <br />PERMIT <br />f <br />TOTALFEE <br />S 55 <br />OO <br />TOTALFEE <br />S <br />FRONT SETBACK <br />30 <br />REAR SETBACK <br />25 <br />SIDE H€TRACK <br />7 1/2 <br />PLAN CHECK NUMBER <br />88/19383 <br />FEE <br />248.30 <br />RECEIPT NO <br />93933 <br />USE ZONE <br />R-S <br />LOT AREA <br />13,395 <br />VACANT SITE <br />ves LINOFEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONST <br />V—N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF OWELLINGUNITS <br />1 <br />PLUMBING <br />55 <br />00 <br />SIZE OF BLDG <br />2225 <br />NO OF STORIES <br />1 1/2+BMT I <br />MAX OCC LOAD <br />N/A <br />MECHANICAL <br />33 <br />00 <br />FIRE SPRINKLERS REOUIRED ❑ YES PS NO <br />INVESTIGATION FEE plan <br />See.304(e) <br />79 <br />63 <br />STATE BUILDING SURCHARGE <br />3 50 <br />STATE ENERGY SURCHARGE <br />15 <br />00 <br />APPLICATION ACC BY <br />S.H. <br />PLANSCHECKEDDY <br />B.E. <br />APES FOR ISSUANCE BY <br />B.E. <br />DRIVEWAY PERMIT <br />2C <br />00 <br />TOTAL <br />71 <br />G3 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR ru+Ml <br />ADDRESS FILE <br />