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`heCITY OFF QONSTRUCTION # /� <br />everett PERMIT PERMIT NO. 18524 <br />259-8745 <br />❑ DEMOLITION COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Steven Bartl�w 10612 39th Or SE Everett, WA 98208 337-2 9079 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CCBTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Same <br />STEVEBC212JR <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />C'TY <br />ZIP <br />PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />CLASS OF WORK <br />F9 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 89,000. <br />DESC.PIPE WORK <br />New Residence <br />HEAT SOURCE <br />❑ ELECTRICIT/ ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />'ACPOSED USE OF I'JILDING <br />single family residence <br />4 <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 PERFOR NC OF O TRUCTION. <br />SIGNATURE OF RAC R.A ONttf AGENT. OR OWNER DATE <br />X _%7 - T <br />LEC AL DESCRIPTION OF PROPER Y(SHOW BELOW OR ATTACH FOUR COPIES) <br />Lo• 5 BLOCK _ o+ Edgemoor Heights <br />JOB ADDRESS <br />4926 Dover St. <br />PLUMBING <br />M NICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />15 <br />00 <br />A/C - A+HNOLG UNITS - H P. <br />1 <br />BATHTUB <br />5 <br />00 <br />REFRIGERATION UNITS - H P. EA. <br />3 <br />LAVATORY (WASH BASIN) <br />15 <br />OO 1 <br />BOILERS -B.T.U./H P. <br />2 <br />SHOWER <br />10.00 <br />X <br />GAS FIRED ABC. UNITS -8.T. U. <br />1 <br />KITCHEN SINK 6 DISP <br />5 <br />00 <br />1 <br />FORCED AIR SYSTEMS - B T U M EA <br />9 <br />OO <br />1 <br />DISHWASHER <br />5 <br />00 <br />WALL HEATERS-B.T.U. M <br />1 <br />LAUNDRYTRAY <br />5 <br />00 <br />UNIT HEATERS -BT.0 M <br />1 <br />CLOTHES WASHER <br />5 <br />OO <br />1 <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHESDRYERS <br />6 <br />50 <br />DRINKING FOUNTAIN <br />3 <br />VENTILATION FAN <br />13 <br />50 <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACK.7LOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />1 <br />WOOD STOVE <br />30 <br />OO <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />6535.�CEh' <br />INUE� <br />GAS PIPING <br />EKHAUSTFAN 0". <br />SUBTOTAL <br />S <br />65 <br />QO <br />SUBTOTAL 72 <br />00 <br />PERMIT <br />S <br />PERMIT - <br />- <br />TOTAL FEE <br />S <br />65, <br />00 <br />TOTAL FEE 72 <br />00 <br />FRONT SETBACK ROW <br />55' from C/L <br />REAR SETBACK <br />25' <br />SIDE SETBACK <br />7.5' <br />PLAN CHECK NUMBER <br />67/18524 <br />FEE <br />357.18 <br />RECEIPT NO. <br />90517 <br />USE ZONE <br />R-S <br />LOT..r::A <br />23,423 sf <br />VACANT SITE <br />OYES El NO <br />FEES <br />-VALUATION _ <br />- Q•_ <br />BUILDING <br />Sg9,000 <br />590 <br />OD <br />TYPE OF CONST <br />V-N <br />.O <br />OCCUPANCY UP <br />R-3 <br />NO OF UWELLINOUNITS <br />1 <br />PLUMBING <br />65 <br />00 <br />S':E OF BLOC <br />2450 sf <br />NO OF STORIES <br />2 <br />MAX OCC LOAD <br />NA <br />MECHANICAL <br />1171 $2� <br />.QU 72 <br />00 <br />y <br />FIRE SPRINKLERS REQUIRED ❑ YES QYNO <br />�� Plan <br />Het5W(g) <br />,T <br />26 <br />32 <br />STATE BUILDING SURCHARGE <br />• <br />�100018524 <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />BLOC $54 <br />.00 15 <br />00 <br />APPLICATION ACC BY <br />SH <br />PLANS CHECKED BY <br />Be <br />APPR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />• -. _ <br />HECH 47 <br />., <br />.W 20 <br />00 <br />TOTAL <br />FLn 'N �`_' <br />791 <br />82 <br />RFRMIT VALIDATION <br />ANY EXISTING ORGANIC MATERIAL IN BUILDING <br />FOOTPRINT AREA TO BE REMOVED TO INSPECTOR'S <br />SATISFACTION. <br />WHEN PROPERLY VALIDATED (IN THISSPACE) TINAMIOUR PERMIT <br />@IvW4 V -15.00 d' <br />E SRCH s15.00 N � <br />M' T MCA! <br />r• <br />ADDRESS FILL <br />