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���� (�NSTRUCTION �- <br />c�'v oF '"'� <br />everett` P�RMIT PERMITNO. � 7756 <br />259-8745 <br />❑ DEMOLITION �] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDHE55 CiTY 21P pHONE <br />David L. Bicalow 29206 - G4th Ave NW Stanwood, WA 98292 629-3785 <br />nRCMiTGCTOfIpESIG�.ER MAILADORES$ CITY 2�P PHONE <br />GENEHFL CONTR/ Ci08 MqIL nODRE55 CITV ZIP pNONE LICENSE � <br />David L. Bigelo�a 29206 - 64th Ave NW Stanwood, WA 98292 629-3785 <br />1.1ECHANICRLCONTRACTOR MqIL40�RE55 CITY 21P PIIONF. LICENSE� <br />PLUMBINGWNTRnCT011 MAIL�DORE55 CdY ZIP PIICNE LICENSE• <br />CUSS OF WORK <br />C� NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR <br />VALU4TION UF WORN <br />S BZI���. <br />DESCRIOE wOPN <br />Construct new asqa�e single family residence <br />HEATSOURCE <br />❑ ELECTRIC�TV ❑ GAS ❑ WOODSTOYE <br />single family residence <br />8 <br />�or _ o�ocK _ <br />5010 Dover St. <br />PLUMBING <br />NO. 7YPE OF FI%TL <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATJflY�WA5HBA51N� <br />SM(�WER . <br />KITCHEN SI4K 8 �ISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PflEVENTERS <br />ROOF �RAINS — RAINLEA <br />SINK �.^,ERVICE — BAR, ET <br />3 <br />1 <br />1 <br />R-S <br />OF CO <br />V-N <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />IACK RERR SET�ACN <br />25 25 <br />l0i AqEA <br />20,395 <br />Si2E OG BLOG <br />1398sf <br />R-3 <br />NO OF StORIES <br />1 + fin bmt <br />A^PLICATIONACC BV PLANSCH[CNED�V <br />SH He <br />FEE <br />15 <br />$ <br />s 65 C <br />S <br />f 65 C <br />SIOE SETOACK <br />7.5 <br />VACFNTSITE <br />LIYES ❑NO <br />N0. OF DWLILING UNITS <br />1 <br />AIA%.00C L04D <br />❑ DEMOLITION <br />O OTHER <br />❑ BUILDING RELOrATION <br />1 HEREBY CERTIFY THAI- I HAVE REAG AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEHN�NG THIS TVPE 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 PFOVISIONS OF ANY OTHER <br />STATE OR LOCAL LA�Y REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNr1TUREpf�R�O� RIZ;DAGEtN� 01vN[� �ATE <br />X iri� <br />L-c 1' <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />NC — AMNOLG UNITS — H P. <br />PEFRIGERATION UNITS — H.P. EA. <br />�OILERS — B.T.0 /HP <br />GAS FIRED AC. UNITS — B T.U. <br />], FORCED AIR SYSTEMS — B.T.U. M EA. <br />1VALL HEATERS — BS U. M <br />UNIT HEATE95 — B.T.U. M <br />EVAPORATIVECOOLERS <br />1 CLOTHES�RYERS <br />3 VENTILATION FAN <br />RANGEHOOD <br />1 WATER HEATER <br />WOODSTOVE <br />2 METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />G.15 PIPING <br />E%HAUSTFAN <br />87/17786 �'�g�27.93°�� '�O 83586 <br />FLEG 56` .00 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />E S[CH 41`j�.00 <br />S7A7E BUILOMG SURCHARGE """""' <br />eFI.�L� <br />ST�TEENERGYSURCHAfiGE UATE� <br />tSUnNCE OV <br />ORIVEWAYPERMIT ��r` <br />L.C. <br />TOTAL <br />. ec <br />YC�IMII Ypl1Uq11Ury <br />ETBQt@ STRUCTURE SHF�LL NOT EXCEED 25 FT ABOVE �SHSbi�iBR�B��� VALIDATED QN THIS SPACE) THI$ IS YOUR PEIiM1T <br />THE AVERAGE ELEVATION AT TEIE POOT OF THE BUILDING. <br />