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CITY OF CPNSTRUCTION < everett PERMIT PERMIT NQ: _-1 8251. <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION Cj BUILDING ❑ MECHANICAL Cl PLUMBING ❑ SIGN <br />O%%TIER MAIL ADDRESS CITY ZIP PHONE <br />D.L. Lowes 12421 51st Ave. SE Everett 98204 337-7946 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Same <br />GENERAL <br />MAIL ADDRESS <br />CITY <br />LICENSE. <br />SYil01 Same <br />MECHAN.CAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONL LICENSE. <br />-LASS OF WORK <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION C BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 52,000.00 <br />DESCRIBE WORK. <br />Single family residence _ <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY <br />APPLICATIONIFY THAT I HAVE READ AEXAMINEDND ANDKNOWTHE SAME TO BE RUE 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 N0- PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF AN.' OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P FOR NC ONSTRUCTION. <br />SIGNAL "onAGENT. OR OW+ER DATA <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) I <br />LOT 1 BLOCK _ OF SP# 10-85 (/ <br />JOB ADDRESS <br />5702 East Dr. <br />PLUMBING <br />MECHANICAL - <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TVPf 4"OUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />/` 10 <br />OO <br />A.0 — A HNOLd NI —)I <br />P <br />- <br />1 <br />BATHTUB <br />5 <br />OO <br />REFRIG AT N NI - <br />P.EA. <br />2 <br />LAVATORY (WASH BASIN) <br />lO 1 <br />FL OD <br />S- 7 P. <br />1 <br />SHOWER <br />QO <br />IRED A C. U I B. U <br />1 <br />KITCHEN SINK & DIS <br />5 <br />ED AIR SYS — <br />1 <br />DISHWASHER <br />S <br />OO <br />HEATERS <br />I <br />LAUNDRY TRAY <br />HEATERS <br />1 <br />CLOTHES WASHER <br />S <br />OO <br />T LERS <br />URINAL <br />I <br />S DRYERS <br />�0 <br />DRINKING FOUNTAIN <br />ILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />6150 <br />BACAFLOW PREVENTERS <br />�l <br />WATER HE 4TER <br />ROOF DRAINS — RAINLEADE <br />WOOC STOVE <br />1'S <br />$QSLB® <br />SINK (SERVICE —EAR, ETC) <br />�'"' <br />1 <br />METAL FIREPLACE & CHIMNEY <br />301 <br />00 <br />/ <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL <br />$4 5 <br />SUB TOTAL <br />63 <br />00 <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />$�__4r <br />nD <br />TOTAL FEE <br />FRONT SETBAC. <br />20 <br />REAR SETBACK SIDE <br />20 <br />SETBACK <br />5 <br />PLAN CHECK NUMBER <br />87/18251 <br />FEE <br />06/L'27815l2 <br />RECEIPT NO. <br />FHIWD /ltx?'1 86155 <br />USE ZONE <br />R-2 <br />LOT AREA VACANT <br />5045 <br />SITE <br />MYES ONO <br />FEES <br />VALUATION <br />FEE <br />UILDING <br />B59, <br />§1L lL'� 1 <br />' <br />TYPE OF C <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />414 <br />SIZE OF BLOC <br />1260 <br />NO OF STORIES <br />1 <br />MAX OCC LOAD <br />N/A <br />MEC14ANICAL <br />1,711 115!.0 <br />(4 <br />FIRE SPRINKLERS REQUIRED QYES aNO <br />INVESTIGATION FEE <br />(e) q <br />I.50 <br />STATE BUILDING SURCHARGE <br />'= <br />I 42 <br />I- 1 <br />50 <br />STATE ENERGY SURCHARGE <br />100026225 <br />15 <br />00 <br />APPUOATIONACC BY <br />S.H. <br />PLANS CHECKED BY <br />B.E. <br />APPR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />� <br />,� u 20 <br />OO <br />TOTAL <br />616 <br />10 <br />PFRMIT VAULAnCIN <br />WHEN PROPERLY VALIDATED JIN THIS SPACE) THIS 15 YOUR PERMIT <br />'T <br />Lo <br />N <br />00 <br />T- <br />ADDRESS FILE <br />