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CITY OF r Q7NSTRUCTION everett PERMIT PERMIT NO. 18728 <br />259-8745 <br />®!DEMOLITION ❑ COMBINATION -93- BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />Everett, <br />CITY <br />WA 98206 <br />ZIP <br />568-5285 <br />PHONE <br />or 252-4323 <br />Dennis & Linda Irving <br />P.O. Box 1045 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />98206 <br />ZIP <br />259-9191 <br />PHONE <br />NEWLAC343LO <br />LICENSE, <br />Newland Construction <br />P.O. Box 958 Everett, WA <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION ❑ REPAIR ® DEMOLITION ❑ BUILDING RELOCATION <br />Demolition OF structure <br />14EAT SOURCE <br />�..InIII11., [I GAR F1 WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <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 />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT - BLOCK _ OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />see attached <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE LOCAL LAW REGULATING CONSTRUCTION OR <br />THE ORM CE CONSTRUCTION. <br />FIGN ON TOR. UT14ORIZEO AGENT, OR OWNER DATE <br />X <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TY OF EQUIPMENT <br />FEE _ <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS -- N.P. <br />REFRIGERATION UNITS — H P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS — ❑.T.0 /H P. <br />GAS FIRED A C. UNITS — B T.U. <br />SHOWER <br />FORCED AIR SYSTEMS — © T.U. M EA <br />KITCHEN SINK A DISP. <br />DISHWASHER <br />WALL HEATERS —B. T.0 M <br />UNIT HEATERS — B T.0 Al <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPLACE &CHIMNEY <br />FIREPLACE INSERT <br />_ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL <br />s <br />SUBU::84 <br />. <br />PERMITT.GU $71• <br />PERMIT <br />f <br />T'.ALIFt� <br />$1S <br />ID <br />TOTALFEE <br />f <br />FEEINZ)111 <br />CEIPT NO. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />LPLZO S160'..0E <br />c_ FEE <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />r AL N <br />❑YES ❑NO <br />BUILDING <br />s00me617 <br />-0 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />JLD6 :HC I <br />.SU <br />PLUMBING <br />+ry <br />C <br />SIZE OF OLD-, <br />NO OF STORIES <br />MAX OCC. LOAD <br />MECHANICAL <br />- - � <br />; $❑jL'1,�4yp $1 <br />'• <br />.OD <br />INVESTIGATION FEE <br />FIRE SPRINKLERS REQUIRED O YES ❑ NO <br />STATE BUILDING SURCHARGE <br />„Dj;r-63510• - <br />3 <br />50 <br />-'r-LlL4 SJ' <br />.DD <br />STATE ENERGY SURCHARGE <br />II •rr <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />-- --- - <br />1171 5 >47;.08 <br />• <br />ERECT, <br />•. bS' 3 <br />50 <br />TOTAL <br />P AMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YUUH PERMIT W <br />N <br />N <br />co <br />r-- <br />AD"RESS FILF <br />