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the Evawn: <br />CITY OF <br />everett <br />259-8745 <br />C°7NSTRUCTION " opC <br />PERMIT PERMITNQ:: 7ooJ <br />❑ DEMOLITION ❑ COMBINATION La] BUILDING <br />Cl MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Alice Bateman <br />5714 Lombard a Everett <br />98203 <br />353-8935 <br />ARCHITECT OR DESIGNED <br />MAR ADDIFSS <br />CITY <br />ZIP <br />PHOI <br />CRY <br />ZIP <br />PHONiE <br />LICENSE II <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Everett Builders <br />Inc. 65 5606 Evergreen Jay <br />Everett <br />98203 <br />353-7161 <br />EVEREB*30; <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />_ <br />1PH <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE II <br />❑ NEW ❑ ADDITION ❑ ALTERATION 50 REPAIR ❑ DEMOLITION EJ BUILDING RELOCATION <br />VALUATION OF WORK -�- <br />s 1792.00 <br />Reroof existing house <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PhOPOSF.D 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 ANDTION <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 FCONTRACTOR,A FIORIZ DAGENT. OR OWNER DATE <br />X <br />LEGAL DESCRIPOF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _. BLOCK - OF <br />JOB ADDRE55 <br />5714 Lombard <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 - A/HNDLG UNITS - H.P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS - B T.O/H.P. <br />SHOWER <br />GAS FIRED AC. UNITS - B.T.U. <br />KITCHEN SINK HDISP. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />_ <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYER.^, <br />DRII4 KING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />SACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />SI <br />SUBTOTAL 5 <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />S <br />TOTALFEE <br />FRONT SETBACK <br />RLAR SETBACK <br />SIEE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 1792.00 <br />41 <br />00 <br />PLUMBING <br />1? '') <br />H 00A84386 <br />i:: ** <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCO LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES ElNO <br />INVESTIGATION FEE <br />Bfj <br />SLOiT` 304(B) c4:.00 <br />Y$..50 <br />STATE BUILDING SURCHARGE <br />E SRCH <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />BLDG $4 <br />.00 <br />APPLICATION ACC. BY <br />S.H. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />B SRCH $ <br />.50 <br />TOTAL <br />42 <br />50 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L.L7 <br />CD <br />c-- <br />ADDRESS FILE <br />