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"eE" OF <br />CITY OF f'ONSTRUCTION <br />everett PERMIT PERMIT NO. 16984 <br />259-8745 <br />El DEMOLITION ❑ COMBINATION CQ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS cI1Y Z:P PHONE <br />WILLIAM & LAUREL ORNELAZ 2631 Larlin Drive Everett WA 347-1613 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP P ;ONE LICENSE X <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P PHONE LICENSE IF <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE X <br />❑ NEW V^^ ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />f 1800.00_ — <br />DESCRIBE WORK — _' <br />Reroo•` <br />HEAT SOURCE <br />❑ ELECTRICITY Y^ ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME l- 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 PERFORMANCE OF CONSTRUCTION. <br />ssGtT OF CONTRACTOR. AUTHORIZED AGENT, OR OWNER DATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOW DELUW OR ATTACH FOUR COPIES) <br />LOT 60 BLOCK or Valley View <br />6037-000-060-0001 <br />JOB AOORC55 <br />2631 Larl i n Drive <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 — AMNDLG UNITS — H.P. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — B T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — B.T.U. <br />KITCHEN SINK B DISR <br />FORCED AIR SYSTEMS—B.T.U. MEA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS —BT.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />F DRAINS — RAINLEADERS <br />WOOD STOVE F <br />(SERVICE — BAR, ETC.) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT _ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />jFRONTETSACK <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEETOTALFEE <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />o <br />9------ <br />41 <br />OO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OCC. LOAD <br />MECHANICAL <br />FIPESPRINKLERSREOUIRED YES QNO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />42 <br />150 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT d- <br />00 <br />r� <br />R DJBCSS FI'_E <br />