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Me &wrvvm <br />CITY OF C "INSTRUCTION _ <br />ev PERMIT PERMiT No. 21560 <br />259-8745 8745 <br />❑ DEMOL;IION IN COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLLMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Tim Williamson 2906 Hoyt Everett 8 nT 258-2sgo <br />ARCHITECT OR DLSIGNER MAIL ADDRESS ( ITY ZIP PHONE <br />'Impression 8 Desian 2229 Jackson ieXett 9R2m lrR R9nn <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />Hawa Const. same as above _ unwr**Tzn <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE2 LICENSE. <br />--^-^-- mnR nwl2ss CITY ZIP PHONE LICENSE• <br />Puget Sound Plumbing 2024 Casino Rd. Everett 98204 743-9537 30034409 <br />Cl ASS OF WORK <br />a NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 58,158.00 <br />DESCRIBE WORK <br />New construction <br />IEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />residence <br />4 <br />LOT _ BLOCK _ OF <br />W.Wl <br />SP #16 Lot 1-7 Elk 6 Severn Park <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 />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 P OVISIONS OF ANY O ER <br />6 1 A I E OR LOCAL LAW R LATING CONSTRUCT R <br />THE PER F ANCE OF C STRUCTION, <br />SIGNAT O ONTRACTO UTHOR EO GENT. OR OWNER DATE <br />/ <br />CHANICAL <br />JOBADDRESS <br />1610 Puget Dr. <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO-T <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />A/C - AMNDLG UNITS - HP. <br />2 <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />3 n <br />LAVATORY (WASH BASIN) <br />Aq <br />BOILERS - B T.0 /H. P. <br />SHOWER <br />GAS FIRED AL. UNITS - B.T.U. <br />j <br />KITCHEN SINK & DISP. <br />1 <br />FORCED AIR SYSTEMS - B.T U. M EA <br />j <br />DISHWASHER <br />nn <br />WALL HEATERS - BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.0 M <br />j <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />J. <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />in <br />FLOOR DRAIN <br />1 <br />RANGE HOOD ,1 <br />,� <br />BACKFLOW PREVENTERS <br />j <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />1 <br />METAL FIREPLACE d CHIMNW <br />Fin <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />X <br />SUB TOTAL $ <br />55 <br />00 <br />SUB <br />PERMIT S <br />PER <br />TOTAL FEE S <br />55 <br />00 <br />TOT <br />FRONT SETBACK <br />20 <br />REAR SETBACK <br />2 <br />SIDE SETBACK <br />6 <br />PLAN CHECK NUMBER <br />89/21560 <br />F <br />SM..621 83 <br />IPTNO. <br />.DD14596 <br />USEZONE <br />R-1 <br />LOT AREAA <br />70QQ <br />VACANT SITE <br />YES []NO <br />FEES <br />N.L!{ nor#2 <br />.00 FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLINGUNITS <br />1 <br />BUILDING <br />j171-5 $6 <br />.00 <br />PLUMBING <br />SS <br />OQ <br />SIZE OF BLDG <br />1136+5OU GAR <br />NO OF STORIES <br />1 <br />MAX OCC LOAD <br />N/A <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES ICI NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />15 <br />00 <br />APPLICATION ACC BY <br />M.M. <br />PLAN; CHECKED BY <br />B.E. <br />APPR fOR ISSUANCE BY <br />B.E. <br />DRIVEWAY PERMIT <br />20 <br />00 <br />TOTAL <br />676 <br />13 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESSF6. <br />