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the E` <br />CITY OF OF <br />r'ONSTRUCTION <br />everett <br />PERMIT <br />PERMIT NQ:--1 <br />8385 <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING ® MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Priscilla Retzla£f 4103 Driest Pt. Dr. Marysville, WA <br />98270 353-8811 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAR ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSE. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSE A <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />Woodstove installation <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ 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 TC 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 />T PERFORMANCE OF CONSTRUCTION. <br />9GNA URE OF CONTRACTO . A T � LED A N OR OWNER DATE <br />X 6/23/87 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPRSI <br />LOT _BLOCK OF <br />JOB ADDRESS <br />4820 Ocean Ave <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/HNDLG UNITS - H P <br />iC <br />BATHTUB <br /># <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 S DISP. <br />FORCED AIR SYSTEMS -- B T U. M EA <br />DISHWASHER <br />WALL HEATERS - B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS -B.T.0 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 />ROOF DRAINS - RAINLEADERS <br />1 <br />WOOD STOVE <br />30 <br />OO <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREI'I-ACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />30 <br />O <br />PERMIT <br />$1 <br />PERMIT <br />TOTALFEE <br />f <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />RRX <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />0 YES CI SITENO <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$h/8 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />J <br />;Pr O'00A4 6'4 iSIZE <br />OF BLDG <br />NO OF STORIES <br />MAX OCC LOADMECHANICAL <br />3O <br />OO <br />SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />2 <br />.00FIRE <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />LOO <br />APPLICATION ACC BY <br />M. A. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />30 <br />00 <br />wcwurr Vu mAnnw <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Ln <br />co <br />M <br />C0 <br />V— <br />ADDFESSri, <br />