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ffie ") CITY OFCNSTRUCTION <br />everett PERMIT PERMIT NO. 19376 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING U MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />George Garvll 2518 Monroe Ave Everett, WA 98203 353-0078 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CON TRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE R <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />s <br />DESCRIBE WORK <br />gas lines to water heater and furnace <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />single Saii family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISION, 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 FORMANC OFCONSTRUCTION. <br />SIG TU OF CONTRA AUTH ORI NT, OR OWNER DATE <br />X 1/4/88 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOUR COPIES) <br />LOT _ BLOCK OF <br />JOB ADDRESS <br />2518 Monroe Ave <br />PLUMBING <br />MECHofftAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <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—' T.U.,; I. P. <br />SHOWER <br />GAS FIRED, C UNTS—RT.0 <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.0 M EA. <br />DISHWASHER <br />WALL HEATERS — 8 T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T 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 />9ACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />SUB TOTAL <br />15 <br />50 <br />PERMIT <br />$ <br />PERMIT <br />15 <br />00 <br />TOTAL FEE <br />$ <br />TOTAL FEE S <br />30 <br />50 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF COAST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />30 <br />50 <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(c) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M. M. <br />PLANS CHECKED BY <br />APPR FOR ISEUANCE BY <br />I <br />DRIVEWAY PERMIT <br />TOTAL <br />30 <br />0 <br />L 0.1UIT VAI IneTInN <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />CO <br />_rf1"tAI)))x 033 L�— <br />��CVD <br />,�.:., .. , LLi. <br />