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�� <br />CITY OF <br />everett <br />259-8745 <br />�' C�NSTRUCTION ' <br />PERl1AIT <br />PERMIT NO. � 6 S � 2 <br />❑ DEMOLITION CxJ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEF AtPiLqO�RESS CITY ZIP PMONE <br />Robert L. Peterme��ar 3804 - 104th P1 SE Everett WA 98204 337-1758 <br />PRCNITEGTOROESIGNER MAILAD�RESS CITV ZIP FMONF <br />Piercy & Barclay 7080 SW Fir Loop Tigard OR 97223 503-620-4551 <br />GENERAL CONTR4CTOR MAIL ROORESS CITY 21P PMONE LICENSE • <br />Robert L. Petermeyer <br />MECMANIGRLCONTRACTOR AIAILRDDRE55 CITY 21P PNONE 4CENSE� <br />%.UMBINGCONTRACTOR MFILAD�RE55 CITV ZIP PMONE LICEN�E� <br />CUSS OF WORk <br />KI NEW ❑ ADDITION ❑ ALTERATION ❑ REP.'!IR ❑ DEMOLITION ❑ BUILDING FELOCATION <br />VRLU4TIONOFWORK . _ <br />S �0�����.4� <br />OESCNIBE WORK ' <br />New single family residence <br />❑ ELECTRICITY C1 GAS ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />LOT _LL_ BLOCK � <br />PLUMBING <br />TYPE OF FII(TURE OR ITEM <br />WqTER CLOSET �701LET) <br />BhTHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTpIN <br />FLOOR ORAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — AAINLEAOERS <br />SINK ISERVICE — BAR. ETCJ <br />SUBTOTAI <br />PERMIT <br />TO7ALFEE <br />FRONT SETBACN �EFR SET6r1CK <br />2RW + 25' 25' <br />USEZONE IOTAREA <br />R-S 15 386 <br />TYPE OF CONST. OCCUPANCV GR� <br />V-N R-3 <br />SRE OF �LDG. NO OF STORIES <br />3756 sf 2 <br />FIfiE SPRINKLERS REOUIRED ❑ YES ❑ � <br />RPPLICATIONRCGOY PlANSCMECNEC <br />FOUN COPIES) <br />�-�i� <br />Vr1CFNT SITE <br />y]YES ❑NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE THUE 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 GRANTINf' OF A <br />PERMIT DUES NOT PRESUME TO GIVE AUTHORI' �' TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY �R <br />STATE OR LOCAL LAW REGl1LATING CONSTRUC7 �'R <br />THE PEFiFORMANCE OF GONSTRUCTION. <br />SIGN O� COI <br />X <br />MECHANICAL <br />'EE NO. TYPE OF EOUIPMENT <br />' ' A/C—A/HNULGUNITS—HP. <br />qEFRICERATION UNITS — H.P. [A. <br />BOILERS — B.T.0 /H.P. <br />F G�SFIREDAC.UNITS-8. . �� <br />FORCEDAIRSVSTEMS—BT.U. M <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS—B.T.U. M <br />EVAPORATIVECOOLERS ��� <br />j CLOTHESDRYERS � <br />'2 VENTILATION FAN <br />j RANGEHOOD <br />� WATERHEATER __� <br />WOOD S70VE <br />Z A7ETAL FIREPLACE 8 CHIMN � <br />FIREPI�CEINSEfiT �— <br />HEAT PUMP <br />GAS 1'IPING <br />EXHAUSTFAN <br />NO OF UWELLING UNITS <br />mm � sg � lc <br />or <br />OR ONTIER DATE <br />'_ . G �e �.^ <br />� SUB1VI711" "-� __ y <br />PERM � ! �� <br />70TA ` ! � <br />PLAN CHECK NUMBER FEE RFCEIPT NO. <br />86/16812 298.66 80376 <br />FEES VALUATION FEE <br />BUILDING sj O OOO <br />PLUMBING <br />MECHANICAL 99 50 <br />INVESTIGATION FEE Adol � afl �CfIE'Ck � �% O <br />STATE BUILDING SURCHARGE � 5 <br />STATE [NERGY SURCHAFGE � 5 OO <br />DRIVEWAV PERMIT <br />TOTAL 97P 5 <br />PEqMIT V1ILIDATION <br />WH[N PROPERLY VALIOATED pN THIS SPACE) THIS IS VOUR PERMIT <br />ZV <br />t� <br />� <br />�0 <br />l� <br />1 <br />