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the C — C"NSTRUCTION q <br />everett PERMIT PERMIT NO. 20244 <br />259-8745 <br />❑ DEMOLITION I-7 COMBINATION © BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CRY tug PHONE <br />Cleo Robertson 2326 Rockefeller Everett, WA 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY : u' PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Alpha Const. 5325 SR 92 Lake Stevens 98258 334-7316 ALPHAC*223DH <br />MECHANICAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />❑ NEW ❑ ADDITION QALTERATION ?I REPAIR 11 DEMOLITION O BUILDING RELOCATION <br />VALUATI3N OF WORK <br />f 15,000.00 <br />DESCF41RE WORK <br />Roof, frm,.ation replacement, replace windows alter porch roof. <br />HEAT SOURCE <br />❑ ELECTRICITY L] GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF PUII DING <br />Single family residence <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMiIJED 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 PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE Ps'.RFORMANCE OF ONSTRUCTION. <br />SIGNATURCDF LQITRACTOR TF MH D AGENT OR OWNER DATE <br />X <br />LEGAL DESCRIPTION OF PRN4RTv Is,OWRFLOW OR ATTACH FOUR COPIES, <br />LOT _ BLOCK 491 or_ Plat of Everett <br />Lots 20,21, and S. 1/2 of 22 <br />JOBADDRESS <br />2326 Rockefeller <br />PLUMBING <br />MECHANICAL s <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />A r, - A HNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS - B T U H P <br />SHOWER <br />GAS FIRED AC UNITS --13T.U. <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS -- B T U M EA <br />DISHWASHER <br />WALL HEATERS - BTU 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 />BACKFLOW PREVENTERS <br />WATER HEATER <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 />EKHAUSTFAN <br />SUB TOTAL <br />PERMIT <br />$ <br />S <br />SI I'A <br />PERMIT—�— <br />_ <br />TOTALFEE <br />$I <br />TOT <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />F <br />B SRCH f <br />IF <br />'RUMIPTNO <br />.50 <br />USE ZONE <br />LOT AREA <br />SITE <br />CA �No <br />DYES <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />gnn <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />SIZE OF BLDG <br />N/A <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES XI NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />B.E. <br />APPR FOR ISSUANCE I3Y <br />B.E. <br />DRIVEWAY PERMIT <br />TOTAL <br />165 <br />50 <br />PFRMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PLRMIT <br />N <br />O <br />N <br />ADDRESS FIIE <br />