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the <br />F°" '� <br />CITYO1 0AINSTRUCTION ''� 1p p <br />F <br />49 <br />everett PERMIT PERMIT NQ; I U `i <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION p BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHUN, <br />Mary C. Moses <br />422.1 S. 3rd Everett <br />98203 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />EK4X Engelson <br />& Assoc. 3201 hroadway NE <br />Everett 96201 <br />25�-5b57 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE X <br />Ownei <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />PLUMBING CONTRACTUR MAIL ADDRESS CITY 2H• PHONE LICENSE <br />CLASS OF WUHR <br />El NEW El ADDITION "ALTERATION ❑ REPAIR ❑DEMOLITION ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />54000.00 <br />Alterations to existing basement - alter xlMlcj single family home ixot Duplex. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Duplex <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 PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONS RQCTION. <br />SIGNATURE OFCONTRACTOR, AUDIO IZ A SIT, OR OWNER DAT <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT '� �''BLocK 3 of Plat. of Lowell DiV L <br />JUR ADORES: <br />4221 S. 3rd <br />PLUMBING <br />MECHANICAL <br />NO TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPEOF EQUIPMENT <br />FEE <br />j <br />WATER CLOSET (TOILET) <br />5 <br />A,C - A/HNDLG UNITS - H P. <br />j <br />j <br />BATHTUB <br />LAVATORY IWASH BAFINI <br />Fj <br />5 <br />00 <br />00 <br />REFRIGERATION UNITS - H P EA <br />BOILERS -BT U iH P. <br />SHOWER <br />GAS FIRED AC UNITS-B.T.U. <br />1 <br />KITCHEN SINK A DISP. <br />5 <br />00 <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />WALL HEATERS - B T.U. 1.1 <br />LAUNDRYTRAY <br />UNIT HEATERS -B.TU, M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />j <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERS <br />j <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC.) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIP114G <br />EXHAUSTFAN <br />PTOTALFEE <br />SUB TOTAL <br />S 2n <br />SUB TOTAL <br />3 1.7 <br />50 <br />PERMIT <br />S <br />PERMIT <br />TOTALFEE <br />$ <br />31 17 <br />S <br />FRONT SETBACK <br />101 <br />REAR SETBACK <br />201 <br />SIDE SETBACK <br />51 <br />PLAN CHECK NUMBER <br />87/18449 <br />FEE <br />40.95 <br />RECEIPT NO <br />90464 <br />USEZONE <br />C-1 <br />LOT AREA <br />5750 <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ 4000. 00 <br />63 <br />00 <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />2 <br />PLUMBING <br />_ , <br />20 <br />0_ <br />SIZE OF BLDG <br />1440 <br />NO. OF STORIES <br />2 <br />MAX OCC LOAD <br />N/A <br />MECHANICAL <br />Z <br />17 <br />50 <br />FIRE SPRINKLERS REQUIRED QYES NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />BE.. <br />APPR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />42000 <br />TOTAL <br />I& <br />0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />M <br />IKZZI- <br />co <br />a— <br />AD013ESS FILE <br />