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trgInsori <br />he CITY OF ' 0NSTRUCTI0N everett PERMIT PIERMITNQ. _1 8279 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINi TION ❑I BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Emma Wilbur 1632 Virginia Everett, WA <br />ARCHITECT OR <br />MAIL ADDRESS <br />ZIP <br />GENERAL CONTRACTOR l MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />Maloy Remodeling & Repat! 14321 2nd Ave NW Marysville, WA 98270 652-7222 RR236JH <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION W REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 3776.00 <br />DESCRIBE WORK <br />Reinforce part of roof rafters, re -roof, new fence, added crawlspace access, drywell for roof <br />HEAT SOURCE <br />❑ ELECTRICITY D GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />aazRa personal 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 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 CONSTRUCTION. <br />SIGNATURE CP NTRACTOR AUTHORIZED AGENT, OR OWNER DATE <br />X '� 6-2-87 — <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />3.7 & 16 33 Plat of Everett <br />LOT _ BLOCK _ OF <br />Divi-=ion U <br />JOB ADDRESS <br />1632 Virginia Si. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER C_OSET (TOILET) <br />A C— A/HNDLG UNITS HP <br />BATHTUB <br />REFRIGERATION UNITS — HP EA <br />LAVATORY (WASH BASIN) <br />BOILERS — B T.0 MP. <br />SHOWER <br />GAS FIRED ABC. UNITS — B.T U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — 6 T.U. M EA <br />DISHWASHER <br />WALL HEATERS —8T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS —BT. U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />_ <br />DRINKING FOUNTAIN <br />VENTILAT'ON FAN <br />_ <br />FLOOR 07AIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />_ <br />SINK (SERVICE —BAR. ETC) <br />M TAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />_ <br />HEAT PUMP <br />GAS PIPING <br />_ <br />E%HAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />f <br />I TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />yACANT SITE <br />DYECA ❑No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$3776.00 <br />63 <br />00 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />O6/02/87 10:4 <br />Rid (300Rtt <br />_M <br />SIZE OF FLOG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />000010279 <br />FIRE SPRINKLERS REQUIRED ❑ YES 0 NO <br />INVESTIGATION FEE <br />F" ?., 304(e) <br />STATE BUILDING SURCHARGE <br />CHECK 4E i.50 <br />i <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M. M. <br />PLANS CHECKED By <br />APPR FOR ISSUANCE By <br />L.C. <br />DRIVEWAY PERMIT <br />TOTAL <br />64 <br />- <br />PFRYIT VALIDATION <br />FENCE TO COMPLY WITH ZONING CODE REQUIREMENTS WHEN PROPERLY VALIDATED QN THIS SPACE) THIS IS YOUR PERMIT <br />rn <br />N <br />CV <br />C0 <br />ADDRESS FILE <br />