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the <br />`;'N r7NSTRUCTION �7801 <br />everett PERMIT PERMIT No..-. +o`J <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION IXl BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRL•¢ CITY SN PHONE <br />Glen Johnson 1724 Walnut Everett None <br />OR DESIGNER <br />IIlY 1"' ATONE <br />GENERAL CONTRACTOR <br />Damage Repair Service <br />MAIL ADDRESS <br />Box 2045 <br />CItY <br />Everett 98203 <br />III' <br />337-4'22 <br />ATONE LICENSE• <br />DAMAG123BD3 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />(-.ITY <br />ZIP <br />ATONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEF <br />CLASS OF WORK <br />❑ NEW El ADDITION I_ I ALTERATION F) REPAIR L DEMOLITION ❑BUILDING RELOCATION <br />VALHATIONOI WDRK <br />f 25000.00 <br />Fire damage repair in basement <br />FEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />I] OTHER <br />PROPOSED USE OF BUILDING <br />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 HEFiEIN 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 />SIGNA'I I IRE OF CONTRACTOR AOT1101I4ED AGENT. OR OWNER DATE <br />X <br />LEGAL DESCRIPNON Of MOPERT Y(SHOW BELOW OR ATTACH FOUR COPIESI <br />- <br />LOT _ BLOCK _ of - <br />- <br />JOB ADDRESS <br />1724 Walnut <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A'C - A:HNDLG UNITS - H P <br />13ATHTUD <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS - B.T U M P <br />SHOWER <br />GAS FIRED AC UNITS - BTU <br />KITCHEN SINK A OISE <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />WALL HEATERS -RTU 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 PREVENTLRS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC I <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUB TOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />f <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />' <br />RECEIPT NO <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />SIowooi DD <br />252100 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />C•L S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX. OCC LOAD <br />MECHANICAL <br />CHECi; 425 <br />.50 <br />FIRE SPRINKLERS REQUIRED 0 YES NO <br />INVESTIGATION FEE <br />Sea 304(e) <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY <br />S.H. <br />PLANS CHECKED BY <br />AFTER FOR ISSUANCE BY <br />D.B. <br />DRIVEWAY PERMIT <br />TOTAL <br />253 <br />50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED FIN THIS SPACE) THIS IS YOUR PERMIT <br />L` <br />ADDRESS FILE <br />