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the ElIerxrem <br />CITY OF C `'NSTRUCTION <br />191 <br />everett PERMIT PERMIT Na �� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Ll MECHANICAL ❑ PLUMBING ❑ SIGN <br />(lNN( R <br />MAILADDRESS ulv Zu. PIIDN[ <br />Brown 3431 Rucker Everett, WA <br />ARCHITECT OR DESIGNER MAIL ADDRESS CHv IIP PHONE <br />ICENSER <br />GENERAL CONTRACTOR MAIL ADDRESS IIty IIP FN.ON? L <br />K-Four Construction 10109 Kenwanda Dr. Snohomish, WA 668-2000 KFOURC219DW <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS I:Iiv ZIP INTONE JCENSE II <br />PLUMBING CONTRACTOR <br />Illy <br />ZIP PHONE tCENSE A <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION E kREPAIR I I DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 2,000. <br />DESCRIBE WORK <br />20 lin. ft of exterior wall to be repaired <br />HEJ.T SOURCE <br />n .-.O (l YlnnnSTovE i ]OTHER <br />u ciwcA....,..I �.. _.._ <br />MOPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Duplex <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIE51 <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT _ BLOCK _ OF <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 PE O IMAN ' CONSTRUCTION. <br />d GryAL lI GUIIIOIII]ED AGENT OR OWNER DATE <br />X 11/7/88 <br />.TOR ADOREss <br />3431 Rucker Ave <br />MECHANICAL' <br />nUMBING <br />No. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AC - A-HNDLG UNITS - H P. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS - H P EA <br />_ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - B T U M.P <br />GAS FIRED A C UNITS - B T U <br />SHOWER <br />FORCED AIR SYSTEMS - B T U M EA <br />KITCHEN SINK A DISP <br />WALL HEATERS -8TU M <br />DISHWASHER <br />UNIT HEATERS - B T U M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <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 />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR, ETC) <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />f <br />PERMIT <br />f <br />PERMIT <br />f <br />f <br />TOTAL <br />FEE <br />TO EAL FEE <br />REAR SETBACK <br />SIDE SETBACK <br />PLA\CHECK NUMBER <br />FEE <br />RECEIPT NO <br />FRONT SETBACK <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑YES ❑NO <br />BUILDING <br />52,000. <br />45 <br />OO <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />TYPE OF CONS! <br />PLUMBING <br />SIZE OF BLDG <br />tNo OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />11/07/88 2 <br />OOPM OOOAN3i9 <br />INVESTIGATION FEE <br />Sec 304) <br />STATE BUILDING SURCHARGE— <br />4S.E10 3 <br />SO <br />FIRE SPRINKLERS RECUIRED U YES - NO <br />Ei SRCm <br />STATE ENERGY SURCHARGE <br />DRIVEWAY PERMIT <br />gPPLICATIONACC BY <br />nANSC,HECKEO BY <br />APPR FOR ISSUANCE BY <br />TOTAL <br />48 <br />50 <br />TT <br />M. M. & TT <br />PERMIT VALIDATION <br />WHEN PHUFLHLY YNLIMH I .. lu. ......... ..__, ...._._ - <br />Q� <br />N <br />at <br />ADDRESS FILE <br />