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the Eivrgreew <br />CITY OF <br />everett <br />259-8745 <br />"NSTRUCTION <br />PERMIT <br />PERMIT NQ:-179-1 <br />`� <br />CI DEMOLITION l7 COMBINATION ❑ BUILDING Q MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE r <br />Dr. Jonathan P. Witte 700 - 35th St Everett. WA 98201 258-9176 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE LICENSE+ <br />MECHANICAL CONTRACTOR <br />Valley Natural Gas 11323 <br />MAIL ADDRESS <br />Hwy 99 Everett, <br />CITY Z.P PHONE LICENSE+ <br />WA 98204 VALLEYNG1536 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE LICENSE+ <br />CLASS OF WORK _ <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 813x 2466.46 <br />DESCRIBE WORK <br />Install boiler, install water <br />heater <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS <br />❑ WOODSTOVE <br />❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family 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 OF CONTRACTOR. AUTHORIZED AGENT. OR OWNER DATE <br />" 3/24/87 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK - OF <br />JOB ADDRESS <br />700 - 35th St <br />PLUMBING <br />MEtiiANICAL <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A,C- A;HNDLG UNITS —H P. _ <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA. <br />LAVATORY (WASH BASIN) <br />1 <br />BOILERS —BT.UIH.P. <br />SHOWER <br />GAS FIRED A . UNITS — B.T U <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />LAI. NDRY 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 />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS — PAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />I METAL FIREPLACE & CHIMNEY <br />_ <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST"FAN <br />SUB TOTAL <br />$ <br />SUB TOTAL 3 <br />15 <br />50 <br />PERMIT <br />S1 <br />I <br />PERMIT <br />15 <br />DU <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />I --sic YUI "�lYfi <br />H 471C <br />30 <br />50 <br />FIRE SPRINKLERS REQUIRED OYES ❑NO <br />INVESTIGATION FEE <br />iiD11I (C], <br />STATE BUILDING SURCHARGE <br />(ICLN 14, <br />� )� a' <br />.J <br />S <br />STATE ENERGY SURCHARGE <br />- <br />50 , <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />30 <br />DFomr veI merinN <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />r <br />Q7 <br />ADDRESS FILE <br />