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I <br />n <br />the EvmVwn <br />CITY OF CLASTRUCTION <br />everett = 21087 <br />259-8745 PERMIT PERMITNQ:= <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS CITY ZIP PHONE <br />_ Mary Bagwell 3005 19th St. Everett 98201 259-3781 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSED <br />Woody's Const. 1826 156th NE Arlington 98223 652-7203 WOODYC273MA <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEM <br />PLUMBING CONTRACTOR MAIL ADDRESL CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW Q ADDITION 11 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />E2400.00 <br />DESCRIBE WORK <br />10'x24' deck <br />HEAP SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Deck <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 CONT ACTOR. AUTHORIZED ENT. OR OWNER DATE <br />X /1 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK — OF <br />/� <br />1 ' - - - - .n.- r <br />— <br />JOC ADDRESS <br />3005 19th St. <br />PLUMBING <br />MECHANICAL <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 />BOILERS — B.T.UJH.P. <br />SHOWER <br />GAS FIRED ABC. UNITS — B.T.U. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS- B.T.U. M EA. <br />DISHWASHER <br />NALL HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATI'✓E COOLERS <br />URINAL <br />CLOTHES DRYERS <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 />SINK (SERVICE - BAR, ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />E <br />SUBTOTAL <br />PERMIT <br />E <br />PER14y07/88 73:440M <br />00GAH3307 <br />:CKi <br />TOTAL FEE <br />$1 <br />TOTAL FEE / <br />FRONT SETBACK <br />REARSETBACK <br />SIDE FETBACK <br />5 <br />PLAN CHECK NUMBER <br />88/21087 <br />FqRO0D21087 <br />E.M.75 $4.0014531 <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />7000 <br />VACANT SITE <br />Cl YES Z*o <br />FEES <br />BUILDING <br />ION <br />`�Y'' <br />�1M00o g <br />�FEE <br />9.85 54 00 <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />M-1 <br />NO. OF DWF.LLINGUNITS <br />0 <br />PLUMBING <br />SIZE OF BLDG. <br />240 <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />N/A <br />MECHANICAL <br />FIRE SPRINKLERSREOJIRED DYES JaNO <br />INVESTIGATION FEE plan <br />Ck Sec 304(`) <br />12 <br />35 <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />_ <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED DY <br />B.E. <br />APPR. FOR ISSUANCE BY <br />B.E. <br />DRIVEWAY PERMIT <br />TOTAL <br />69 <br />85 <br />oCawT VAI meTlnN <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />C1— <br />CXD <br />ADDRESS FILE <br />