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me EVwwVM <br />CITY OF <br />everett <br />259-8745 <br />SONSTRUCTION .. PERMIT PERMIT NQ _ 17191 <br />❑ DEMOLITION <br />® COMBINATION ❑ BUILDING ❑ MECHANICAL 11 PLUMBING ❑ SION <br />William E Strong <br />2908 - 21st <br />.. <br />Everett,WA 98201 <br />252-8581ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE l' <br />❑ NEW LR ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 15,000. <br />DESCRIBE WORK <br />Build addition to home <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ 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 HEREIN OR NUT. 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 />SIGNATUKE,Bf CONTRACTOR, AUT ORIZF-0 AGENT. OR OWNER DATE <br />X �%(Y T_ u 10/3/86 8ki3�E <br />Y <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW Ew ACH FOUR COPIES( <br />5-6 no. 6 ft Lot 7 Block 14 Ready Land Cos <br />LOT _ BLOCK _ OF <br />1st Add. <br />JOB ADDREss <br />2908 - 21st St <br />PLUMBING <br />MECHANIC L <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FLE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />S <br />00 <br />A - A/HNDLG UNITS -- H P. <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />I <br />LAVATORY (WASH BASIN) <br />QQ <br />BOILERS - B T.0 iH P. <br />1 <br />SHOWER <br />QQ <br />GAS FIREDRC UNITS - BTU <br />KITCHEN SINK 3 DISP <br />FORCED AIR SYSTEMS - B T.0 M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.0 M <br />1 <br />CLOTHES WASHER <br />QO <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHES DRYERS <br />6 <br />50 <br />DRINKING FOUNTAIN <br />1 <br />VENTILATION FAN <br />4 <br />0 <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 />_ <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />20 <br />QQ <br />S IB TOTAL 3 <br />11 <br />00 <br />PERMIT <br />S <br />_ <br />_ <br />PERMIT <br />-- <br />TOTAL FEE <br />$ <br />20 <br />00 <br />TOTAL FEE N <br />11 100 <br />FRONT SETBACK <br />201 <br />REAR SETBACK <br />201 <br />SIDE SETBACK <br />51 <br />PLAN CHECK NUMBER <br />86/17191 <br />FEE <br />1takx2fi <br />RECEIPT NO. <br />81911 <br />USEZONE <br />R-2 <br />LOT AREA <br />4644 Sf ps appr <br />VACANT SITE <br />IES 1PNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />BUILDING <br />S15F000 <br />162.00 .rs <br />PLJMBING <br />20 <br />00 <br />SQEOF IL <br />liL r ddd71. <br />NO OFSTORIES <br />1 <br />MAX. OCC LOAD <br />N. A. <br />MECHANICAL <br />11 <br />00 <br />FIRE SPRINKLERS REQUIRED ❑YES ❑ NO <br />INVESTIGATION FEE <br />(eli7 <br />Y N^275 <br />'tYKI <br />STATE BUILDING SURCHARGE <br />/ <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />900017191 <br />APPLICATION ACC BY <br />SG <br />PLANS CHECKED BY <br />SG <br />gPPR FOR [aJANCE BY <br />LC <br />DRIVEWAY PERMIT <br />ELDG 91 <br />'.00 <br />_ <br />TOTAL <br />oceulT v.Iln.rinu <br />MECH f1 <br />n rr I <br />.00 194 <br />50 <br />WHEN PROPERLY VALIDATED (IN TCE) TjTjY4 JU �OUq PERMIT <br />1.11LL1 11It— <br />Qi <br />r� <br />L` <br />r- <br />ADDRFSS FILE <br />