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APPLICATION FOR RESIDEtJT1AL QUILUIidG a;;[CHAP;�CAL P�Rt;?T <br />Building Permit <br />Repair <br />ValuaL'ion: 2 710.00 DATE Fenrua�,: ?S�_1;�7<,_ <br />HOME OWNER t•[rs. Edna tiorstad c <br />PHQNE 252-1530 <br />ADDRESS_ 2714 - lbth Street CITY <br />I:verett WA ZIP <br />CONTRACTOR aiverside Roof Comoanv PHONE <br />�- SQ-«i�6 <br />ADDRESS 291G State Streec CITY Everett, WA ZIP <br />98201 <br />CONTRACTOR'S STATE LICENSE NO# aI-vr-gZ-:��n�Tn SEPTIC PERhiIT <br />P.DDRES$ OF JOD 2714 - 16th Street CITY <br />r�,�,-� r r nn <br />TYPE OF WORK Hot built-u roof & c 'tion roof WIDTH OF ROAD <br />L�6 L DESCRIPTION: <br />RIVEWAY PER�4I�-- <br />0206-3-68 <br />SUDDIVISION OR SHORT PLAT Everett Division Uv Fiat of SEC TWP RGE <br />ZONING <br />METES OR BOUNDS <br />LKDLK 330 LOT OR PARCEL 31 & 32 LOT SIZE <br />�=�!'3-'L/2 foot of lots --less B <br />OTIiER BUILDINGS ON THIS PROPERTY <br />SETE3ACK5: �fRONT <br />for office SIDE <br />us� only � REAR_ <br />eUILDING �IMENSIONS: <br />MAIN FLOOR <br />SECOND FLOOR_ <br />CARPORT <br />DASIC PLAN NON, <br />F(7SE <br />NO# <br />6thq <br />�ITIONAL LOT REQUIREMENTS: <br />IS THE AVERAGE SLOPE OF THE PROPERTY <br />?N EXCESS OF 25%? _ YES NO <br />ADDITION REMODEL <br />MAIN FLOOR SQ. FT. STORIES YES <br />- BSMT" NO <br />SECOPIU FLOOR SQ. FT. <br />GARAGE <br />SQ, FT. IN BASEMENT(INCLU�E GARAGE IF LOCATED IN BASEMENT <br />THE ABOVE PROPOSED STRUCTURE IS TO BE USFD FOR THE FOLLOWING PUR- <br />I!�1=, CONSTRUCTION STARTED? PLEASE CHECK ONE <br />r�o <br />1— <br />i <br />iCAL PERMIT: OIL GAS <br />TYPE OF EQUIPMENT IFEE <br />Forced air systems I <br />DTU KW <br />$ <br />Floor Furnaces <br />BTU KW <br />Wall Heaters <br />BTU K�; <br />Roof Units <br />BTU KW <br />fuel Storaae Tanks <br />Size in gallons <br />Unit Heaters <br />RTU KW <br />Air Condition Units <br />H.P, Each <br />Gas Fired A.C. Units <br />Tonnage Each _ <br />14isc. <br />j_ Permit 5 3 00 <br />i _ � Total Due _ <br />YES NO <br />LECTRIC LPG <br />SIGNtD: CONTRACTOR <br />\ J�l�'((l.r In� �EytR - <br />FOR OFFICE USE ONLY: <br />VALUATION <br />PLAN CHECK FEE <br />BUILDING PER�4IT FEE <br />�4ECHANICAL PERMIT FEc <br />TOT�iL DUE <br />BUILDING PERf4IT N0. <br />"�OTE: PLAN CHECK FEE MUST BE PAID tJHLN PLANS <br />ARE SUBt•1ITTCD <br />