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CITY OF INSTRUCTION 0 <br /> everett PERMIT PERMIT NO. 16780 <br /> 259 -8745 <br /> ❑ DEMOLITION rl COMBINATION BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Richard Whalen P.O. Box 262 Monroe, WA 98272 794-5506 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY IIP PHONE <br /> IMpression Designs <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> Whalen Construction P.O. Box 262 Monroe, WA 98272 794-5506 WHALEC150QBG <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> CLASS OF WORK <br /> IN NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION L7 BUILDING RELOCATION <br /> VALUATION OF WORK <br /> $80,000 <br /> OESCRIBE WORK <br /> New construction <br /> HEAT SOURCE <br /> di ELECTRICITY ❑ OAS 0 WOODSTOVE ❑OTHER <br /> PROPOSED USE OF BUILDING <br /> Duplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BEIOWOR ATTACH FOUR COPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT C BLOCK —OF SP 9-84 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> SEC 6-28-5 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 PERFgBMAWE OF CONSTRUCTI <br /> JOB ADDRESS SIGNATU OR�yTNORIZEDA T, WNER DATE <br /> 614 AD 58th Pl SE X /1/ .E� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET I 8 00 A/C-A/HNDLG UNITS - HP <br /> BATHTUB 4 00 REFRIGERATION UNITS-H P.EA. <br /> LAVATORY(WASH BASINI 8 00 BOILERS-B T.U./H P. <br /> SHOWER GAS FIRED ASC.UNITS-B.T.U. <br /> KITCHEN SINK A DISP 4 00 _ FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISHWASHER 4 00 WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL 2 CLOTHES DRYERS 9 00 <br /> DRINKING FOUNTAIN 2 VENTILATION FAN 6 00 <br /> FLOOR DRAIN RANGE HOOD 013 <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS-RAINLEADERS c WOOD STOVE <br /> INK(SERVICE-BAR,ETC I METAL FIREPLACE A CHIMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> DECY, $1638. io <br /> BUB TOTAL ! jz UU BUB TOTAL <br /> 481 OU— <br /> PERMIT B - PERMIT - <br /> TOTALFEE B 3216-0 TOTAL FEE 48 OO <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> 20' 20' 51 Basic <br /> USE ZONE LOT AREA VACANT SITE <br /> R-2 YES ONO FEES VALUATION wfnFEi p. <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS BUILDINn OM949O 21OOORN10" d.Y2t <br /> V-N R-3 2 PLUMBING 32 00 <br /> SIZE OF BLDG NO OF STORIES MAX.OCC LOAD #999167N - <br /> 2880 sf 2 MECHANICAL BLDG t37 ;.00 48 00 <br /> INVESTIGATION FEE —RW304111 <br /> FIRE SPRINKLFRS REQUIRED ❑YES ❑NO 1. <br /> STATE BUILDING SURCHARGE B SRCH $ .w 1 50 <br /> STATE ENERGY SURCHARGE 15. <br /> APPLICATION ACC BY PLANSCECKEOBY APPA rORISSUANCE BY � <br /> DRIVEWAY PERMIT IIS 20 0 <br /> TOTAL MTG ��z� F 489.50 <br /> PERMN — 119992=3 <br /> WHEN PROPERLY TVALIDATED IN TMW&CE)Th4M*MR PERMIT <br /> BND I $110.00 O <br /> 1171-5 $949.07 OD <br /> ljONT 1 <br />