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rpvm <br /> ` FveCITY OF C INSTRUCTION <br /> p <br /> everett PERMIT PERMIT NO. 20028 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ® MECHAIIICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Kenneth W. Diedrich 6500 Commercial Ave Everett, WA 98203 347-0858 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> Star Custom Homes 6509 Commercial Ave Everett, WA 98203 347-0858 STARCHI135J2 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS 01 WORK <br /> DENEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> f <br /> DESCRIBE WORK <br /> New duplex, mechanical <br /> HEAT SOURCE <br /> 0 ELECTRICITY ❑ GAS C] WOODSTOVE ❑ OTHER <br /> IROPOSED USE OF BUILDING <br /> Duplex I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF IVOPEOTY ISHOW BELOWOR ATTACH FOUR CONES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK - OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> Lot 3 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOII ADDRESS SIGNATURE OF CONTRACTOR.AUTHORIZED AGENT.OR OWNER DATE <br /> 713 - 60th St SW X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H P <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) a BOILERS—B.T.0 M.P. <br /> SHOWER GAS FIRED A C.UNITS—B T.U. <br /> KITCHEN SINK A DISP FORCED AIR SYSTF.MS—B T U M EA. <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> LAI)NORY TRAY UNIT HEATERS—B T . M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL 2 CLOTHES DRYERS 11 in <br /> DRINKING FOUNTAIN 4 VENTILATION FAN in in <br /> FLOOR DRAIN f 2 RANGE HOOD O__ <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC) 2 METAL FIREPLACE A CHIMNEY 6 <br /> FIREPLACE INSERT <br /> HEAT PUMP _ <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL f SUBTOTAL <br /> PERMIT 3 PERMIT 15 0 <br /> TOTALFEE f TOTAL FEE lig VICI <br /> FRONT SMACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER IEE RECEIPT NO <br /> USE ZONE LOT AREA <br /> VACANT SITE <br /> ❑YES ONO FEES VALUATION FEE <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING <br /> PLUMBING <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD <br /> MECHANICAL9 00 <br /> INVESTIGATION FEE NODI WN <br /> FIRE SPRINKLERS REO IRED 11 YES CI NO STATE BUILDING SURCHARGE CHI $1 Do <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACC BY N.ANS CHECKED BY APPS FOR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> TOTAL 119 00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED BN THIS SPACE)THIS IS YOUR PERMIT <br /> 00 <br /> N <br /> O <br /> O <br /> N <br /> ADDRESS FILE <br />