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CITY OF r INSTRUCTION everett PERMIT PERMIT NO. 19366 <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />IRl MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />MMDRFSS <br />LAD <br />CIIv <br />tI' MWNE <br />OWNER <br />Marlene Doyle <br />1701 62rd St Everett, WA 98203 <br />353-6592 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />Iu' MIDNE <br />MI'L ADDRESS <br />CITY <br />Lm MIONE <br />LICENSEE <br />GENERAL CONTPACTCN <br />Marlene Doyle <br />1701 62nd St. Everett, WA 98203 <br />353-6592 <br />MECHANICAL CONTRACT OR <br />MAIL ADDRESS <br />CITY <br />bP PHONE <br />LICENSEE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />PHONE <br />LICENSE E <br />GLASS OF WORK <br />❑ NEW [I ADDITION ❑ ALTERATION C 1 REPAIR ❑ DEMOLITION (A BUILDING RELOCATION <br />DESCRIBE WORK <br />T,atAllatinn nf pellet atnue <br />HEAT SOURCE <br />❑ GAS (D WOODSTOVE El OTHER <br />❑ ELECTRICITY <br />PROPOSED USE Of BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />single family home <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OHDINANCES <br />LEGAL DESCRIPTION OF PROPERTY IBHOW BELOW OR ATTACH FOUR COPIES( <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />BLOCK OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />LOT _- _ <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 />-'— <br />THE PERFORMANCE OF CONSTRUCTION. <br />S +NATURE OF CONTRACTOR. AUT RILED AGENT, OR OWNER DATE <br />12 /3 D/B7 <br />JOB ADDRESS -_ <br />1701 - 62nd St. <br />- <br />MECHANICAL" — <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE. OD ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FED-_ <br />A/C - A/HNOLG UNITS_- H P. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNII S - H P. EA. <br />BATHTUB <br />BOILERS - B.T.0 RF P <br />LAVATORY (WASH BASIN) <br />GAS FIRED A C. UNITS - B.T U <br />SI LOWER <br />FORCED AIR SYSTEMS - B.T U. M EA <br />KITCHEN SINK A DISP <br />WALL HEATERS -8T.U. M <br />DISHWASHER <br />UNIT HEATERS - B T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />CHIMNEY <br />SINK (SERVICE - BAR. ETC I <br />"- <br />WEXHAUSTFAN <br />TOTAL <br />f 3 <br />OO <br />BU9 TOTALSUB <br />PERMIT <br />f <br />PERMIT <br />OO <br />TOTAL FEE <br />{ <br />TOTAL FEE <br />3 <br />FRONT SETBACK <br />REARqETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RGCOPT NO <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />DYES ONO <br />TYPE OF CONST <br />OCCUPANCY G9OVP <br />NO OF DWELLING VNIT9 <br />BUILDING <br />PLUMBING <br />SIZE OF BLDG <br />NO OI STORIES <br />MAX OCC LOAD <br />30 <br />00 <br />MECHANICAL <br />INVESTIGATION FEE <br />Sac 3D4(P) <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKL RS REQUIRED nYES ONO <br />STATE ENERGYSURCMARGE <br />AMICATIONACC OV <br />PLANSCHECKEO BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />30 <br />00 <br />M. M. <br />TOTAL <br />PERMIT VALIDATION <br />_..___.--.-............Ie.", <br />_. I <br />WHEN PROPERLY VALIDATED (IN INIs SVm1-' InIo I-....... <br />Co <br />C"7 <br />cn <br />i.; <br />