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607 65TH PL SE 2018-01-02 MF Import
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607 65TH PL SE 2018-01-02 MF Import
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Last modified
12/21/2021 10:51:50 AM
Creation date
4/17/2017 9:51:08 PM
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Address Document
Street Name
65TH PL SE
Street Number
607
Imported From Microfiche
Yes
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FheEvogrern <br />CITY OF <br />everett <br />259-8745 <br />C INSTRUCTION <br />PERMIT <br />PERMIT NO. 16986 <br />O DEMOLITION 50 COMBINATION ❑ BUILDING L7 MECHANICAL ❑ PLUMBING 0 SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />JOHN & LYNDA THOMPSON 5004 - 73rd PL NE Marysville WA 98270 653-9131 <br />ARCHITECT OR DESIGNER MAIL ADDRESS COY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />CLASS OF WORK <br />Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 110,000.00 <br />New dUDleY. <br />❑ ELECTRICITY ❑ OAS n WOODSTOVE ❑ OTHFR <br />PROPOSED USE OF BUILDING <br />Dupl ex <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 I . INANCES <br />GOVERNING THIS TYPE OF WORK WILL BE CO .D WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GR/ :SING 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 />SIGNATURE OF CONTRACTOR. AUTHORIZED AGENT. OR OWNER DATE <br />X <br />LEGAL DESCRIPTION OF PIIOPERTY :SHOW BELOW UD ATTACH FOUR COPIES( <br />LOT 3 BLOCK _ OF Ward Addis Addn <br />JOB ADDRESS <br />607 - 65th PL SE <br />PLUMBING <br />MECHA ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />4 <br />WATER CLOSET (TOILET) <br />20 <br />00 <br />AC — A'HNDLG UNITS - H P <br />2 <br />BATHTUB <br />10 <br />OO <br />REFRIGERATION UNITS — H P EA <br />6 <br />LAVATORY (WASH BASIN) <br />30 <br />OO <br />BOILERS — B T U M P <br />SHOWER _ <br />GAS FIRED AC UNITS — BTU <br />2 <br />KITCHEN SINK & DISP <br />10 <br />00 <br />FORCED AIR SYSTEMS — B T U M EA <br />2 <br />DISHWASHER <br />10 <br />00 <br />WALL HEATERS — B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />2 <br />CLOTHES WASHER <br />10 <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />2 <br />CLOTHES DRYERS <br />13 <br />00 <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />9 <br />00 <br />FLOOR DRAIN <br />2 <br />RANGE HOOD <br />13 <br />00 <br />BACKFLOW PREVENTERC <br />2 <br />WATER HEATER <br />13 <br />00 <br />ROOF DRAINS — RAINLEADERS <br />2 <br />WOOD STOVE <br />60 <br />O0 <br />SINK (SERVICE — BAR. ETC I <br />METAL FIREPLACE A CHIMNEY <br />2 <br />Vacuum breakers <br />10 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING HOOM163 <br />EXHAUSTFAN WATER <br />DIED( $127 <br />SUB TOTAL <br />f <br />100 <br />00 <br />SUB TOTAL <br />1 01 <br />00 <br />PERMIT <br />f <br />10 <br />00 <br />PERMIT <br />TOTAL FEE <br />31 <br />110 <br />00 <br />TOTAL FEE <br />1018 <br />00 <br />FRONT SETBACK <br />20' <br />REAn SET HACK <br />20' <br />s10E SETDACK <br />5' <br />PLAN CHECK NUMBER <br />86/16986 <br />FEE <br />310.38 <br />RECEIPT NO <br />80229 <br />USE ZONE <br />R-2 <br />I OF AREA <br />LApNT SITE <br />GIVES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITSs <br />2 <br />BUILDING <br />PLUMBING <br />$ 0 <br />� <br />4 <br />11 <br />DEL- <br />511E OF Pl W <br />3004 + 516 <br />NO OF STORIES <br />2 <br />MAX DEC LOAD <br />MECHANICAL <br />000016%6 <br />O8 <br />00 <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE Addl <br />F'htbDCi�lll <br />.DO <br />128 <br />05 <br />STATE BUILDING SURCHARGE <br />TECH Sl <br />.00 <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />i <br />1 O <br />OO <br />APPLICATIONACC BY <br />sg <br />Vl AHS CHECKED BY <br />Sg <br />APPR FORISSUAD BY <br />DRIVEWAY PERMIT <br />E .SRCH 61 <br />.00 <br />TOTAL <br />N00025B05 <br />1052 100 <br />eeeult mumm�u <br />mro •an <br />IVY <br />. _...N ..._._.... _.. .w-..ten 'w.uu <br />WHEN PROPERLY VALIDATED RN TIIIG SPACE(THIS Ii V&R PERMIT <br />#00 1 100 <br />111U lAI 0O <br />ELEC $25.00 M <br />ICON zm <br />ADDRESS FILE <br />
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