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the Evergrem <br />cm of <br />everett <br />259-8745 <br />f"ONSTRUCTION <br />PERMIT <br />PERMIT NO. 17510 <br />❑ DEMOLITION 'PCOMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDPESS CITY ZIP PHONE <br />MELUM & SMITH PO BOX 592 Lake Stevens WA 98258 653-2025 <br />ARCF ITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE L <br />CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 42,000.00 <br />DEWPRE WORK <br />New single family residence <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAB ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <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 ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CAN. -EL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN ATU Of CONTRACTOR. AUTHORVCD AGENT, OR OWNER pqT <br />X '• L,fA <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT , BLOCK _ OF Colby Place <br />JOB ADDRESS <br />1702 - 70th Place SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILETI <br />_ <br />In <br />AC — AIHFIDLG UNITS — H P <br />BATHTUB <br />I n <br />REFRIGERATION UNITS — H P EA <br />LAVATORY (.AS" BASIN) <br />BOILERS — B T U /H P <br />SHOWER <br />GAS FIRED A C UNITS — B T U <br />KITCHEN SINK B DISP <br />FORCED AIR SYSTEMS — B T.0 M EA <br />DISHWASHER <br />WAL.'EATERS — BTU M <br />LAUNDRY TRAP <br />UNIT HEATERS — B T U M <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIP114G <br />EXHAU' 'AN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />33 <br />00 <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />f45 <br />TOTAL FEE <br />33 <br />FRONT SETBACK <br />20' <br />REAR SETBACK <br />20' <br />SIDE SETBACK <br />6' <br />PLAN CHECK NUMBER <br />86/17510 <br />FEE <br />EIAASIf $27 <br />RECEIP12MICONTINUEI <br />.00 <br />USE ZONE <br />R-1 <br />LOT AREA <br />7023 sf <br />VACANT SITE <br />VACA ❑NO <br />FEES <br />TIO <br />FEE <br />BUILDING <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />.001120 <br />SIZE OF BLDG <br />+ 528 <br />NO OF STORIES <br />1 <br />MAX OCC I OAD <br />MECHANICAL <br />FIRE SPRINKLERS REOUIREO Q YES 0 NO <br />INVESTIGATION FEE <br />Sec. 334(e) <br />STATE BUILDING SURCHARGE <br />_ <br />5 <br />STATE ENERGY SURCHARGE <br />000017510 <br />15 <br />00DRIVEWAY <br />APRICAIION ACC [TV <br />sg <br />PLANS CHECKED BY <br />sg <br />pPIM FOR ISSUANCE <br />is <br />By <br />PERMIT <br />TOTAL <br />HECH $3 <br />.00 ))00 <br />PCOYIT VAI..A./YY <br />WHEN PROPERLY VALIDATED RN 1i'I a%EI i%13` YFI PERMIT <br />D1wv tzu LU cm <br />SEUEF $30.00 T— <br />kCONTEU:1 <br />v— <br />i PL. C;. , I .;.!. <br />