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fAe&vrgrem <br />CITY OF <br />everett <br />259-8745 <br />CONSTRUCTION <br />PERMIT <br />PERMIT NQ;- I77i79 <br />❑ DEMOLITION ❑ COMBINATION G BUILDING ❑ MECHANICAL C-! PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY dP PHONE <br />Melum h Smith P.O. Box 592 Lk. Stevens 98258 653-2025 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />UCENSEA <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f S®®®X®® 42000.00 <br />DESCRIBE WORK <br />Construct new single family residence Basic plan 1200 <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSFn USE OF BUILDING <br />Singk 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 COMP) IED WITH <br />WHETHER SPECIFIED HEREIN 07 NOT. THE GRANTING 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 />SIGNATUR OF CONTRACTOR AUTHORIZED AGENT, OR OWNLR DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <br />12 Colby Place <br />LOT _ BLOCK _ Or <br />JOB AUDRESS <br />1721 70th Pl. 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 )TOILET) <br />10 <br />00 <br />AIC - AMNDLG UNITS - H P <br />BATHTUB <br />G <br />Ou <br />REFRIGERATION UNITS - H P EA <br />2 <br />_ <br />LAVATORY IWASH BASIN) <br />BOILERS - BTU/HP <br />SHOWER <br />GAS FIRED A C UNITS -- B T U <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />O <br />WALL HEATERS - O T U M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T U M <br />CLOTHES WASHER <br />5 <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />3 <br />VENTILATION FAN <br />3 <br />0 <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />36'— <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />ROOF DRAINS - RAINLEAD°RS <br />WOOD STOVE <br />SINK (SER, ICE - PAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />PI AT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />4bl <br />LIU <br />SUBTOTAL <br />PERMIT <br />f <br />PE <br />TOTALFEE <br />f4blZU <br />TOTALFEE <br />FnONT SETBACK <br />20 <br />REAR SETBACK <br />20 <br />SIDE ELTBAACK <br />PLAN CHECK NUMBER <br />87/17V59 <br />F 7 <br />e sjC 9436 <br />RECEIPT NO <br />.50 0 <br />USE ZONE <br />R-1 <br />LOT AREA <br />7234 <br />VACANT SITE <br />❑YES ONO <br />FEES <br />ATION <br />FEE <br />BUILDING <br />.00 <br />362 <br />50 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />E SRCH s1 <br />5.00 45 33 <br />00 <br />SIZE OF BLDG <br />1120+GAR 528 <br />NO OF STORIES <br />1 <br />MAX OCC LOAD <br />MECHANICAL <br />` <br />' 33 <br />00 <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />SE91f�.Gw(e) $3 <br />.D0 <br />STATE BUILDING SURCHARGE <br />J 6rLM- <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />1100005323 <br />15 <br />00 <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />BXHX <br />API'R FOR IS`UANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />� <br />20 <br />GG <br />TOTAL <br />477 <br />00 <br />1 PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Qi <br />LPG <br />r <br />ADDRESS FILE <br />