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the Evawvm <br />CITY OF I" ONSTRUCTION <br />everett PERMIT PERMIT NQ,_ 17643 <br />259-8745 <br />❑ DEMOLITION 6d COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Melum & Smith P.O. Box 592 Lake Stevens 98258 653-2025 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same MELUMG18OP7 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE X <br />PLUMBINGCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f <br />CLASS OF WORK <br />ki NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR Cl DEMOLITION ❑ BUILDING RELOCATION <br />S 42,500 <br />Single family residence, new Basic 1244 <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br />PIIDPOSED 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 CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU E W CONT TOR AUTHORIZED AGENT, OR OWNER GATE / <br />X <br />LEGAL DESORIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 11 BLOCK _ or Colby Place <br />JOB ADDRESS <br />1727 - 70th P1 SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />2 <br />WATER CLOSET ITOILETI <br />10 <br />00 <br />MC - A/HNDLG UNITS - H P <br />2 <br />BATHTUB <br />10 <br />00 <br />REFRIGERATION UNITS - H P EA <br />2 <br />LAVATORY (WASH BASIN) <br />10 <br />00 <br />BOILERS - S T U M P <br />} <br />SHOWER <br />S <br />an <br />GAS FIRED AC UNITS - BTU <br />1 <br />KITCHEN SINK B DISP <br />IJ <br />00 <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />5 <br />00 <br />WALL HEATERS - B T U M <br />UNIT HEATERS - BTU M <br />LAUNDRYTRAY <br />1 <br />CLOTHES WASHER <br />S <br />OO <br />EVAPORATIVE. COOLERS <br />URINAL <br />1 <br />CLOTHESORYERS <br />6 <br />50 <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />9 <br />- <br />OF <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERC <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK ISERVICE - BAR. ETC) <br />METAL FIREPLACE B CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />; <br />GAS PIPING <br />EXHAUSTFAN MD I G <br />-J <br />BUD TOTAL <br />> <br />45 <br />00 <br />sue <br />28 <br />50 <br />PERMIT <br />B <br />PERMILK <br />TOTAL FEE <br />i <br />TOT <br />5 <br />FRONT SETBACK <br />201 <br />REAR SETBACK <br />201 <br />SIDE SETBACK <br />61 <br />PLAN CHECK NUMBER <br />86/17058 <br />FEE <br />BASIC <br />RECEIPT NO. <br />USEZONE <br />R-1 <br />LOT AREA <br />8308 <br />VACANT SITE <br />ACA ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$42,500. <br />36 <br />DD <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />PLUMBING <br />4 <br />00 <br />SIZE OF BLDG <br />1244 + Gar 480 <br />NO Of STORIES <br />1 <br />MAX OCC LOAD <br />MECHANICAL <br />2 1 <br />50 <br />FIRE SPRINKLERS REOUIRED DYES ONO <br />INVESTIGATION FEE <br />01,A-WFI&M 4: U <br />7PM 000A03746 <br />1111 <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />T 1 <br />.00 <br />00 <br />APPLICATION ACC BY <br />M.M. <br />PLANSCHECKEDBY <br />APPR FOR ISSUANCE By <br />L.C. <br />DRIVEWAY PERMIT <br />PLE)G $4 <br />.00 2 <br />00 <br />TOTAL <br />E SRCH 4 <br />0 479 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON TWORAE) THISW%H PERMIT �' <br />II WW <br />tCONTCEFk <br />ti <br />1100026030 <br />ADDRESS FILE <br />