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"NSTRUCTION <br />2 s9-noo PERMIT <br />PERMIT NQE_.18077 <br />❑ DEMOLITION 6d COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY <br />21P MHONE <br />Melum & Smith P.O. Box 592 Lake Stevens, WA 98258 653-2025 <br />ARCHITECT OR OESIGLER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />Same MELUMG180P7 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTM MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />CLASS OF WORK <br />W NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />B 9 41,500 <br />Single family residence, BASIC ELAN #1152 <br />HEATSOURCE— <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEI <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 ANDCORRECT. 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 />SIGNATURE OF CONTRA OR AUTHORIZED AGENT. On OWNER DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SNOW BELOW OR ATTACHFOUR COPIESI <br />LOT 10 Colby Place <br />_ BLOCK _ of <br />JOB ADDRESS <br />1731 - 70th P1 SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />10 <br />00 <br />A/C - AMNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />2 <br />LAVATORY (WASH BASINI <br />lO <br />OO <br />BOILERS - 8 T U /H P <br />SHOWER <br />GAS FIRED AC UNITS - BTU <br />1 <br />KITCHEN SINK 8 DISP <br />5 <br />00 <br />FORCED AIR SYSTEMS - B T U M EA <br />1 <br />DISHWASHER <br />5 <br />00 <br />WALL HEATERS - B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS - 8 T U M <br />1 <br />CLOTHES WASHER <br />5 <br />OO <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHES DRYERS <br />6 <br />50 <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />9 <br />00 <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS -- RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />BUS TOTAL <br />f <br />BUD TOTAL <br />PERMIT <br />L <br />PE <br />i <br />T'L:t <br />TOTALFEE <br />f <br />TOTALFEE <br />FRONT SETBACK <br />20 ft <br />BEAR SETBACK <br />20 ft <br />SIDE SETHM-A <br />6 ft <br />PLAN CHECK NUMBER <br />87/17060 <br />Fib Uj8077 <br />E;LNSIC S36 <br />RECEIPT NO <br />.50 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />PIVES ONO <br />FEES <br />ATION <br />FEE <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING U,ATS <br />1 <br />BUILDING <br />OO <br />�,. 362 <br />50 <br />PLUMBING <br />E SRCH $1 <br />.00 45 <br />00 <br />SIZE OF BLOO <br />11$2+ 484 <br />NO OF STORIES <br />1 <br />MAX OCC LOAD <br />MECHANICAL <br />OU <br />28 <br />50 <br />EIRE SPRINKLERS REQUIRED Q YES QN0 <br />INVESTIGATION FEE <br />SEW&'304(e) $7 <br />.00 <br />STATE BUILDING SURCHARGE <br />- <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />000005417 <br />15 <br />00 <br />APPLICATION ACC BY <br />PUNS CHECKED BY <br />BE <br />APPR FOR ISSUANCE DY <br />L.C. <br />DRIVEWAY PERMIT <br />r 20 <br />00 <br />TOTAL <br />PE 'M <br />472 <br />50 <br />F IT VALIDATION <br />WHI N PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />co <br />!— <br />ADDRESS FILE <br />