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Me Evergrem <br />CITY OF f ONSTRUCTION <br />everett PERMIT PERMITNQ:_ 17855 <br />259-8745 <br />❑ DEMOLITION ® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />CYMER MAIL ADDRESS CITY ZIP PHONE <br />Melum s Smith P.O. BOX 592 Lake Stevens WA 98258 653-2025 <br />AFCHITFCT OR DESIGNER MAR ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />Melum 6 Smith Same MELUMG18OP7 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />{ 42,000. <br />DESCRIBE WORK <br />New single family residence, Basic 1200 <br />II ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED US OF BUILDING <br />Single family residence <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE -TRUE AND <br />CORRECT. ALL PROVISION 7 OF LAWS AND ORDINANCES <br />GOVERNING THIS YYPE 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 />SIGNATUR OF CONTRACTOR AUTHORIZED AGENT. OR OWNER DATE <br />X 3 <br />LEGAL DESCRIPTION OF PROPERTY ISH(IIV BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOCK _ of Colby Place <br />JOB ADDRESS <br />1802 - 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 (TOILET) <br />A/C - A/HNDLG UNITS - H P <br />�- <br />2 <br />BATHTUB <br />10 <br />00 <br />REFRIGERATION UNITS - H P EA <br />2 <br />LAVATORY (WASH BASIN) <br />10 <br />00 1 <br />BOILERS - BTU/HP <br />_ <br />SHOWER <br />GAS FIRED AC UNITS - BTU <br />1 <br />KITCHEN SINK S 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 />_ <br />LAUNDRY TRAY <br />UNIT HEATERS - B T U M <br />1 <br />CLOTHES WASHER <br />URINAL <br />5 <br />00 <br />1 <br />EVAPORATIVE COOLERS <br />CLOTHES DRY( IS <br />6 <br />50 <br />DRINKING FOUNTAIN <br />3 <br />VENTILATION FAN <br />13 <br />50 <br />FLOOR GRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PF .VENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICI -TAR, ETC I <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST AN <br />SUBTOTAL <br />f45 <br />SUBTOTAL <br />EL <br />33 <br />00 <br />PERMIT <br />f <br />- <br />PERMIT <br />- <br />- <br />TOTAL FEE <br />{ 45 <br />00 <br />TOTAL FEE <br />33 <br />00 <br />FRONT SETBACK <br />201 <br />REAR SETBACK SIDE <br />201 <br />SETBACK <br />61 <br />PLAN CHE K NUMBER <br />8717855 <br />FEE <br />0 BASIC <br />RECEIPT NO. <br />USEZONE <br />R-1 <br />LOT AREA VACANT <br />7155 <br />SITE <br />mYES ❑No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ 42,000 <br />362 <br />50 <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />45 <br />00 <br />SIZE OF BLDG <br />1120 + gar 528 <br />NO OF STORIES <br />1 <br />MAX OCC LOAD <br />MECHANICAL <br />33 <br />00 <br />FIRE SPRINKLERS REORUIRED YES CINO <br />INVESTIGATION FEE <br />Sec 3G4Ie) <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />15 <br />00 <br />APPLICATION ACC BY <br />M. M. <br />MANS CHECKED BY <br />Be <br />APPR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />20 <br />00 <br />TOTAL <br />477 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT U-) <br />IS) <br />cc <br />t� <br />ACORESSfILE <br />