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CITYOF CONSTRUCTION q p <br />everett PERMIT PERMIT NQ::- f o04 <br />3 <br />2MrC�ic E 259-8800 <br />❑ DEMOLITION ❑ COMBINATION ® BUILDING Cl MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PIWNL <br />M XNN M Me1Lml & Smith P.O. box 592 <br />OR DESIGNER <br />MAIL AOOPESS <br />take Stevens, WA 98258 653-2025 <br />city ZIP ATONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />Owner <br />MECHANICAL CONTRACTOR MAR ADDRESS CITY ZIP ATONE LICENSE, <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP ATONE LICENSE A <br />CLASS OF WORN <br />ANEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION 0 BUILDING RELOCATION <br />VALUATION OF WORK <br />! 42,500.00 <br />New single family residence Basic #1244 <br />HEAT SOURCE <br />❑ ELECTRICITY Cl OAS Cl WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />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 />SIDNAT RE OF CONTRACTOR. AUTHORIZED AGENT, OR OWNER DATE c <br />X 3 a <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT 7 BLOCK _ OF Colby Pl. <br />- <br />JOB ADDRESS <br />1806 70th Pl. SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR 17EM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />in <br />ARC - AIHNDLG UNITS -- H P <br />BATHTUB <br />I n <br />REFRIGERATION UNITS - HP EA <br />LAVATORY ( WASH BASIN( <br />1n <br />An <br />I <br />BOILERS -BTU /H P <br />SHOWER <br />GAS FIRED AC UNITS - BTU <br />KITCHEN SINK A DISP <br />rFORCED <br />AIR SYSTEMS - R T U M EA <br />DISHWA%HER <br />WALL HEATERS — BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS — a T U M <br />CLOTHES WASHER <br />q <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />9 <br />In <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />so <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />tin <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 PIPING <br />EXHAUST FAN <br />aft2. <br />SUBTOTAL <br />! <br />SUB am <br />n <br />PERMIT <br />! <br />PEP T <br />TOTALFEE <br />! <br />4 <br />TOT <br />50 <br />FRONT SETBACK <br />20 <br />REARSETRACK <br />20 <br />SIDE SETBACK <br />6 <br />PLAN CHECK NUMBER <br />86/17058 <br />FEEL.H %.� <br />E. SF�Isic S <br />RSbEIPT NO. <br />-55UU0 ------ <br />USE LONE <br />R-1 <br />LOT AREA <br />8356 <br />yACANi SITE <br />YES (]NO <br />FEES <br />IONS <br />Ua FEE <br />BUILDING <br />PRVWI <br />.R <br />_ <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNIT- <br />1 <br />PLUMBING <br />WRTEF. $b <br />.00 <br />SIZE OF BLDO <br />1244 + 480 <br />NO OF STORIF� <br />1 <br />MAX OCC LOAD <br />N A <br />MECHANICAL <br />-6 .1J <br />FIRE SPRINKLERS REOUIRED ❑ YES U NO <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARGE <br />1 �'I F J <br />1 <br />50 <br />- <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M. M. <br />FANS CHECKED BY <br />B.E. <br />APPR FOR IS -DANCE <br />L.C. <br />By <br />DRIVEWAY PERMIT <br />20 <br />00 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />M <br />0 <br />00 <br />r- <br />ADOIIESS f 11 E <br />