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the FtN.ag,ren <br />CIT, ()I <br />everett <br />259-8745 <br />"'ANSTRUCTION <br />PERMIT <br />PERMIT NO. 17856 <br />❑ DEMOLITION ❑ COMBINATION Ixl BUILDING 17 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS I, ZIP MIONE <br />Melum & Smith P.O. Box 592 Lake StevenE, WA 98258 653-2025 <br />ARCN TECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />Melum & Smith Same NEEN®2EEE HHHE MELUMC18OP7 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORN <br />:L7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR Ll DEMOLITION ❑ allILDING RELOCATION <br />E 42,000 <br />DESCRIBE WORK <br />Single family residence - Basic Plan 1200 <br />HEATSOUFCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE LI OTHER <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 />SIGNATU OF CONTRACTOR. AUTHORIZED AGENT. OR OWNER DA E <br />X j <br />LEGAL DESCRIPTION OF PROPERTY )SHOW BELOW OR ATTACH FOUR COMES) <br />LOT 9 BLOCK _ OF Colby Place <br />JOB ADDRESS <br />1812 - 70th PI 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 . LOSET (TOILETI <br />10 <br />00 <br />AC - A HNDLG UNITS- H.P. <br />2 <br />BATHTUB <br />10 <br />00 <br />REFRIGERATION UNITS - HP. EA <br />2 <br />LAVATORY (WASH BASIN) <br />10 <br />00 <br />1 <br />BOILERS - B,T.0 /H P. <br />SHOWER <br />GAS FIRED A C. UNITS - B T.U. <br />1 <br />KITCHEN SINK A DISP. <br />5 <br />00 <br />FORCED AIR SYSTEMS -13T.U, M EA <br />1 <br />DISHWASHER <br />5 <br />00 <br />WALL HEATERS -BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.0 M <br />1 <br />CLOTI+ES WASHER <br />5 <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHES DRYERS <br />E <br />50 <br />DRINKING FOUNTAIN <br />3 <br />VENTILATION FAN <br />13 <br />50 <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOWPREVENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />TAL FIREM ACE A CHIMNEY <br />EPLACE INSERT <br />ATPUMP <br />S PIPING <br />IGA <br />HAUSTFAN <br />SUBTOTAL <br />F <br />45 <br />00 <br />SUBTOTAL <br />33 <br />00 <br />PERMIT <br />S <br />PERMIT <br />TOTALFEE <br />A <br />4 5 <br />TOTALFEE <br />FRONT SETBACK <br />20' <br />REAR SETBACK <br />20' <br />SIDE SET BACK <br />6' <br />PLAN CHECK NUMBER <br />87/17856 <br />'''A§i <br />RECEIPT NO. <br />F-M OCOAN439i III <br />USEZONE <br />LOT AREAyACANT <br />8265 of <br />BITER-1 <br />®YES ONG <br />FEES <br />]jFEE <br />A ION <br />FEE <br />BUILDING <br />4 <br />'.5U 362 <br />50 <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNrTS <br />1 <br />PLUMBING <br />S4 <br />.00 4S <br />DG <br />SIZE OF BLDG <br />1120 + Gar 528 <br />NO OF STORIES <br />1 <br />MAX OCC LOAD <br />MECHANICAL <br />B SRCH $..50 <br />33 <br />00 <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />L &Wbk) 41 <br />j.00 <br />STATE BUILDING SURCHARGE <br />DIRMY <br />000026115 <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />SEWER $3 <br />J.0c. 15100 <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />Be <br />APPR FOR ISSUANCE BY1. <br />L.C. <br />DRIVEWAY PERMIT <br />71- 4651,01 <br />20100 <br />TOTAL <br />#00005340 <br />477100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN 1MGI1ACEI'THIA M Y0011 PERMIT <br />LD <br />Ln <br />00 <br />L` <br />t- <br />AGAR[; S 1 II f <br />