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the CITY <br />� .WVM <br />everett ® QJNSTRUCTION 259-8745 PERMIT PERMIT NQ::17073 <br />IN DEMOLITION Kl COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ nLUMBING ❑ SIGN <br />OWNER MAIL ADDRFSS CITY ZIP PHONE <br />Melum & Smith PO Box 592 Lake Stevens WA 98258 651_2025_ <br />AACHITECTOR DESIGNER MAIL AnDRESS CITY )u PHONE <br />+l NERAI CONTRACTOR MAq ADDRE;I OITY' )IP PH]NF Ilt'cucc• <br />Sr,me <br />MECHANICAL CONTRACTOR MAII ADD415: <br />CITY <br />PHONE <br />PLUMBING CONTRACTOR I. -An APNIIs'1 <br />CITY br PHONE LICENSE. <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION ❑ REPAIR KI DEMOLITION 7 BUILDING RELOCATION <br />Demolish structure <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE Cl OTHER <br />PROPOSED USE OF BUILDING <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 FL'ONTR TOR, AUTHORIZED AGENT, OR OWNER DATE <br />X �� G <br />LELIA. DESCRIPTION Of PROPERTY ISHOW BELOW OR ATTACH FOUR COMESI <br />LOT,_ BLOCK —AZ GI Pi nahllrtt F <br />JOB ADEMESS <br />2306 - 73rd St SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — AMNDLG UNITS — H P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.0 M.P. <br />SHOWER <br />GAS FIRED A C. UNITS — S.T.U. <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS — B.T.0 M EA <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />LAUNDRYTRAY <br />UNIT HEATEFS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE CC, ILERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER . <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />—_ <br />SINK (SERVICE —BAR, ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPI ACE INSERT <br />HEAT PUMP <br />_ <br />GAS PIPING <br />EXHAUST FAN <br />&731° <br />I <br />SUBTOTAL <br />A <br />SUB <br />PERMIT <br />A <br />PER t <br />TOTAL FEE <br />S <br />TOTAL FEE <br />iuoei S[t MCn <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCYGROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />$ <br />PLUMBING <br />c <br />— <br />SIZE OF BLOC <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />#00017072 <br />FIR SPRINKLERS REQUIRED YES NO <br />INVESTIGATION FEEPI- <br />304"" <br />88 <br />�00 <br />STATE BUILDING SURCHARGE <br />mIT f2 <br />.50 1 <br />SO <br />5D <br />STATE ENERGY SURCHARGE <br />.00 <br />APIICATICN ACC BY <br />LANS CHECKED BY <br />nIMR i01H ISSUANCE BY <br />DRIVEWAY PERMIT <br />DRIMJ k <br />.00 <br />TOTAL <br />SEWER ! <br />1 <br />WHEN PROPERLY VALIDATED QN Inlas'Kg THIS IS YOUR PERMIT <br />CLW <br />B SIRCH 11_.50 N <br />1CONT�t <br />N <br />ADDRESS FILE <br />