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the <br />CITY OF f INSTRUCTION <br />17105 <br />everett PERMIT PERMIT NQF _ <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Booker Realty 1321 Everett Mall Way Everett, WA 98204 348-3635 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE. <br />Tom Jay Construction 1516 Lake Stevens Rd, Everett, WA -?43-3848 JOMJAC2320J <br />MECHANICAL CONTRACTOR MALL ADDRESS CRY ZIP PHONE LICENSEE <br />k) NEW ❑ ADDITION <br />MAIL ADDRESS CITY bP PHONE LICENSE A <br />❑ ALTERATION ❑ REPAIR <br />❑ DEMOLITION <br />VALUATION OF WOW! <br />{ 47,850 <br />DESCRIBE WORK <br />New construction, single family residence <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br />❑ BUILDING RELOCATION <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIJIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ..ND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORCINANCES <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 />SIGNATUF.jyf OfAOACTOR AUTBORIZCD AGENT. OR OWNER DATE <br />X w 9�su�8 <br />LEGAL DESCRIPTION OF MIOPERTY ISHOW BELOW OR ATTACH FOUR COMES) <br />LOT 3 BLCCK _ OF the E 10 ft of LOt 4 6 the <br />W. 60 ft of Lot 3 Block 45 Pinehurst Div E <br />- <br />JOB ADDRESS <br />2312 - 73rd St 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 />IQ <br />1 <br />AIC - A HNOLG UNITS - H P <br />6 <br />50 <br />BATHTUB <br />5 <br />On <br />REFRIGERATION UNITS - H P EA <br />LAVATORY ( WASH BASIN( <br />10 <br />On <br />BOILERS - B T U ,H P <br />SHOWER <br />GAS FIRED AC UNITS -8TU <br />KITCHEN SINK A DISP <br />5 <br />nn <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />5 <br />WALL HEATERS - 8 T U M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHES DRYERS <br />6 <br />5 <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />FLOOR DRAIN <br />I <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERS <br />I <br />WATER HEATER <br />j <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE, - BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />2254icaNriRE <br />GAS PIPING CHEM $2318. <br />EXHAUSI'FAN <br />3US TOTAL {4 <br />nn <br />SUB TOTAL <br />35 <br />00 <br />PERMIT f <br />PERMIT <br />TOTALFEE { <br />TOTAL FEE <br />35 <br />00 <br />FRONT SETI.ACK <br />201 <br />REARSETRACK <br />2n, <br />SIDE SETBACK <br />61 <br />PLAN CHECK NUMBER <br />86/17105 (86/1710 <br />FEE <br />BASIC) <br />RECEIPT NO <br />0 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />()j YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />I-t <br />;Yl <br />SpTI' <br />TYPE OF CONST <br />V—N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />/ <br />45 <br />00 <br />SIZE OF BLDG <br />1104 + 484 <br />NO O, STORIES <br />1 <br />MAX OCC LOAD <br />MECHANICAL <br />35 <br />00 <br />FIRE SPRINKLERS REOUIRED LIYES ONO <br />INVESTIGATION FEE <br />PLJB 304(e) $4 <br />.00 <br />STATE BUILDING SURCHARGE <br />LIU 1 <br />-50 <br />50 <br />STATE ENERGY SURCHARGE <br />E SRCH ►1 <br />.00 15 <br />00 <br />— <br />-do <br />APPLICATION ACC BY <br />HIM. <br />PLANS CHECKED BY <br />SG <br />APPR FOR ISSUANCE BY <br />L.C. ITOTAL <br />DRIVEWAY PERMIT <br />,^.0 <br />WATER t4tp.00 <br />518100 <br />PPRUITNAIB]ATIDN <br />c <br />WHEN PROPERLY VALIDATED (IN T CE) THI93B1WR PERMIT <br />BW 11 $72) 00 L0 <br />1171-5 $650:00 G <br />�coN�#c <br />AUURLSS F It E <br />