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EkAErgreen <br />theCITY Of t• INSTRUCTION <br />everett PERMIT PERMIT NO. 17106 <br />259-8745 <br />❑ DEMOLITION( COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MALL ADDRESS CITY ZIP PHONE <br />Booker Realty 1321 Everett Mall Way Everett, WA 98204 ldf1x959A 348-3635 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />ZIP PHONE <br />GENERAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENSE <br />Tom Jay Construction 1516 Lake Stevens Rd., Everett 98205 743-3848 TOMJAC2320J <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />CLASS OF WORK <br />10 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION L1 BUILDING RELOCATION <br />VALUATION OF WORK <br />S 47,85Q 00 <br />DESCRIBE WORK <br />New Construction, single family home <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE Of BUILDING <br />Singly Family 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 />sr.Nntu F NTnncroR. nunm En Ac.ENr. o Hon owNEn DATE <br />X Lti <br />LEGAL OE WRIPTION Of moI EmY(SHOW BELOW OR ATE ACH FOUR COPIES) <br />LOT 4 BLOCK —OF East 90 ft of Lot 3 Blk 45 <br />Pinehurst Div E., vol 8, page A 35 Records of <br />Snohomish. <br />.toB ADDRESS <br />2314 - 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 />2 <br />WATER CLOSET ITOILETI <br />1 <br />00 <br />1 <br />A: C- A/HNDLG UNITS - H P <br />6 <br />SO <br />BATHTUB <br />REFR16 cRY,T]ON UNITS - H P EA <br />LAVATORY (WASH P nclM <br />1 <br />00 <br />BOILERS - D T U IH P <br />_ <br />SHOWER <br />KITCHEN SINK <br />DISHWASHER <br />00 <br />GAS FIRED A C UNITS- BTU <br />00 <br />FORCED AIR SYSTEMS - B T U M EA <br />00 <br />WALL HEATERS - BTU M <br />LAUNDRYTRAY <br />UNIT HEATERS - BTU M <br />CLOTHES WASHER <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHESDRYERS <br />6 <br />SO <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />9 <br />00 <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC 1 <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSERT <br />_ <br />MEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />09/30/86 3:3 <br />7 <br />SUBTOTAL S <br />45 <br />00 <br />SUBTOTAL/ <br />35 <br />00 <br />PERMIT F <br />PEn4M17106 <br />- <br />- <br />TOTALFEE S <br />QS <br />00 <br />TOTQM $401 <br />35 <br />00 <br />WONT SETBACK <br />20' <br />HEAR SETRACK <br />20' <br />SIDE SETPACK <br />6' <br />PLAN CHECK NUMBER <br />86/17106 (86/1 <br />NO <br />0 0 <br />USEZONE <br />R-1 <br />I OT AREAyACANT <br />SITE <br />RYES ❑NO <br />FEES <br />HFFItW0MIPT <br />FEETYPE <br />BUILDING <br />040150 <br />OF CONST <br />V-N <br />-I!PANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />45 <br />00 <br />SIZE OF OLDG <br />1104 + 484 <br />NO OF STORIES <br />1 <br />MAX OiC LOAD <br />MECHANICAL <br />#00025841 <br />35 <br />00 <br />FIRE SPRINKLERS REOUIRED ❑ YES []NO <br />INVESTIGATION FEE <br />SOA(e) S3 <br />.00 <br />STATE BUILDING SURCHARGE <br />1171-5 $6 <br />00 1 <br />50 <br />STATE ENERGY SURCHARGE <br />CHECK $231 <br />.00 15 <br />00 <br />APPLICATION ACC BY <br />M.M. <br />:UNSCHECKEDBY <br />SG <br />ATTR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />20 <br />00 <br />TOTAL <br />518 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />C0 <br />f.` <br />