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the E wgme.. <br />CITY O) <br />everett <br />259-8745 <br />C"INSTRUCTION <br />PERMIT <br />PERMIT NO. 19827 <br />❑ DEMOLITION ® COMBINATION ❑ BUILDING ❑ MECHANICAL fl PLUMBING ❑ SIGN <br />OWNER MAR ADDRESS CITV ZIP PNONE <br />Richard Anderson 7708 Timberhill Dr. Everett, WA 98203 353-6327 <br />ARCHITECT OR DESIGNED MAIL ADDRESS UT ZIP PHONE <br />Same <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE. <br />ANDERC131KM <br />Same <br />MECHANICAL CONTRACIOD <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE. <br />EYke["mKiltacxxYra_ <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITV ZIP PHONE <br />LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />{ 71 300.00 <br />DESCRIBE WORK <br />New Construction <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Sin dte family residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />L FOAL DESCRIPTION OF PROPERTYISHOW BELOWOH AT TACIT FOUR COPIES! <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL SE COMPLIED WITH <br />LOT _ BLOCK _ OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />See Attached <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREF M RACr A IOMZE AGENT OR WNER DATE <br />JOB ADDRESS <br />z / <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 (TOILET) <br />ic <br />00 <br />A/C - A/HNDLG UNITS - 1/ P <br />BATHTUB <br />1c <br />=00 <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN) <br />3C <br />OO <br />BOILERS - BTU/HP <br />SHOWER <br />GAS FIRED AC UNITS - BTU <br />KITCHEN SINK & UISP <br />OO <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER. <br />00WALL <br />HEATERS - B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T U M <br />CLOTHES WASHER <br />E <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />C <br />50 <br />DRINKING FOUNTAIN <br />2VENTILATION <br />FAN <br />C <br />on <br />FLOOR DRAIN <br />RANGE 1400D <br />f <br />so <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC) <br />METAL FIREPLACE A CHIMNEY <br />30 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />f45 <br />00 <br />SUBTOTAL <br />ro <br />PERMIT <br />{ <br />PERMIT <br />TOTAL FEE <br />{ <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />20 <br />211 <br />5 <br />88/19827 <br />333.78 <br />97776 <br />USEZONE <br />LOT APFA VACANT <br />SITE <br />FEES <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />$ 71 300.0 <br />513 <br />50 <br />PLUMBING <br />45 <br />00 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLOC <br />NO OF STORIES <br />MAN OCC LOAD <br />58 <br />50 <br />1156+484GAR <br />2 <br />N/A <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKLERS REOUIREO YES O <br />STATE ENERGY SURCHARGEAPPLICATIONACC <br />M <br />BY <br />PLANSCIRCKFPOY <br />AMR FORISSUANCE BYDRIVEWAY <br />PE9MITM.M. <br />TOTAL <br />B.K.B.E. <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACRI IHIa IS .w.. r�cl— <br />CV <br />co <br />m <br />v— <br />ADDRESS FILE <br />