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the ELwvvm <br />CITY OF <br />everett <br />259-8745 <br />CINSTRUCTION <br />PERMIT <br />PERMIT NO. 18770 <br />❑ DEMOLITION <br />❑ COMBINATION ® BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAL ADDRESS <br />CITY ZIP <br />PHONE <br />John and Joyce <br />Reader 2404 74th S.E. <br />Everett 98203 <br />353-2238 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CRY ZIP <br />PHONE <br />Nalbach Oonst. <br />2132 Highland XS Ave Everett <br />98201 252-7450 <br />NALBAC*2300H <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE A <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />FLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />❑ NEW ❑ ADDITION ❑ ALTERATION RXREPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />s 2000.00 <br />DESCRIBE WORK <br />Alter existing 18' x 12.6' Flat roof to create a pitch. Install torch down roofing. <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Ssingle 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 />SIGNATURE OF CONTRACTOR AUTHORIZED AGENT. OR OWNER DATE <br />J( 1� r-I, aC I- <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />Lot _ BLOCK _ of <br />JOB ADDRESS <br />2404 74th St. SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />A -- AHNDLG UNITS — H P <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — 8 T U iH P <br />SHOWER <br />GAS FIRED AC UNITS — BTU <br />KITCHEN SINK S DISP <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />WALL HEATERS — B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <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 />SINK (SERVICE —BAR. ETC) <br />METAL FIREPLACE S CHIMNEY <br />_ <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EAHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />3 <br />PERMIT <br />TOTAL FEE <br />S <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETOACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />[I YES [I NO <br />FEES <br />VALUATION <br />FEE' <br />BUILDING <br />S2000.0U <br />45 <br />00 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF ULM <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REOUIRED El YES 0 NO <br />INVESTIGATION FEE <br />Sw 304(e) <br />STATE BUILDING SURCHARGE <br />- <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANSCHECKED BY <br />B.E. <br />APPR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />TOTAL <br />OPRMIT VA1 RTATIOM <br />WHEN PRCPERLY VALIDATED ON THIS SPACE) THIS 15 YOUR PERMIT <br />CD <br />EX'— <br />C`— <br />00 <br />r <br />ABDRLSS I I <br />