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"1B C" OF('INSTRUCTION <br />everett PERMIT PERMIT NO. 17638 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I9 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Annie Greenlund 1531:J - 74th St. Everett, WA 98203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRAO TOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />Rob Lund 3824� Smith Everett, WA 98201 258-1777 LUNDSCS158RD <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />REWIRING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE VSEE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />Woodstove installation <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE Or BUILDING <br />Single 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 />TH H R O H IZ GENT TI O OA E <br />THE ERFECA OF�CQINSTRUT On 0 D <br />X/ Z /87 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT 6 BLOCK OF park City Add. to Beverly <br />Park. The No. 55 ft. <br />JOB ADDRESS <br />15315 - 74th St. S. EA <br />PLUMBING <br />MECH AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />A/C — A/HNOLG UNITS — H P <br />BATHTUB <br />REFRIGERATION UNITS — H P EA <br />LAVATORY (WASH BASINI <br />BOILERS — B T U RI P <br />SHOWER <br />GAS FIRED AC UNITS — BTU <br />KITCHEN SINK & DISP <br />FORCED AIR SYSTEMS — B T.0 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 />_ <br />URINAL <br />':LOT. mS DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOUO <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />1 <br />WOOD STOVE <br />30.00 <br />SINK ISERVICE —BAR ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />_ <br />GAS PIPING <br />EAHAUSTFAN <br />SUB TOTAL <br />61 <br />1 <br />SUB TOTAL 1 <br />30 <br />00 <br />PERMIT <br />$1 <br />PERMIT <br />3 <br />02 <br />TOTAL FEE <br />$1 <br />TOTAL FEE <br />30 <br />00 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑VES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO Or STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />30 <br />00 <br />FIRE SPRINKLERS REQUIRED Q YES 0 NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATL BUILDING SURCHARGE <br />01/OU/B7 1:0 <br />IPM D00RN3582 <br />1,0 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />Aron FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />MECH $ <br />.DB <br />TOTAL <br />30 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT <br />co <br />Cn <br />Co <br />L` <br />ADDRLSS ; ILi <br />