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CITY Of w, C-nNSTRUCTION n ` c <br /> everett PERMIT PERMIT NO. 19536 <br /> 259 - 8745 <br /> ❑ DEMOLITION COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS CRY ZIP PHONE <br /> Colleen Stipp 16 76th St SE Everett, WA 98203 355-5127 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY Zip RIONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE L I C E 7S—E- <br /> Rockey and Work Cont. Inc. 2021 Lombard Everett WA 98201 252-1311 ROCKEWC1480D <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP RRONE LICENSE.. <br /> Affordable Plumbing 1309 Hewitt Evorett WA 98201 258-1335 AFFORP1320D <br /> CLASS OF WORK F� <br /> El NEW Cl ADDITION 'X ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> $ 20,000.00 <br /> DESCRIBE WORK <br /> Remodel bath and kitchen finish existing family room <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE LI OTHER <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sin le famil residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION GF RIO PERTY 1,uw BLLOW DR A I,,CH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK 5 OF Beverly Homesite Dvi #1 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 -31VE AUTHORITY TO <br /> W. 75' of e. 225' of lot 1 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF CONI➢ACTORA I�ORZEDAG�+TOR WNq DATE <br /> X � / J <br /> 16 76th St. SW <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET(TOILET) 5 00 AIC-A%HNDLG UNITS- H P <br /> 1 BATHTUB 5 0 REFRIGERATION UNITS- H P EA <br /> 1 LAVATORY(WASH BASIN) 5 00 BOILERS-B T U/H P <br /> 1 SHOWER 5 00 GAS FIRED A C UNITS-BTU <br /> 1 KITCHEN SINK 8 DISP 5 00 F ORCED AIR SYSTEMS-B T U M EA <br /> 1 DISHWASHER 5 00 WALL HEATERS-BTU M <br /> LAUNDRY TRAY UNIT HEATERS-B T U M <br /> 1 CLOTHES WASHER 5 00EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS 6 50 <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER A SO <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR.ETC) METAL FIREPLACE A CI/IMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUST FAN <br /> SUBTOTAL f SUBTOTAL 17 rn <br /> PERMIT f PERMIT <br /> TOTAL FEE iTOTAL FEE 17 irm <br /> anon SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SIIE <br /> FEES VALUATION FEE <br /> DYES ONO <br /> TYPED CONST OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING S <br /> PLUMBING 35 00 <br /> SIZE OF BLDG NO OF STORIES MALI OCC LOAD <br /> MECHANICAL 17 50 <br /> INVESTIGATION FEE Sec JG.(e) <br /> FIRE SPRINKLERS REQUIRED ❑YES ❑NO STATE BUILDING SURCHARGE 3 50 <br /> STATE ENERGY SURCHARGE <br /> APRICATIONACC BY PLANS CHECKED DY .PPR FORISSUANCERY <br /> DRIVEWAY PERMIT <br /> TOTAL <br /> S.H. <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT CD <br /> M <br /> Ln <br /> ADDRESSILI <br />