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he Ebmr"m <br /> ` CITY OF "NSTRUCTION <br /> everettPERMIT PERMIT NO. 16858 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> David M. Ohlson 318 - 77th P1 SW Everett, WA 98203 347-2381 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY IIP PHONE <br /> Owner <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> Owner <br /> MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSEE <br /> N/A <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE LICENSE F <br /> N/A <br /> CLASS OF WORK <br /> 0 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> 66,000.00 at approximately $12.00/sq ft <br /> DESCRIBE WORK <br /> 201 x 261 (520 SQ ft) garage with 4" foundation and 1 ft. extended roof. <br /> HEAT SOURCE <br /> ❑ ELECTRICITY ❑ OAS G WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUILDING <br /> Garage and storage I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT 7 BLOCK —Or Be is Plat No 3 Vol21 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> p. 61 of Snohomish Co. REcords PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF AN" OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF CONTRACTOR RUTH RIZED AGENT.OR OWNER DATE <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET{ A/C-AMNDLG UNITS--H P <br /> BATHTUB REFRIGERATION UNITS--H PEA <br /> LAVATORY(WASH BASIN) BOILERS-B.T.0 M P. <br /> SHOWER GAS FIRED A C.UNITS-B T U. _ <br /> KITCHEN SINK 8 DISP FORCED AIR SYSTEMS-B T U MEA. <br /> DISHWASHER WALL HEATERS-BTU M <br /> LAUNDRY TRAY UNIT HEATERS-B U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK SERVICE-BAR.ETC) METAL FIREPLACE&CHIMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EKHAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PERMIT f PERMIT <br /> TOTALFEE $1 TOTAL FEE <br /> FRONT SETBACK REAR SETPACK 9DL sf TRACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> 201 201 61 86/16858 52.65 80400 <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 9567 OYES ONO FEES VALUATION FEE <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING $ 6,000 8 00 <br /> V—N M-1 0 <br /> PLUMBING <br /> SIZE OF BLCG NO OF STORIES MAX OCC LOAD <br /> 520 of 1 MECHANICAL <br /> INVESTIGATION FEE Sec.901(8) <br /> FIRESPRIN{ JUIRED El YES 0 NO <br /> STATE BUILDING SURCHARGE 08/05/86 I0:1 (�( OOOAN1293 !Mi.l <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACC DY PLANS CHECKED BY APPA FOR ISSUANCE BY <br /> DRIVEWAYPERMIT BLDG $81.00 <br /> SG SG L.C. TOTAL rurri! 82 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT <br /> CID <br /> LO <br /> co <br /> CID <br />