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T <br />CITY OF rONSTRUCTION everett PERMIT PERMIT NO. 17600 <br />7600 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION U BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />FREDERICK R. JOHNSON 1507 - 81st PL SE Everett WA 98203 353-5098 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />Same <br />ME 7HANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE, <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION IX ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />200.00 <br />Remove partition avail, insulate floor <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />❑ OTHER <br />PROPOSED USE OF BUILDING <br />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 />SIGNATORE OF CONTRACTOR. AUTHORIZED AGE T. OR OWNER DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES( <br />LOT _ "LOCK _ OF <br />JOB ADDRESS <br />1507 - 81st PL SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILETI <br />A/C - AMNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS -HP. EA <br />LAVATORY ( WASH Si <br />BOILERS - ST.0 M R <br />SHOWER <br />GAS FIRED AC UNITS -BT.0 <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS - B T U VIER <br />DISHWASHER <br />WALL HEATERS - BTU. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE MOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE A CHIMN <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />$1 <br />SUBTOTAL <br />PERMIT <br />$1 <br />PERMIT <br />TOTAL FEE <br />61 <br />TOTAL FEE <br />FRONT SETBACK <br />REARSETHACK <br />SIM SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONG <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ZOO. OO <br />15 <br />O <br />TYPE OF COAST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REOUIRED YES QNO <br />INVESTIGATION FEE <br />SPC 304(P) <br />STATE BUILDING SURCHARGE <br />1 <br />� <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />Sg <br />PLANSCHECKEDBY <br />APPR FOR ISSUANCE <br />By <br />DRIVEWAY PERMIT <br />TOTAL <br />16 <br />0 <br />xRMn INI IIMAnn,l <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRCSSIILL <br />