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`AeF°`>CITY OF MF`r" <br />GIjNSTRUCTION <br />everett <br />PERMIT PERMIT NO. 19494 <br />259-8745 <br />❑ UEMOLITION ❑ COMBINATION <br />® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY 21P PHONE <br />Tony 6 Nancy K(sXKSE Kopczynski <br />1021 85th St BE Everett, WA 98208 353-9114 <br />ARCHITECT OR DESIGNFH <br />National Plan Service 435 <br />MAIL ADDRESS CITY ZIP PHONE <br />W Fullerton AVG Elmhurst, IL 60126 312-833-0640 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />Wheatland Const. 802 Almota <br />Rd. Colfax, WA 99111 (509) 397-3833 WBEATC143P3 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS OIPF ZIP PHONE LICENSE• <br />CLASS OF WORK <br />)(] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 8500.00 <br />DESCRIBE WORK <br />Construct 2 car garage with loft <br />_ <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS <br />❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Storage 6 garage <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COHESI <br />47 000 D-00 <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT — BLOCK — OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />9Y4 4025-000-047-0008 <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 />SIGNATU E OF CONTRALTO AUTHORIZED AGENT. OR OVMER DATE <br />IDR APDRF`', <br />1021 85th St 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 ITOILET) <br />A/C - AMNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS -H.P EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - B T.0 /H P. <br />SHOWER <br />GAS FIRED ABC UNITS-B.T.U. <br />KITCHEN SINK S DISP <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS —8T.0 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.I <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />SUB TOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTALFEE <br />S <br />TOTALFEE <br />FRONT SETBACK <br />RURSETRACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />20' <br />20' <br />6' <br />88/19494 <br />70.20 <br />95270 <br />USE ZONE <br />FEE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />g-1 <br />DYES NNo <br />TYPE OF CONST <br />BUILDING <br />$ 8500.00 <br />108OO <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />V-N <br />M-1 <br />0 <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />624 <br />1L) <br />NA <br />MECHANICAL <br />RIVESTIGATION FEE Sec. 304(e) <br />FIRE SPRINKLERS REOUIRED QYES ENO <br />STATE BUILDING SURCHARGE 3 50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />M.M. be <br />Be — <br />TOTAL 111 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Qi <br />-zt" <br />Q7 <br />ADDRESS FILE <br />