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the EDCAgrem <br />CITY OF <br />everett <br />259-8745 <br />1"'ONSTRUCTION <br />PERMIT <br />PERMIT NO. 17734 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAR ADDRESS CITY ZIP PHONE <br />Robert Shatzka 703 90th Pl. S.E. Everett, WA 98208 353-3620 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE <br />Owner <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />CLASS OF WORK <br />❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />s <br />IN K <br />nstall woodstove <br />HEATSOUPCE <br />❑ ELECTRICITY ❑ GAS 0i WOODSTOVE ❑ OTHER <br />PROPOSED USE OF 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 />THE PERFORMANCE OF QONSTFAUCTION. <br />SIGNATURE� F C TPAg OR. A RIZE: R OWNER DATE <br />,7,-A • /-30-e7 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOURCOPIESI <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />703 90th Pl. S.E. <br />PLUMBING <br />MECHANICAL L <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 — AMNOLG UNITS — H P <br />BATHTUB <br />REFRIGERATION UNITS — H.P EA <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T U /H P. <br />SHOWER <br />GAS FIRED AC UNITS — B.T.U. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAY <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 />1 <br />WOOD STOVE <br />30 <br />00 <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GA3 PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />{ <br />SUB TOTAL <br />3I <br />00 <br />PERMIT <br />$I <br />PERMIT <br />TOTAL FEE <br />61 <br />TOTAL FEE <br />30 <br />00 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMF.R <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />[:)YES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />E <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />1 <br />SIZE OF BlDO <br />NO OF STORIES <br />MAX OCC 10A0 <br />MECHANICAL <br />000017734 <br />30 <br />00 <br />FIRE SPRINKLERS REQUIRED 0 YES 0 NO <br />INVESTIGATION FEE <br />rMIA/304(e) <br />J. LpU <br />i, Inn <br />STATE BUILDING 3URCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY <br />S.H. <br />-_ <br />PLANS CIRiCKEDBY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />30 <br />00 <br />DFRMIT VAT LBATTON <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />L` <br />r' <br />AI)DkIaS I ILL <br />