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Me &mwwrem <br />CITY OF CONSTRUCTION -. <br />everett <br />PERMIT PERMIT NQF _ 1681 <br />259-8745 <br />❑ DEMOLITION QU COMBINATION <br />❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />D B MAIL ADDRESS CITY LIP PHONF <br />OBERT E. TURNER 14405 - 42nd RRAX Avenue West Lynnwood WA 98037 745-2532 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENtAAL CONTRACTOR MAIL ADDRESS CITY IU• PHONE LICENSE F <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY IIP PHONE LICDISEF <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />��r,LLASS OF WORK <br />TE7 NEW ❑ AOOITION ❑ ALTERATION ❑ REPAIR ❑ DMOUTION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 66,000.00 <br />DESCRIBE WORK <br />New single family residence <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ OAS <br />❑ WOODSTOVE O OTHER <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single family residence <br />AP,LICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTIONOF PROPERTY ISHOWRELOWOn ATTACHFOURCOPIESI <br />36 Emerson Park East <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 />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 />SIGNATunE rCONTRACIOR RHOmIEDAGENT OR OMER DDATTEE�p� <br />JOBADDRESS <br />711 - 90th PL SE <br />X '�-a-1� <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 (TOILET) <br />15 <br />00 <br />A/C - A/HNOLG UNITS - HP. <br />_ <br />BATHTUB <br />10 <br />00 <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASINI <br />20 <br />OO <br />BOILERS - B T U 'H P. <br />SHOWER <br />GAS FIRED AC UNITS-B.T.U. <br />KITCHEN SINK A DISP. <br />5 <br />00 <br />1 <br />FORCED AIR SYSTEMS - 8 T.0 M EA <br />g <br />DISHWASHER <br />5 <br />00 <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />CLOTHESWASHER <br />5 <br />00 <br />EVAPORATIVE COOLERS <br />_ <br />URINAL <br />j <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />2 <br />VENTILATION FAN <br />q <br />ILL — <br />FLOOR DRAIN <br />j <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />j <br />WATER HEA PER <br />ROOF DRAINS - RAINLEAOEnS <br />j <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC.1 <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HFAT PUMP <br />GAS PIPING <br />EKHAUSTFAN <br />SUBTOTAL <br />1 <br />60 <br />0 <br />SUBTOTAL 3 <br />68 <br />DO <br />PERMIT <br />f <br />PERMIT <br />TOTAL FEE <br />f <br />Fin <br />TOTAL FEE <br />FRONT SETBACK <br />HEAR SETBACK <br />"I't r�( TrmLK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />20' <br />20' <br />6' 10 @ corner <br />86/16813 <br />p j / 2=1 <br />PN 1210 Mt <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALU YFION <br />USEZONE <br />FEE <br />R-1 <br />8324 Sf <br />OXES clNo <br />TYPE OF CONST <br />BUILDING <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />PLUMBING <br />PL80 ! <br />V-N <br />R-3 <br />1 <br />.00 60 0— <br />SIZE OF BLOC <br />No OF STORIES <br />MAX OCC LOAD <br />1887 + 400 <br />2 <br />MECHANICAL <br />INVESTIGATION FEE E SjKW(e) $1 .00 <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE WATER U3.00 is 00 <br />AMICATIONACC BY PUNS CHECKED BY <br />APPn FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />mm jef <br />1C TOTAL 1 1171-5 $4.00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />co <br />co <br />r <br />ADDRESS FILE <br />