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Imo' ^.ONSTRUCTION everett PERMIT PERMIT NO. 1 �7 <br />i I 1 5B <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION 1-i BUILDING ❑ MECHANICAL I 1 PLUMBING ❑ SIGN <br />OWNER MAIL AUCI+ICITY n I,pnNl <br />Guy A. Axelson 511 - 92 SE Everett, WA 98204 355-1935 <br />ARCHITECT OR DEBInWR MAIL ADDRESS CITY ZIP PHOI F <br />MAIL ADDRESS <br />CITY <br />PHONE LICENSEE <br />Self <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />KLAMBJG CONTRACTOR MAIL ADDRESS CITY ZIP WIDNE LICENSE• <br />CLASS OF WORK <br />9) NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING RELOCATION <br />VALUATION OF WORK <br />1 6,000 <br />Construction of garage <br />HEAT SOURCE <br />❑ ELECTRICITY [.]GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <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 GRAN NNG 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 />SIGNATURE OFCONTRACTOR AUTHORIZEDAGPNT OBOWNER DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />W. 60 ft Lot 6, Emerson Tract <br />JOSADDRESS <br />511 - 92nd St SE <br />PLUMBING <br />MECHANIC• <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AiC - A/HNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS - B T U 91 P <br />SHOWER <br />GAS FIRED A C UNITS -- B T U <br />KITCHEN SIN% A DISP <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />WALL HEA'ERS - B T U 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 NFATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAP. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EKHAUSTFAN <br />$US TOTAL <br />1 <br />SUB TOTAL <br />PERMIT <br />1 <br />PERMIT <br />TOTAL FEE <br />1 <br />TOTAL FEE <br />FRONT SETBACK <br />201 <br />REAPsETRACK <br />201 <br />SIDE SETBACK <br />6E <br />PUN CHECK NUMBER <br />86/17158 <br />FEE <br />52.65 <br />RECEIPT NO <br />f1887 <br />USE ZONE <br />R-1 <br />LOT AREA <br />10,044 of <br />VACANT SITE <br />L]YES '$NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S6 DDD <br />81 <br />00 <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />N <br />NO OF DWELLIN3 UNR5 <br />D <br />PLUMBING <br />SIZE OF BLOO <br />520 of <br />NO OF STORIES <br />1 1 <br />MAX OCC. LOAD <br />1 D <br />MECHANICAL <br />FIRE SPRINKLERS REOVIRED L7 YES ❑ NO <br />INVESTIGATION FEE <br />Sec 3?4(e) <br />STATE BUILDING SURCHARGE <br />M001 1 <br />50 <br />STATE ENERGY SURCHARGE <br />B SCH <br />1.50 <br />APPLICATION ACr: BY <br />STG <br />PLANS CMECXEO BY <br />SG <br />•PPP iDF115S1lANCE <br />L.C. <br />B• <br />DRIVEWAY PERMIT <br />` <br />TOTAL <br />82150 <br />xewr Mu mArinM <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS .S YOUR PERMIT <br />co <br />L17 <br />r— <br />L` <br />t <br />