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CITY OF <br />everett 4FONSTRUCTIONO 0.:17285 <br />259-8745 PERMIT PERMIT NQ.- <br />® DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ 8" <br />MAIL ADDRESS CITY ZIP PHONE <br />x» Skotdal Ent. P.O. Box 5267 Rx Everett, WA 98206 254-4354 <br />ARCHITECT OR DESM.NER MAIL ADDRESS I,ITY ZIP PHONE <br />Dykeman Arch. <br />GENERAL CON I FACTOR MAIL ADORFSS CITY ZIP HONE LICENSE/ <br />Self <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />CLAS: OF WORK -- <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR S] DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Tear down house <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVF 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 CgRSTRUCTION OR <br />THE PERFORMANCE OF CO RU TI <br />SIGNA 01 CON OR AL DAG ATE <br />X 10/8/86 <br />LEGAL DESCRIPTION or PRorEprr know BELOW op ATTACH coup COPIES) <br />17-18 767 Plat of Everett <br />LOT _ BLOCK or <br />JOB ADDRESS <br />3232 Wetmore Ave <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 — A/HNDLG UNIT S — ! 1 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 A C. UNITS — B T.0 <br />KITCHEN SINK S DISP <br />FORCED AIR SYSTEMS — B T.0 M EA. <br />DISHWASHER <br />WALL HEATERS — BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <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) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />S <br />TGTAL FEE <br />FRONTSETBACK <br />HEARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />—D- <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNRS <br />PLUMBING <br />_ <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REOUIRED Q YES 0 NO <br />INVESTIGATION FEE <br />Sec 304(e) <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC By <br />M.M. <br />PLANS CHECKED DY <br />APPp TICE ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />1 <br />50 <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />Ln <br />co <br />N <br />ti <br />a -- <br />ADDRESS FILE <br />