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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />evere" <br />,.e <br />OWNER MAIL ADDRESS Edmonds ZIP PHONE <br />Ben Holt 23615 79th M- 9H29 7] - <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />Robert Davey 160 HW Gilman Issaquah 392-6522 1689 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />H: <br />W rn <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cYI <br />PERMIT <br />❑COMBINATION Grading <br />❑ BUILDING []PLUMBING []MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIfl <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH ❑FENCE []SIGN ❑^SWIMMING POOL <br />DESCRIBE WORK <br />Terrace hillside site for buildable pads <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIESI <br />LOT BLOCKOF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />7909 Broadway <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />1 <br />PAC. BUILT FIREPLACE d CHIMNEY <br />DRINKING FOUNTAINS <br />1 <br />- <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />1 <br />KITCHEN SINKS & DISP. <br />1 <br />SUB TOTAL S <br />I <br />BAR SINKS <br />1 <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NCT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PRIVATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X _ _ <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS ELECTRIC <br />I <br />_ _ <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />9 <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOSORAUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />/'7 ,/6V <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNIT <br />NO. OS DWELLING <br />;,i-Alnn <br />BUILDING <br />S <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />REOUIREDKLERS <br />OYES ONO <br />MECHANICAL <br />OTHER <br />_ <br />I <br />SPECIAL CONDITIONS: <br />I <br />CLit approx. 20,000 Cll yds <br />PENALTY <br />SEC. 303 (a) <br />I <br />fill approx 171,000 cu vds_ <br />I <br />TOTAL 213400 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED( jlY SPAC Iff-S111,1PERM4 <br />Cn <br />-- <br />AWLBAT10NACCEPLIO Nv <br />PLANS Ll1ECKf0 BY: APPROVE <br />I) f0A ISSUANCE BY. <br />