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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION - BUILDING - MECHANICAL - PLUMBING <br />,,e <br />everett <br />OWNER MAIL ADDRESS Edmonds LIP /PHONE <br />Ben Holt 23615 79th W 9.8020_ 77F-97B <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />Robert Dave 160 HW Gilman Issaquah 392-6522 168 <br />M <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />M <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />(Jl <br />PERMIT <br />❑COMBINATION Grading <br />❑ BUILDING []PLUMBING []MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />CID <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 />❑ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />FORCED AIR SYSTEMS-B.T.V. MEA. <br />I <br />_ <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 />_ <br />CLOTHES DRYERS <br />I <br />_ <br />VENTILATION FAN <br />RANGEHOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />1 <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />FI.00R DRAINS <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL $ <br />1 <br />BAR SINKS <br />I <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 NOT 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 />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />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 2-R-7R <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYAROSETBACK <br />PLAN CHECK NUMBER <br />77160p <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF OWE LLING <br />BUILDING <br />$ <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT FIRESPRINKLERS <br />REQUIRED <br />1� <br />❑YEI-j� <br />S NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />cut approx. 20,000 cu vds <br />PENALTY <br />SEC. 3031B) <br />I <br />fill approx 17,000 cu vds <br />roraL <br />2131,100 <br />PERMIT VALIDATION <br />wHEN rHorLlll Y vnl.Il>nTED HNIIy,�Pncfj,7dl,culn rLrlrrllj <br />ycn <br />YOUR 01=P% <br />'THANK YOU,. cot <br />� I I <br />MPLIGIIONALCEPTEDBY <br />PLANS IMECKEDBY: AWROVED <br />FOR ISWAKCEBY. <br />ADDRESS FILE 1 . _ 2 rm 72 <br />a <br />I <br />I <br />I <br />I <br />