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rr <br />I � <br />� <br />�hr Erer,qrern ,O N ST R U CT I O It' <br />Ciiv o. r ^ <br />e�erett PERMIT PERMIT NO. �.2025 <br />CITY HAIL 259�B7d5 <br />EVERETT, WA 98207 � COIARINATION � BUILDING � MECHANICAL � PLUMBING <br />OWNEP MAIL AODRESS LITY ZIP PMONE <br />Michael A. Awtrey 20831 Frank Waters Roa: Stanwood 98292 259-5977 <br />ARCMITECT OR UESIGNER fAAIL AODRE55 GTY ZIP PHONE <br />GENERALGONTRRGTOfl � MAILAODRESS pTY 21P FMONE LIGENSEM <br />Blue Sky Construction 20831 Prank Waters Road Stanwood 98292 259-5977 <br />MEGHANIC0.L GONTPRCTOR MAII FODRE55 CIiY ZIP PMbVE LICENSE M <br />BLUESC178DN <br />PLUMBING CONTflRGTOR MFIL AUORESS GITY ZiP PMONE LILENSE / <br />GdBEW ❑ ADDITIDN ❑ ALTERATION ❑ REPAIR O DEMOLITION O FENCE ❑ SiGN ❑ WOOU STOVE/l°IREPLACE INSERT <br />S 2$,840.00 <br />UESCHi6E WOflN <br />Construct Single Family Residence <br />Single Family REsidence <br />ior Z BLOCN _OF S P 1 2 0 2 <br />JOO <br />PIUMBING <br />N0. TYPE OF FIXTUHE CR ITEM <br />BATHTUB <br />LAV�TOHV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACWM BREPKERS <br />ROOF DRAINS - RH�NLEA�ERS <br />SINK ISERVICE - BAR, ETC.) <br />� LUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE VARD SET9�CK STRIET SETBA� <br />y� 20' <br />USE ZONE lOT AREA <br />R-1 <br />NPE OF COhST. OCCUPANCY G <br />V-N R-3 <br />Si2E OF BLOG. �10. OF S'OCIE <br />768 Sq. Pt. 1_ <br />FIRE ZONE BASEMENT <br />None <br />APPROVaLS <br />1. ENVIRONMENTAL CHECK L:ST <br />Y. BUILDING PLANS y <br />—�— <br />[� J.FIREMYDNANT _�_ <br />4. FIRE PROTEC7�N SYSTFI� <br />S.GRAD'.NG.� �^�c- __ <br />6.ORAINAGE � ~ � <br />3 <br />FOIIR <br />A 7 28 5 <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br />APPLICATION AND KNOW THE SAME TO 8E TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDIIJANCES <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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LGCNL LAW REGULATING CONSTRUCTION OR THE <br />PER�ORMANCE OF COPISTRUCTION. <br />. Vf.NATIIPE PF CONiflRCf6:bOR 1Ull+OR�iCO AGENT 1 �QT� <br />MECHANICAL � <br />FEE NO. TYPE OF EOUIPMEN? <br />Z OO AIR CONO. UNITS - H.P. EA. <br />Z OO REFPIGERATION UNITS - H.P. EA. <br />z Q 0 BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />Z OO FOfiCED AIR SYSTEMS �-- B.T.U. M EF. <br />Z OO �'ALL HEATERS - E.T.U. M <br />UNIT HEATEPS - �.T.U. M <br />Z OO EVAPORATIVEGOOLERS <br />Z OO 1 CLOTHESDFYERS <br />VENTILATION FAN <br />RANGEHOOD _ <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD ~ <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEA7 PUtdP <br />� <br />f <br />f <br />REAR YARD SET�F <br />20' <br />VACANT SITE <br />?(Y�S NO <br />N0. OF DWELLING <br />1 <br />MA%.00Q LOAD <br />3 <br />FlRE SPRINKLERS <br />1iEOt11f+ED <br />YES XXO <br />BY DATI <br />.MEALihW16T CT '� <br />PPLICAT .BY LANS CHECKED BY APPH. <br />w �� HWM <br />_, <br />� <br />83/12025 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANIGAL <br />OTHER <br />PENFLTY <br />TOTAL <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />FEE113 . 75 <br />VALUATION <br />525,890 <br />U.B.C. <br />S4Q 90J <br />v — <br />v+ <br />FEE <br />� <br />S <br />S <br />CHECK FEE <br />RECEIPT NO. <br />G2828 <br />FEE <br />�.%$ 0� <br />14 00 <br />IZ 0� <br />201 00 <br />PE'�NITYALIDP71on � <br />WHEN PROPERIV VA�.I�ED�1N TMI^�$f'9C�) THIS�S�V��.'F�7�(�T�� � <br />- �i� i �u <br />T � �p o d <br />i ISSUANCE BV � � m o YD U R REC E I PT r+ <br />Lc w 0 m o THANK YOU <br />C -b I <br />� � -6,� &3 <br />r\DDRC:SS PILE <br />�� <br />� I <br />� <br />r <br />