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�� theEvcrgrcen r.aNS�'RL�CTION � <br /> CITY OF pERMI�' <br /> everett PERPAIT NO. OHHZ2 <br /> CITYH�1Ll?59�B7a5 � COMBINATION � BUILDING � MECHANICAL }E� PLUMBING <br /> EVERETT.WA 98�0� Zi�, r�iorve <br /> MAIL A�DBE55 ���Y <br /> pWNE� 98203 355-7902 _ <br /> Robert W. Lundquist P.O. Box 2343 Everett ZP pHONE <br /> MAIL AD�RESS <br /> crtv <br /> ARCHIi[CT OP DESIGNER <br /> LITY ZIP PIIONE IICENSE• <br /> MPiL ADDRE55 <br /> �iiNEP4L CONiRAGTOR <br /> Same Z�p PHONE UGENSE� <br /> IAAII AD�AE55 ��TY <br /> MECHANIChL CANTRACTOR <br /> Z�P PNONE LICENSE 1 <br /> !lAIL A[`DPESS <br /> CITY <br /> P W MOING CA��TRAGTOfi <br /> CLA55 OF WOAK <br /> ��yy ❑ADDITION ❑ALTERPTIC� ❑REoqiq ❑DEAIO�ITION ❑FENCE ❑SIGN ❑GARAGE . --' � - <br /> VAIU�T10N OF WORN <br /> s 44 , 000.00 - <br /> OESCRIBE WORK <br /> �onstruct single fami.ly residencc: <br /> FROI OSE�USE OF DU�LDING � HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> single family reaidence pLICAT;OW AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �Ec«oescaiarior+oF Fr+orenrr ts�ow oe�ow oa nrrnc��Fova coviesi ALL PRUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Evergreen Glen TYPE OF WORK WILL BE COMPLIED \VITH WHETHER SPECIFIED <br /> i.oT 8 ei.a�—°F HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTNORITY TO VIOLATF OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> S 12-2 8-4 CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCTION. <br /> 5,��� r,Fcor+��ncro� 'nurNoaizEoncer+r:� Z�5/81 <br /> J08�°���5 East Glen Drive X 'E'�� <br /> MECH AL <br /> PLUMBING — 7ypE OF EQUIPMEN7 FEE <br /> FEE NO. <br /> N0. TYPE OF FIXTURE OR ITEM q�R COND.UNITS—HP.EA. <br /> 3 WATER CIOSET RO�LE7) pEFRIGERAT10N UNITS—H.R EA — <br /> Z BAThiTUB 6 OO 601LER5—H.P. EA. — <br /> 3 �qyqTppy(WASH BASIN) GAS FIRED A.C.UNITS—10NNAGE EA. <br /> SHOWER FOFCEDAIPSYSTEMS—BT.U. MEA <br /> ], KITCHEN SINK 8 DISP. WALI HEATERS—B.T.�- M — <br /> 1 DISHW�SNEF7 UNIT hIEATERS—B.1.U. M1' <br /> LAUNDPY TRAY EVAPORATIVE CnOLERS <br /> CLOIHES�'dASHER CLOTHES URYERS <br /> 1 1VATER HEATER t] VENTIL�TION FAN <br /> URINAL ]. RANGE HOOD <br /> DRINKING FOUNTAIN p�R HANDLING UNIT— GF.M. <br /> FLOON ORAIN STOVE <br /> VACUUM G'7EAKERS METAL fIRGPLACE 9 CNI6�NEY <br /> ROOF DRAINS—RAINLFI�DERS <br /> SINK(SERVICE—BAR,ETCJ <br /> S 21 �Q <br /> SUBTOtAL <br /> SUB TOTAL pERMIT 5 <br /> PERMIT S TOTAL FEE 5 Z <br /> TOTAL FEE S 2 4 O O p�pN CHECK FEE <br /> SIDE YARD SETBACN ST(7EET SETBACK REAR YARD SETBACK PLAN CNECK 88�2� FEE 154 .70 FECEIPT N0. <br /> 6 20 ' 20 ' £i]/ 51960 <br /> VACANT SITE VALUATION PEE <br /> USE ZONE LOT AREA ��S �INO FEES <br /> R-1 <br /> TYPEOFCANS7. OCCUPANCYRGR3UP NO.OFDWi�INGUNI7S 5 44 � 000 2S6 00 <br /> V_j BUIIDING <br /> NO.OF S70RIES MA%.OCC.LOAD 2 4 O O <br /> SIZE OF BLDG. 1 pLUM61NG <br /> BASEMENT FIRESPRINKLERS MECHANICAL 21 00 <br /> FIPE ZONE REOUIRE� <br /> None ❑ves �. <br /> gy DATE OTHER <br /> APPROVAIS U B.C. <br /> t. ENVIRONMENTALCHECKLIST PENA��� SEC.3031a) <br /> 301 00 <br /> . p. OWLDING PlANS TOTAL <br /> 3. FIRE HYDRANT �_� PERN�.T VALIDATION <br /> 4. FIRE PR076CTION SYSTEU� , W HEMPf{�J�cR�Y�Al1DA7ED P 1 THIS SjA�EI'T�HIS IS 1��1R?E�M�T� O N� <br /> < < 5 <br /> 5. GRADING N <br /> . DRAINAGE , � <br /> . -,- �. ;r�r . , � ;-,:� ir--� <br /> ,;i.ENVIRONMENiALIMPACT:STATEMENi . __ � p <br /> N . = u , � � ��� u <br /> -�l1EALTHDI6TRIG7 � j ! � <br /> PLICATION ACC.BY PIANS CHECKED BY <br /> APPR.FOR ISSUANCE B� � � • �� ^ ''� �� ` <br /> po . ) _:� V.C. . <br /> - - - l, iED Fi � - !, IE9 8 � <br /> �; <br /> S� ADDRE55 F!LG <br />