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rhr Ll'er,�reen <br /> ���� �� � '� '�QNSTRUCTIO�' � � <br /> everett PERMIT PERMIT NO. 14411 <br /> CITY HALt.259�8745 <br /> EVERETT,WA98201 � COMBINATION GC� BUILDING C� MECHANICAL � PLUMBING <br /> OWNER MAIL AD�RE55 CITY 21P PMONE <br /> Donald N. Sand 6406 East Berkshire Drive Everett 96203 353-1578 <br /> AflGMITECT OP UESIGNER MAI�ADDRE55 CITV ZIP PHONE <br /> GEN RAI.CONTRACTOR MAIL AOORESS CITY ZIP PHOtlE LICENSE M <br /> �Same <br /> MECMANICAL GONTRACTOR MAIL ADDRESS GITV ZIP PNONE UCENSE 11 <br /> PLUMBING CONTRACTOR MAIL AP0:1ES7 CITY ZIP PMONE LICENSE� <br /> GU55OF WORN <br /> �FlEW ❑ ADDITIOtI ❑ ALTERATION ❑REPAIR ❑ DEMOLIiION O FENCE ❑ SIGN O WOOD STOVFJFIREPLACE INSERT <br /> VAIUATION OF WOPK <br /> f 67�000.00 <br /> DESCRIBE WORN <br /> Construct Single Family Residence <br /> PROPoStO USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIP710NOFPROPERTY�SMOWBELOWORATrALHFOURCOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �o. 10 e�ocK_oF Heckonwood GOVERNING THIS TYPE OF WORK WILL BE COMPLIED LVITH <br /> WHETHER SPECIFIED HEREIN OFi NOT.THF GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUT� JRITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAV�' REGULATING CONSTRUCTION OR THE <br /> PERFO ANCE OF CO STRUCTI <br /> JOB A�DRESS SIGNATO O CONTRACTOR O A i ORIZEO G 1 DATE <br /> 5016 Fowler X � 2/20/85 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> Z WATERCLOSET�TOILEn 4 OO A�R COND.UNI1S- H.P. EA. <br /> DATHTUA FiEFRIGEFATION UNITS- H.P. EA. <br /> Z LAVATOfiV(WASH BASINI A 00 BOILERS- H.P. EA. <br /> 2 SHOWER 4 00 GAS FIRED A.C. UNITS-TONNAGE EA. <br /> 1 KITCHEN SINK&DISP. 2 00 � FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASMER WALL HEATERS- B.T.U. M _ <br /> LAUNDRY TRAY UNIT HEATEHS- B.T.U. M <br /> 1 CLOTHESWASHER 2 00 EVAPORATIVECOOLERS <br /> 1 WA7ER HEATER 2 00 CLOTHES ORYERS <br /> URINAL XX VENTILATION FAN X� <br /> DRINKING FOUNTAIN 7{]� RANGE HOOD l{� <br /> FLOOR�RAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS 1 STOVE-WOOD 7 SO <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK�SERVICE- BAR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> 19 50 <br /> SUB TOTAL : 18 00 SUB TOTaI S <br /> PEHMIT S PEHMIT 5 <br /> 70TAL FEE S 1$ 00 TOTAL FEE S � <br /> SIDE YAR�SEfBACK STFEETSETBACK REAR YAqD SEiBACK PL .N CHECK NUMB[R PLAN CHECK FEE <br /> 5� 20� 20� 8$�19411 FE�103.45 RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 XI�EES �::NO <br /> FEES VALUATION FEE <br /> 1YPE OF CONST. OCCUPANCY GHOLP NO.OF DWELLING UNITS <br /> V-N R-3--M 1 BUILDING 367,000. 334 00 <br /> SI E B�p G. NO.OF STORIES MA%.OCC.IOAD <br /> R M �2(0 $q. Ft. 2 � PLUMBING 18 00 <br /> FIRE ZOIJE BASEMENT FIRE SP6RqI4,KLEHS MECHANICAL � �� <br /> YeS R VESR^fl0 <br /> APPROVALS BY OATE OTHER <br /> i.ENVIRONMENiA1.CHECKLIST pENALTV U.B.C. <br /> , SEG 903 lal <br /> 2.BUILDING PLANS <br /> 3.FIREHVDRAN7 . TOTAL � �� <br /> 4.FIRE PROTECTION SYSTEM -"" PEHMIT VALIDATION <br /> 5.GRADING I � � --" .'i WHEN PROPERIY VALIDATED(W THIS SPA�)THIS IS��YQUR PERMIT __ �.-�� <br /> �_ <br /> 6.ORAINAGE � .____ r-i �. <br /> 7.EIJVIRONMEN7ALIMPACTSTATEMENT � <br /> ._. .. . � . . V- <br /> B.HEALTHDISTFICT � . . , �- � <br /> APPL�CATION ACC. BY PLANS CHECNED BY APPR. FOR ISSUANCE BV . , <br /> � L.C. F1WF1 L.C. � <br /> ADDRE�S RLE <br />