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' <br /> `,'c `,`r`��c„ �- , CONSTRUCTIC '� <br /> ar� oF ;;��...z , <br /> '_ everett PERNf �T PERMITNO. �-4b '4 <br /> CITY HALL 259�B745 <br /> EVERETT.WA90201 �] COMBINATION �I BUILDING C� MECHAN'CAL .�,.�I PLUMBING <br /> OWNER MAILAOORESS GITY ZIP PHONE <br /> Village Properties 16303 Highway 99 Suite 1-B Lynnwood 98037 745-3100 <br /> AflLNITECT OR DESIGkEH MAIL AOOPESS CITY ZIP PNONE <br /> GENERAL CONTRACTOR MAIL AD�RESS CITY 21P PHONE LICENSE� <br /> GCC Construction LTD. 16303 Highway 99 Suite 1-A Lynnwood 98037 745-0040 <br /> MEGNINICFL CONTRACTOR MAI�AUORESS CITY Z�P GCCOL„��1�/9BM �ICENSE• <br /> PLUMBIkG GONTRACT011 MAIL ADOflE55 CITY 21P PMONE UCENSE• <br /> CLA55 OF WORK <br /> }}� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITIOP: ❑ FENCE ❑ SIC�! ❑ WOOD STOVFJFIREPLACE INSER7 <br /> VALUATION OF WOFK <br /> f 42,000.00 <br /> UESCRIBE WORK <br /> Construct Single Family Residence Z <br /> PROPOSE�USC OF BUIL�ING 0 <br /> Single Family Residence I HEREBY CERTIFY Th'AT I HAVE READ AND EXAMINED THIS M <br /> APPLICATION AND IcNOW THE SAME TO BE TRUE AND r, <br /> LEGAL DESCRIPTION OF PROPEfltt(SH01Y BELOW OR ATiACH FOUfl COPIES� CORRECT. ALL PROV1310NS OF LAWS AND ORDINANCES m <br /> 1 Short Plat 1202 34 79 GOVERNING THIS TY?E OF WORK WILL BE COMPLIED WITH �� <br /> l0T_BLOGN_OF <br /> WHETHER SPECIFIEO HEh=1N OR NOT.THE GRANTING OF A ,.., ,� <br /> PERMIT DOES NOT PRESUMt T��!`!F 4U7HORITY TO VIOLATE -� T <br /> — OR CANCEL THE PROVISIONS OF ANY Oiri�R STPTE OR y = <br /> N 36 29 4 LOCAL LAW REGULATING CONSTRUCTION OR THE m <br /> BEAFORMANCE O ONSTRUCTION. � o <br /> J00 ADDRESS / IGNAT R 0 4C OR 0 AU�MORI2E0 AGENT \ OATE m� <br /> 4705 Glenwood Avenue X r �� '�/2 �� 0 3 <br /> PLUMBING MECNANICAL � z <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE m � <br /> ], WATERClOSE7�TOILET) 2 00 AIR COND.UNITS - H.P. EA. C = <br /> 1 BATHTUB Z OO REFRI�ERATION UNITS- H.P.EA. r = <br /> 1 LAVATORY�WASH BASIN� 2 00 BOILERS- H.P. EA. '"""" <br /> -{ N <br /> SHOWER GAS FIRED A.C. UNITS -TONNAGE EA. j .n <br /> KITCHEN SINK 8 DISP. 2 00 FORCEU AIR SYSTEMS- B.T.U. M EA. � D <br /> 1 DISHWASHER '' 00 WALL HEATERS- B.T.U. M � m <br /> LAUHDRV TRAY UNIT HEATERS- B.T.U. M � <br /> I•1 � <br /> CLOTHES WASHER 2 00 EVAPORATIVF COOLERS 0 N <br /> WATER HEATER 2 00 CLOTHES ORYERS 4 5 � m <br /> URINAL VENTILATION FAN 3 N <br /> DRINKING FOUNTAIN RANGE MOOD � m <br /> 2 C7 <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. -� m <br /> `JACUUM BRE4KERS STOVE -WOOD A <br /> ROOF DRAINS- RAINLEAOERS METAL FIREPLACE 8 CHIMNEV � <br /> SINK(SERVICE- BAR,ETC.) PIREPLACE INSERT = <br /> a <br /> HEAT PUMP Z <br /> � <br /> 2 <br /> �--i <br /> N <br /> sue rorn� � 14 00 sua rorn� s � � <br /> PERM�T 5 PEHMI7 S n <br /> TOTAL FEE S 14 00 TOTAL FEE S m <br /> SIDE YARD SETBACK STREETSE7BACK REAq YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6� 20� ZO' 85/14854 FEE 1Z2�53 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 76864 <br /> �,�5 �. .NO FEES VALUATION FEE <br /> R-1 <br /> TYPE OF CO�+?T. OCCUPHNCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 -- M 1 BUILDING S 42,000. Z4� � <br /> SIZ BLDG. NO.O�STO(iIES MA%.OCC. LOAD — <br /> R3-_n��c� Sq. Ft. 1 y PwrnBING 14 0_ <br /> MFIRE-LDNE�'-� BASEMENT FIRESPRINKLERS MECHANICAL 9 p <br /> None REOUIRED <br /> VES <br /> APPpOVALS BY DATE O7HER <br /> 1.ENVIRONMENTA�CHECK LIST PENALTY U.B.C. <br /> _- SEC.303(a) <br /> 2.BWLDING PLANS <br /> TOTAL 270 0 <br /> J.FIRE HY�RANT <br /> 4.FIRE PROTEC710N SYSTEM PEHMIT VALIDATION � � ^t <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)THIS IS YOUF EPMIF - <br /> S.GRAOING . I I. ' ._ _ ` ' L(') <br /> 6.DRAIN�GE ' � � ' � <br /> 7.ENVIRONMENTALIMPAGTSTATEMENT d- <br /> -�B.HEFLTHDISTRICT � �-i <br /> APPLICAT�ON ACC.BY �PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> gg HWM LC <br /> � ADDRESS FILF ' <br />