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_ -t <br /> `,'�E`.��T���� ; - . - CONSTRUCTIC'V � � <br /> everett PERMIT PERMIT N0. �.296A� <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 � COMBINATION � BUILDING G MECHANICAL � PLUMBING <br /> ON'Nk9 MAIL ADDNESS CITY 21P PHONE <br /> �illage Properties 16303 Highway 99 Suite 1-8 Lynnwood 98037 74F-3100 <br /> ARGNITECT OR OESIGNER MAIL AODRE55 pTY ZIP FHONE <br /> ' GENERAL CONTPACTOR MAIL ROORESS CITY ZIP PMONE LICENSE I <br /> GCC Construction LTD. 16303 Highway 99 Suite 1-A Lynnwood 98037 745=0040 <br /> ' MECMANICALCONTPACTOR MAILAO�RESS CITY ZIP P110NE LICENSEI <br /> GCCOL*179BM <br /> PLUMBING CONTRACTOR MAIL ADORES^u CITY ZIP PHONE LICENSE M <br /> CLA55 OF WORN � <br /> � L�S�lEW ❑ ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITIL�N ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLPCE INSERT <br /> � VALUATION OF WORK <br /> S 58�00�.0� <br /> OESC919E WORK <br /> Construct Single Family Residence <br /> PROPOS50 USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AtJD EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL�ESCRIPTION OF PROPERTY�SHOW BELOW OR ATfACH FOUR LOPIES� CORRECT. ALL PROVISIONS OF LAWS AND CRDINANCES O <br /> �or 3 e�ocn_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE(:f�ANTING OF A � <br /> m <br /> Short Plat 1202-34-79 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE •• <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTFUCTION OR THE ,_, ,.., <br /> PERFOFMANCE OF CONSTRUCTION. � T <br /> JOB AOORE55 SIGN/`T'UR6Q CONTRAGiO F AUi ORIZE AGENT DATE ' / H � <br /> 4713 Glenwood Avenue X (/ � � � Yy �' m <br /> PLUMBING MECHANICAL �1 m o <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE � c <br /> 2 WATERCLOSET�TOILET) 4 00 P.IR COND.i1NITS - H.P. EA. � <br /> ]. BA7HTU8 2 00 REFRIGERA�ION UNI75 - H.P.EA. 2 -Z�1 <br /> m <br /> Z LAVATOflY(WASN BASIN) 4 00 BOILERS- M.P.EA. Q :� <br /> 1 SHOWER 2 �Q GAS FIRED A.C. UNI7S- TONNAGE EA. D � <br /> 1 KITCHEN SINK 8 DISP. 2 �� FORC[0 AIR SYSiEMS- B.T.U. M EA. r S <br /> j DIShW4SHER Z �� Y/ALLHEATERS- B.T.U. M -""'1 V� <br /> K <br /> IAUNDfiY TRAY UNIT HEA7ER5- B.T.U. M 'Tl <br /> O 7� <br /> CLOTMES WASHEH EVAPORATIVE COOLERS 'Tl Y <br /> 3 <br /> WATER HEATER Z �� CLOTMES DRYERS = m <br /> URINAL VENTILATION FAN f*7 �--� <br /> N <br /> DRINKING FOUNTAIN RANGI.HOOD O r <br /> FLOUR ORAIN AIR HANDLING UNIT- QF.M. C'� ITt <br /> VACUUM BREAKERS S70VE - WOO� 3 N <br /> m <br /> FOOF DRAINS- RAINLEA�ERS 1 �.1ETAL FIREPLACE 8 CHIMNEY 7 50 � r <br /> SINK(SERVICE - BAR,ETC.) FIREPLACE INSERT • a <br /> HEAT PUMP � <br /> _ � <br /> — _ <br /> a <br /> z <br /> � <br /> SUB TOTAL + _ 20 00 SUB TOTAL S ],9 SO � <br /> PERMIT S PEHMIT S tn <br /> TOTAL FEE f 20 00 TOTAL FEE S zo <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEfl PLAN CHECK FEE ,,7� --I <br /> 84/12964 FE�5.60 RECEIP7TlU75 n <br /> USE ZONE LOT AREA VACANT SITE S §']�],� m <br /> �. !VES . :NO FEES VALUATION FEE _ <br /> "YPE JF CONSf. UCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> BUILDING a 58,000. 307 �0 <br /> 5�zE OF BLDG. NO.OF STOqIES MA%.OCC. �OAD <br /> H-1761 Sq. Ft. 2 ( PLUMBING 20 00 <br /> G-�fifl _ <br /> FIREZON BASEMENT FIRESPRINKLERS MECHANICAL <br /> YE:S �EOUIPED L9 $0 <br /> VES O - <br /> APPROVALS BY DATE �THER . <br /> 1.ENVIRONMENTAL CHECK.IST �•ENALTY U.U.C. . <br /> 2.Bl11LDING PLANS �O SEC.903(a) <br /> 3.FIREHVDRANT o TOTAL 346 50 <br /> 4.FIREPRO7ECTIONSYS7EM, �'� PERMITVALIDATION <br /> 5.GRADING � WHEN PROPERLV VALIDATED pN THI�s�P(��E)THIS��Yf�Ui�P�R�yilT � <br /> ti �) �� � U <br /> 6. INAGE � � r� /� <br /> 7.EflVIfiONMENYALIMPACTSIATEMENT " � J � O Q 0 Cn <br /> . - 3 �� <br /> B.h ALT,i DISTRICL... � � <br /> APPLICATION ACC.BY. PL 5 CHECKED BY APPR.FOR ISSUANCE BY � ' � � n�-L i: I 1 I <br /> Oc% 1 �Jl `- ' �'� . � • � • v�-. U <br /> � � � 1 v <br /> s- �e . � �,M � � criFr ; . <br /> l= -r� � ''!�; 4,,.. U ' <br /> _, � ' h, iL9 04 <br /> p not,t�s� r-i�� , , <br /> -- '. ��Li i� 11 <br /> l. 'J <br />