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d+c!:cerAr[en <br /> �:�T� �F ' -� -�ON�TRUCTIOF' <br /> ,_ �everett pER�?� � 1 PERMIT N0. � S � 5 <br /> CITY HALL 259�B7d5 <br /> EVERETT,WA98207 � COML�JATION � BUILDING �J MECHANICAL C� PLUM8ING <br /> OIYNER IAAIL AppRE55 GITY ZIP PMONE <br /> Village Properties 1630;, Highway 99 Suite 1-B Lynnwood 98037 745-0040 <br /> ARCMIiEGT OR OESIGNER IAAI�pDDRE55 CITY ZIP PHONE <br /> GENERAL CONTRFCIOR MAI�AOORE55 pTY ZIP PMONE LILENSE M <br /> GCC Construction Ltd. 16303 Highway 99 Suite 1-A Lynnwood 98037 745-0040 <br /> MEGNANICAL CONTflAC10R h1AIL ADDRESS CRY 21P PMONE LIGENSE� <br /> GCCOL*1798M <br /> P,UMBING CONTRACTCq MAIL ADDRESS CITY ZIP PMONE LICEN54� <br /> CLASS OF WORK <br /> �{NEW ❑ ADDITION ❑ ALiERATION ❑REPAIp ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 64,000.00 <br /> DESCRIBE WORN <br /> Construct Single Family Residence Z <br /> PPJPOSEO USE OF BUIL�ING O <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> Single Family Residence APPLICATION FND KNOW THE SAME TO BE TRUE AND m <br /> LEGALOESCRIPTIONOFPROPERTY�SHOWBELOWOFAT?ACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES " <br /> �or 4 BLOCK_OF Short Plat 1202 34 79 GOVERNING THIS TYPE OF WORK WILL BE COMPLIEJ WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A =n <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE „ � <br /> OR CANCEL THE PRO\�ISI�NS OF ANY OTHER STATE OR �+ m <br /> N 36 29 4 LOCAL LAW REGULATING I;ONSTRUCTiON OI? THE o <br /> __ PERFORMAN E OF CONSTRUCTtON. <br /> c <br /> JOB ADDPE55 SIGNATU F iFACTOR OR AUTHORIZEU AGENT DATE m C'� <br /> 4717 Glenwood Avenue X ��`--- �_� S�jf,�rJ^ � m <br /> PLUMBING MECHANICAL = � <br /> m <br /> NO. TYPE OF FIXTURE �R ITEM FEE NO. TYPE OF EOUIPMENT FEE Q = <br /> j WATERCLOSET�701LEn AIR COND. UNITS- H.P. EA. C <br /> j BATHTUB REFPIGERATION UNITS - H.P. EA. r = <br /> 3 LAVATORV(WASH BASIN) BOILERS- H.P. EA. -1 N <br /> < <br /> 1 SMOWER GAS FIRED A.C. UNITS -TONNAGE EA. T <br /> 1 KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.7.U. M EA. � 3 <br /> 1 DISHWASMER WALL HEATERS- B.T.U. M -I I'*� <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M m""' <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS o N <br /> 1 WA7ER hIEATER CLO7HES DRYERS n m <br /> URINAL 2 VEN7ILATION FAN 3 N <br /> DRINKING FOU17iAIN 1 RANGE HOOD � �+ <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. • m <br /> VACUUM BREAM,ERS STOVE-WOOD � <br /> - ROOF DRAINS�- RAINLEADERS 1 METAL FIREPLACE S CHIMNEY = <br /> SINK�SERVICE - BAR,ETQ) FIREPLACE INSERT D <br /> . Z <br /> HEAT PUNP � <br /> 2 <br /> __ — �--� <br /> N <br /> -' Z <br /> SUB TOTAL S SUB TOTAL 5 ZZ Sp o <br /> PERMIT S PERMIT S m <br /> TOTAL FEE S 29 00 TOTAL FEE 5 ZZ <br /> SIDE YARD SETBACK SiREET SETBACK RCAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6� 20� 20� 85�1485$ FEE 148.85 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 76863 <br /> R-1 gj{fES ,�.NO FEES __ VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO. OF OWELIING UNITS <br /> V-N R-3-M 1 BUiLDING g 69,000. 325 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> M-1Sdpz�S��Q�. Ft. 2 ( PUIMBING 24 00 <br /> FIRE ZOr+E�' - BANoneT FIf;E SPRINKLERS MECIIANICAL 22 50 <br /> REO'JIR�y <br /> YES ^`NO - <br /> APPROVALS gy � pATE O7H[R <br /> 7. ENVIFONMENTAL CNECK UST PENAL7Y U.B.C. <br /> 2.BUILDING PLANS - <br /> SEC.303 lal <br /> 3.FIREHYDRAN7 TOTAL 371 SO <br /> a.FIRE PROTECTION SV�i EM pEHM17 VALIDATION <br /> , 5.GRADING WHEN PROPERLV VALIDATED pN 7HIS 6PACEFTHIS IS YOUR PERMIT ._J,f)i <br /> ' 6.DRAINAGE � �� � L1'j <br /> . 7.ENVIRONMEN�ALIMPA TSTATEMEN7 � <br /> =B.HEALTHDISTRICT ^n.� � - �� <br /> ` � APPUCATION ACC. BY . rLANS CHECKED BY APPR.FOR ISSUANCE BY � <br /> � <br /> �. , EB . , H� LC . . <br /> I <br /> ADDRESS FILE <br />