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1hS E�•rrgreen (Y�O N ST R U CT I 0 N�►, � <br /> (1 � ',i .��rv oF �� <br /> ���� � PERMIT PERMIT NO. �63ZO <br /> CITY NALL�59�87�5 <br /> � EVEq�T�,•q"^��� x❑LCdMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> -- u y <br /> OWNER MAIL ADDRE55 CITY ZIP PMONE <br /> Ri Robinett-Dire 1429 Broadway Everetc, WA 252-1166 <br /> RRGNITEGT OR OESIGNER MAIL AOOPE55 UiY 21P PMONE <br /> GENER�L CUNTR�CTOR MAIL�.00RE55 CITY ZIP PHO4E LICENSE M <br /> D. G. Brandvold Corp. 5307 - 139th Ave SE Snohomish, WA 98290 DGBRAC171CN <br /> MEGNANICnL CON�RACTON MAIL AODRE55 GTY 7'o PMONE LICENSE� <br /> PlUM91NG GONTRAGTOR MAIL AD�RE55 CITV ZIP PHONE LICENSE M <br /> CU55 OF WORN <br /> � NEW ❑ ADDITION ❑ AL7ERATION O REPAIP. ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVHFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 37�400 <br /> UESCRIBE WORK <br /> Single Family Residence <br /> PROP.nED USEOF BUILUING I HEREBY CERT!FY THAT I HAVE PEAD AND EXAMINED THIS <br /> Single Family Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESCNIPTI04 OF PRO?EPTY�SHOW 9E101Y OR ATfACM FOUR COPIES� CORRECT. ALL PROV�SIONS OF LAWS AND ORDINANCES <br /> �or�_e�ocK_oF - GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> V-36-29-4 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL L W REGULATING CONSTRUCTION OR THE <br /> PER R A CE OF C UCTION. <br /> JOB ADORE55 � SIGNA F N RACTO T FIZED AGENT DATF <br /> iYs9 x8s -493�!'G enwood Ave X ��xy"�y"� <br /> PIUMBING MEC AN CAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1 WATERCLOSET�TOILE7) 2 00 AIR COND.UNITS- H.P. EA. <br /> I BATHTUB 2 00 REFRIGER4TION UNITS - H.P.EA. <br /> 1 LAVATORY(WASH BASIN) Z OO BOIIERS- H.P. EA. <br /> SHOWER GAS FIRE�A.C. 11NITS-TONNAGE EA. <br /> 1 KITCHEN SINK 8 DISP. 2 00 F�'1RCED AIR SVS7EMS- B.T.U. M EA. <br /> 1 DISHWASHER 2 OO WA�L HEATERS- B.T.U. M <br /> LAUNDRYTRAV UNIT HEATERS - B.T.U. M <br /> 1 CLOTHESWASHER 2 00 EVAPORATIVECOOLERS <br /> 1 WATER HEATER 2 OO 1 CLOTHES DFiYE7S A 50 <br /> URINAL 2 VENTILATION FAN 6 00 <br /> �RII�KING FOUNTAIN ]. RANGE HOOD 4 50 <br /> FLOOR DRAIN AIR HANDLING UNIT - C.F.M. <br /> VACUUM fiREAKERS STOVE -WOOD <br /> ROOF DFAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK 15ERVICE- BAR, ETC.) FIREPLAGE INSERT <br /> HEAT PUMP <br /> SUB TOTAL 3 lA 00 SUB TOTAL S 15 00 <br /> PERMIT S - - PERMIT 3 - - <br /> TOTAL FEE f 14 00 TO7AL FEE S 1 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6� 20' 20' 86/16320 FEE148.85 RECE�9533 <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 13,743 xves ::No <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OW[LLING UNITS <br /> V-N R-3 1 BUILDING 537,400 229 0 <br /> SIZE OF BLDG. NO.OF S70RIE5 MAX.OCC. LOAD - <br /> PLUMBING l�I O <br /> 984 sf 1 - <br /> FIRE ZONE BASEMENT REOUSRED KLERS MECMANICAL 1S O <br /> :�YES '. .NO <br /> APPROVALS BY OATE OTHER <br /> 1.ENJIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS � TOTAL 258 O <br /> 3.FIREHVDPANT -'- <br /> 4.FIRE PROTECTION SYSTE d PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDA7ED pN THI$,SP9Cf)THIS�S�Y�Ll1i�PFj(ity�1T_ �`_� <br /> ;_,S.GRADING � r c � u u <br /> �-b.DRAINAGE "'� ' � <br /> _7.ENVIRONMENTALIMPAC STATEMENT !�� ' <br /> "^-8.HEALTH DISiRICT . � � � �. . : I � ' <br /> c<APPUCATION AGC. BV �_ PLANS CHECKED BV APPR. FOP ISSUANCE BV , <br /> c� <br /> � M.M. `� JEF L.C. <br /> � . � .., �� c �.) <br /> ADDR[SS FILE <br />