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n <br />��:'��.� ' the Evergmen C1�STRUCTION � . <br />��"�', CITY OF <br /> everett PERMIT pERMIT N0. O82J6 <br /> CITY HALL 259�87A5 <br /> EVEREIT.WA 98201 � COMBINATION � BUILDING � MECHANICAL LXi PLUMBING <br /> OWNCR A1�IL AD�RE55 <br /> LiiY Zi�' PMONE <br /> Everett 98201 258-2475 <br />. KiWin Homes 2809 Cedar �T Z�P pMONE <br /> Af.GH1TECT OR OESIGNEF MAIL ADDPE55 <br /> � pTY 2'�P-_��'_ PNONE LICENSE� <br /> GEHENC,L CONTflHCTOR MAIL AOOflE55 <br /> I;I WI NNC250BZ <br /> S ame pHONE LICENSE� <br /> � MAILADDFESS dTY ZIP <br /> MFGH0.NGAL WNTRACiOR <br /> � MAIL AODRE55 <br /> CILY ZIP 7HONE LICENSE/ <br /> PLUMbING CONTNACTOR <br /> � � CIASSOFWORK <br /> [Y+ry�.y./ ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAF7Nl i <br /> ' � ' VALUATION OF WORK <br /> S ZZGr�O�.�� <br /> �� DESLRIf3E YlC�1K <br /> Consi-ruct single family residence <br /> PROPOSEU��E�F BUIIDING <br /> single family residence _ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS - <br /> LEGAL DESCRIPiION OF PROPERIY ISHGW�ELON OR ATTACIi FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRU'E AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT 12 o�ceK_oF e TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VICLATE UR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> P 36-29-4 CONSTRUCTION OR THE PERFO MANCE OF CONSTRUCTION. <br /> ,,♦ cArF <br /> SIGNAiIIfE .F NiMCTOROIypU��� �IZ AG[Ni <br /> JOB A�URE55 LS 10/2 7/8 0 <br /> 4701 West Glenhaven Drive X <br /> MECH NICAL <br /> PLUM6ING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIP�AENT <br /> (� �Q AIR WND.UNITS—H.R EA. <br /> 3 WATER CLOSET(TOILET) REFRIGERAiION UNITS—H.P.EA <br /> $ pATHTUB OOILERS—H.P.EA. <br /> 3 �AVATORY QVASH BASIN) GAS FlRED AC.UNITS—TONNAGE EA. . <br /> SHOWER ]. FORCLD AIR SYSTEMS—6.T.U. M EA. S <br /> ], KITCHEN SINK 8 DISP. IVALL HEATERS—B.T.U. M <br /> DISHWASHER UNIiHEAT[RS—BT.U. M <br /> L4UNDRV TRAY EVAPORATIVE COOLEHS <br /> CLOTHES WASHER CLOTHES DR1'ERS <br /> 1 WATER HEATER <br /> 3 VEN7ILATION FAN <br /> UPINAL RANGE HOOD <br /> DRINKING FOUNTAIM qIR NANDUNG UNIT— C.F.M. <br /> FLOOR DRAIN STOVE <br /> VACUUM 6REAKERS A1FirL FlREPIACE 8 CHIMNEV <br /> ROOF DRAINS—RAINLEADER$ <br />- - . � �, ], SINK(SERVICE—BAR,ETG� _ <br />� � � � � � SUB TOTAL 5 4 -�- <br /> . � SUB TOTAL 2 S 00 pEqMIT 5 <br /> PERMIT S S <br /> � � TOTAL FEE S 2 8 O O TOTAL FEE <br /> PLAN CHECK FEE <br />� - SIDE YARD SET�ACK STREET SETBACK REAR YARD S6TGACK PL��N CHECK NUMBER FEE 2 O 2 . S RECEIPT NO. <br /> g � 20' 20 ' 80/8256 <br /> USE ZONE LOT AFEA VACANT SITE FEES VALUATION FEE _ <br /> ❑vES ❑NO <br /> R-1 <br /> TYPE OF CONST. OCCUPANCY,ROUP NO.OF DWELLING UNITS — <br /> � N R_g BUILOING $116 ,000 311 00 <br /> SIZE OF dWG. NO.OF STORIES MAx OCC.��QD P�UMBING 2 B 0 O <br /> 2 <br /> FIREZONE BRSEMENT FIRESPRINKLERS MECHANI�AL ].�I OO <br /> REOUIfiLD — <br /> IlY[S — <br /> APPROVALS <br /> BY OATE O1HER _ <br /> U.B.C. <br /> 1. ENVIRONMENTAI CHECK LIST PENALTY SEC.303(a) _ <br /> 2. �UILDINGPLJ�NS ` TOTAL 353 -- <br /> 3. FlRE HYDRANT �� . <br /> PERMIT VALIOATION <br /> 4. FIRE PROTECTION S�STEM WHEN PR(�OPERLY VA�L]I�ATED QN iHIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING , �� � �. O 'J -- J 9 b 71 $ J I I. 0 � -- � <br /> 6. DRAIFIAGE "1 �� N <br /> 7. ENVI�NMENTALJMPAGJSTATEMENT ' W <br /> . , -,, �r-i � pT �, <br /> 3. HENtiHDISTRICT . � ' ' , ,� � \�.��: �f 1 <br /> APPLICATION ACC.BY� � �PLANS GNPCKED BY APPR.FOR ISSUANCE�V. - . , ;� , ' , � . U <br /> l_. -il IV.C. ., . .. <br /> I .�,. ' � -r . . , _ ,. <br />