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the Errrgree�7 <br />everett � �ONSTRUCTIO"� <br />PERMIT PERMIT NO. �4�g4 <br />GTv NALI 259�8745 <br />EVERET7. �VA 98201 � COMBINATION �3'I BUILDING �Q MECHANICAL � PLUMBING <br />OWNER Mf.ILAUDRE55 CITY ZIP PMONE <br />Mannon Construction 19541 67th Avenue N.E. SEATTLE 98155 486-5771 <br />ARGMITECT OF OESIGNEfl MAII FOOfiE55 CITY 21P PMCYE <br />GENERAL CONTRAG70P MAIL ADDRLSS CITY 21P PNONE LICENSE Y <br />Same MANNOC 136 D3 <br />MECNANICAL CONTRACTOR MAIL ADORE55 CITY ZIP PMONE LICENSE � <br />PLUMBING GONTRFGTOfl MAIL ADDRE55 dTY ZIP PMONE LICEkSE � <br />�XIEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INS:RT <br />VALl1ATION OF WORN <br />s 76,000. <br />UESGRIBE VlOFK <br />Construct Single Family Residence <br />PROPOSED lISE OF BUIL�ING <br />Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AN� cXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRIPTION OF PROPERTY �SMOW BELOW UR ATTACM FOUR WPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />20 Edgemoor Heights GOVERNING THiS TYPE OF WORK WILL 8E COMPLIED W�TH <br />l0T _ BLOGK _OF <br />WN''THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />"' riMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />uii CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />Z 35 29 4 LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATYREpF CONTRACTOR OR AUTHORI2ED AGENi DATE _ <br />$k]pC Dover Street <br />PLUMBING <br />). TYPE OF FIXTURE OR I7 <br />WATER ClOSET (TOILEn <br />j BATH7U6 <br />5 LAVATOFV(WASH BASIN) <br />], SHOWI:R <br />1 KITCHEV SINK 8 DISP. _ <br />1 DISHWA.�HER <br />1 LAUNDRVTRAY <br />1 CLOTHES WASNER <br />], WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS – RAINLEAOERS <br />SINK (SERVICE – BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />6' � 20' <br />R-1 12,677 <br />TYPE OF CONS7. OCCUPANGY G <br />V-N R-3 <br />E OF OLDG. NO. OF SiORIE <br />232�� Sq. Ft. R-3 2 <br />484 Sq. Ft. 19 I <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIROh7.1FNTAL CHECK LIST <br />2. BUILDING PLAN£ <br />3. FIRE HVDRANT <br />4, FIRE °ROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT - <br />APPlICA710N ACC. BY PLANS CHECK <br />JEF <br />5115 Dover Street <br />BY <br />FEE <br />x �C.-G-�—�1/7'.�.�-�,,.,.--_ <br />MECHA6'ICAL <br />NO. TYPE OF EOUIPMFNT <br />P.IR COND. UNITS – H.P. EA. <br />RErRIGERATION UNITS – H.P. EA. <br />BOILERS – H.P. EA. <br />—� GAS FIRED A.C. UNITS – TONNAGE EA. <br />__� � PORCE� AIR SYSTEMS – B.T.U. M EA. <br />• WALL HEATERS – B.T.U. M <br />UNIT HEATERS – B.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOLHES DRYERS <br />VENTILATION FAN <br />1 RANGE HOOD <br />AIR HANDLING UNIT – QF.M. <br />STOVE – WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />YEAT PUMP <br />S <br />S 30 0� <br />REAR YARD SETBACK PLAN <br />20' <br />VACANT SITE <br />X�ES .:NO <br />1 <br />Mnx.occ.0 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />85/14894 IFEE 203.45 <br />FEES VALUATION <br />BUILDING I $ %6�000. <br />PLUMBING <br />MECHANI:AL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 <br />S <br />S <br />5 <br />6 /z S <br />FEE <br />31 <br />RECEIP7 NO. <br />]8364 <br />FEE <br />�� <br />TOTAL 922 50 <br />PEHMIT VALIUATION <br />WHEN PROPERLY VAUOAlEOIIN 7HI5 SPACEI 7HIS IS VOU1R PERMIT �- <br />- m <br />on <br />`i- <br />� <br />.�._� <br />BY , <br />ACURLSS PILE <br />z <br />0 <br />1 <br />c <br />m <br />�� <br />.�.� <br />.i x <br />m <br />co <br />mo <br />f"� <br />0 3 <br />m <br />–1 z <br />x -i <br />m <br />.o z <br />C <br />a -+ <br />rx <br />�+ .-� <br />� N <br />< <br />� <br />O 3 <br />-� m <br />x <br />fr� r. <br />N <br />O <br />or <br />c� m <br />C N <br />3 tn <br />m <br />2 n <br />-� r <br />• m <br />a <br />P <br />� <br />S <br />a <br />z <br />--1 <br />S <br />N <br />Z <br />O <br />� <br />.-� <br />f) <br />m <br />