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the FvOF CITY of CC NSTRU CTIOIN <br />ln <br />everetf PERMIT PERMIT NO.09773 <br />CITY HALL 259-8745 <br />EVERETT. 01A 98201 ❑ COMBINATION ®CBUILDING ❑MECHANICAL ❑PLUMBING <br />CY:NER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Bruce Gentry <br />5702 East Drive <br />Everett <br />98203 <br />353-5852 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />lC <br />GENSL.CO PANTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE# <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />- <br />❑NE1Y k-kDDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN LIGARAGE <br />VALUATION OF WORK <br />S 1,000.00 <br />nuu� ivu <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />FOUR COPIES) <br />LEGAL DESCRIPTION or PROPERTY (SHOW BELOW OR ATTACH <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />Highland Acres <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT —BLOCK —OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />Track 23 less South 70.13 <br />Feet <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OF CONTRACTOR R AUTH RIZED AGENT DATE <br />JOB ADDRESS <br />5702 East Drive <br />X 9/11/81 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA, <br />KITCHEN SINE & DISP. <br />FORCED AIR SYST-MS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — A.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />2 <br />n n <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />1 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RAN3E HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />1 <br />SINK (SERVICE —BAR. ETC.) <br />SUBTOTAL <br />4 <br />00 <br />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT S <br />4 <br />5 0 <br />TOTAL FEE <br />S <br />4 <br />o n <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />81/9773 <br />11.30 <br />54873 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES .X}UJ <br />FEES <br />VALUATION <br />-_ <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$1,000. <br />17 <br />50 <br />V-N <br />R-3 <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />NIAX. OOC. LOAD <br />PLUMBING <br />4 <br />00 <br />1 311X22I All <br />FIRE ZONE <br />BASEMENT <br />FIREREQSPRINKLERS <br />MECHANICAL <br />4 <br />SO <br />none <br />AYES ❑NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />26 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMITNALIDATION _ �'] <br />WHEN PROPERLY�VAODATED{IN THIS SPACE) THIS IS YOUR PERMIT <br />.. 3 17.0- <br />r <br />8. GRADING <br />6. DRAINAGE <br />_ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />" a HEALTH DISTRICT "' <br />I I C <br />I <br />- AP-UCATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />V.C. <br />. . �I <br />ADDRESS FILE <br />