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�he EvrrRnen -<;O N ST R U CTI O�� <br /> ��r�oF r — <br /> � everett PERMIT PERMIT N0. 165Z9 <br /> CITV HALL 259�87�5 <br /> EVERETT,Wp98201 {� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAI�ADDRE55 CITY ZIP PMONE <br /> GIL 6 KAREN DAVIS Everett WA 355-3006 <br /> ARCNITECT OR DESIGNER MAIL AOOHEES CITY ZIP PNONE <br /> Impression Design <br /> OENEH�L CONTPAGTOR MAIL ADGRESS CITY ZIP PMONE LIGENSE� <br /> Dave Hanson Custom Homes 1054 N. Park Crive Everett WA 98203 259-2950 <br /> MECMANICAI CONTRACTOR MAIL ADDRF.55 CITY Z��qN50DG328�YNE LICENSE I <br /> PlUM91NO CONTRACTOR M�IL A�URE55 CITV ZIP PMOPIE �IGENSE� <br /> CU55 OF WORK <br /> �NEW ❑ ADGTION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVE'FIREPLACE INSERT <br /> VALU�TION OF WORK <br /> s �25�0�� <br /> DESGRIBE VJOPK <br /> New residence <br /> PROPOSED USE OF BUILUING <br /> Sing1 e famil y residence I HEREBY CERTIFY TIiAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THc SAME TO BE TRUE ANU <br /> LEGAL DESCRIPTION OF PROPERTV(SNOW BELOW OR ATfACM FOIIR COPIES� CORRECT. ALL PROVISIONS OF LAWS AiJD ORDI!JANCES <br /> �or 3 BLOCN_OF Crestwood GOVERNING THIS TYPE OF WORK WILL BE�OMPLIED WI�H <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRAN'fING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATI G CONSTRUCTION OR THE <br /> PE RMAN E OF C RUCTION. <br /> JOB A�DR SIG T E OF�C RAC R O MORIZEO AGENT DATE <br /> Ed emoor Lane X �- (o-/L� —� <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR CONO.UNITS— H.P. EA. <br /> 1'_ BaTHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYSTE!.1S— B.7.U. M EA. <br /> � OISHWASHER WALL HEATERS— B.7.U. M <br /> � LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> � CLOTHES WASHER EVAPORATIVE COOI.ERS <br /> � WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKINf, FOUNTAIN RANGE HOOD <br /> FLOOR�RAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUtJ BREAKERS STOVE —WOOD <br /> ROOF DRAINS — RA�NLE.ODERS � METAL FIREPLACE d CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEATPUMP <br /> SUB TOTAL f 2(} SUB TOTAL S <br /> PERMIT f PERMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> SIOE YAqD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6� 20� Z�' 86/16529 FEE322��8 RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 8418 SP )(�'ES ;:NO <br /> TYPE OF CONST. OCCUPANCV GROUP NO. OF DWELLING UNITS P <br /> V-N R-3, M-1 1 ew�oiNc 86�/��/ 4e <br /> SIZE OF BL�G. N0.Of S70RIE5 MAx.OCC. LOAD <br /> 2075+64& M-1 � PLUMBING „�1� <br /> FIRE ZONE BASEMENT FIRE SPRINKLEFS IAECHANICAL E SRCH f S.W <br /> RE�UIRED <br /> P:YES !.:NO <br /> APPROVALS BY DATE �THER Driveway F`(,�j •� ZO OO <br /> 1.ENVIRONMENTAL CHECK LIST PENAI��dte B� S (a) <br /> 2.BUILDING PLANS <br /> 3.FIRE NYDRANT �OTAL 1�� <br /> �.FIRE PROTECTION SYSTEM PENMIT VALIDATION �� f�,� <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN TWSSAACE)TF ^���1R PER r ��� <br /> B.DRAINAGE House to be heateJLMCK 581 .50��,� <br /> M��Lh 9i330•Otl �n <br /> 7.ENVIROYMENTALIMPACTSTATEMENT ]]'n—S �'4•W <br /> 8.MEALTH DISTRIC7 CFECK tI�S.SO (�l <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � <br /> sy jef 1c <br /> ADDRESS FILE <br />