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drr Lcer.ereen .` /��_� ��- R U GT I O Rr .. <br />arv eF � ��� <br />everett �ERMI1' PERMIT N0. �-3E37 <br />CITY HALI 259�8745 <br />EVEREiT,WA98207 � COMBIIJATIpN � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADORCSS CITV ZIV f'HONE <br />Hasko & Brandvold 530'7 139th Avenue S.E. Snohomish 98290 568-9342 <br />ARGMITECT OR OESIGNEP MrIIL ADDRE55 GITY ZIP PHONE <br />GENERAL CONTqACTOP MAIL ACORESS CITY ZIP PHONE LICENSE � <br />G.B. Brandvold 5307 139th Avenue S.E. Snohomish 98290 568-9342 <br />MEGHANiGAL GONTR�GTOR MAIL ADORESS CITY ZIP PHONE LICENSE N <br />DGBRA(` 171 (`M <br />PLUMBING CONTflACTOR MAIL ADDRESS GTY ZIP PHONE LICENSE e <br />[.iNEW ❑ AODITION ❑ ALTERATION ❑ REPAIR C �EMOIITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIF�r7EPLACE INSERT <br />S SO�OOO.00 <br />�ESGRIBE WORK <br />Construct Single Family Residence <br />Residence <br />LEGAL OcECflIPTiON OF PROPEFTY �SMOW BELOW Ofl ARACH FOUN WPIE <br />�or Q _BLOCK_OF �everly Acxeage Tract <br />Southerly 55.20 feet of the S�, of Lot 29 <br />'025 Lower Ridge Road <br />PLUMBING <br />NO. TYPE OF FIXTURE OR I7EM <br />2 WATERCLOSET(TOILET) <br />], BATHTUB <br />2 LAVATORY�WASHBASIN) <br />SHOWER <br />NITCHEN SINK 8 DISP. <br />OISI;vVASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING'"OUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAhERS <br />ROOF DRAINS — RAINLEADERS <br />Cluv iCFaV1eF _ RAR FTC1 <br />V—N <br />ZB�X.iA� <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTAL FEE S <br />20' <br />LOT AREA <br />OCCUPANCY <br />R-3 <br />NO. OF uTOfl <br />z <br />BASEMENT <br />APPROVALS <br />1.ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />4. FIRE PFOTECTION SYSTEM <br />5. GRADING <br />G. DqAINAGE <br />7. ENVIRQNMENTAL IMPACT: <br />8. HEALTH DISTRICT <br />APPl�CA710N ACC. BY <br />2 <br />3EAfl VARD SETBACK <br />io� <br />VACANT SITE <br />XXES f:NO <br />NO. OF DWELLING UP <br />1 <br />MA%.00C.LOAD <br />6 <br />FIRE SPRINKLERS <br />REOUIRED <br />—.�.YES� —X)—OO -- <br />BY I DATE <br />EB 3EF LC <br />- I <br />I HEREBY CERTIFY THAT I HAVE REHD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIOPdS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERM�T DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />L CAL LAW REGULATING CONSTRUCTION OR THE <br />E �`ORMANCE OF CONSTRI nICTIGN. /� <br />5�iJAT�1FE OF CONTRAQCji'�i AUTHO�IIaE� AGENT � j _ f �ATE� N� <br />MECHANICAL <br />N0. TYPE OF E�UIPMENT <br />_ AIR COND. UNITS — H.P. E4. <br />REFRIGERATION UNITS — H.P. EA. <br />BOiI ERS — H.P. EA. <br />GAS FIFEO P.C. UNITS — TONVAGE E�. <br />S FORCED AIR SYSTEMS — B.T.0 M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.1'.U. M <br />EVAPORATIVE COOLEiiS <br />1 CLOTHES DflYERS <br />2 VC4TILATION FAN <br />1 R4NliE HOOD <br />I.IF N�NDLING UNIT — C.F.M. <br />1 STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />SUBTOTAL S <br />PERMIT 5 <br />TOTAL fEE 5 <br />FEE I RECEIPT NO. <br />VALUATION � FEE <br />BUILDING � s50,00Q. � 283 �00 <br />PWMBING � I 1B <br />—+— <br />MECHANICAL I 28 <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) _ <br />TOTAL 329 $0 <br />PEflMIT VALIDfTION <br />WF�E � PRO,P.ERLV VAL1[7ATED pN THIS SPACE) THIS IS YOUR PERMIT � <br />i � �1 m <br />' `' ' !o3.00 —a} <br />M <br />� � � � <br />� � �I .� � � .� .. _ . ii'�� <br />� . . . . . .. �� <br />� �� � <br />_� c, �I <br />AD�RESS FILE <br />H H <br />H 's1 <br />� � <br />� <br />�� <br />� <br />Zy <br />C x <br />K � <br />O � <br />[�J H <br />� <br />� �n�i <br />. � <br />� <br />� <br />H <br />N <br />H <br />H('� <br />[+7 <br />