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the Evergreen CO! 1,STRUCTION <br />CITY OF <br />everett PERMIT PERMIT NO.07857 <br />CITY HALL 259-8745 <br />EVERETT WA 98201 [xi COMBINATION ® BUILDING Xn MECHANICAL PLUMBING <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />OWNER <br />P.O. Box 419 <br />Kirkland <br />98033 <br />827-049 <br />Sherstad & Williams, <br />Inc. <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSEY <br />GENERAL CONTRACTOR <br />SH <br />ER SW 24613 <br />Same <br />CITY <br />ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PI WAGING CONTRACTOR <br />CLASS OF WORN <br />KNEW ❑ADDITION ❑ALTERATION ❑REPAIFl ❑DEMOLITION El FENCE EISIGN EICARAGE <br />VALUAT ICN OF WORK <br />$ 72,500.00 <br />DESCRIBE WORK <br />Construct Single Family Residence Plan S-1075 <br />Single Family Residence <br />LEGAL DESCRIP'ION OF PROPERTY (SHOW BELOW OR AT)'ACH FOUR COPIES) <br />LOT 43 BLOCK_OF Cedar Ridge Estates <br />R-12-28-4 <br />JOB <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OP NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN; , OF URACTOR O AUTH RI D AGENT DATE <br />7607 Lower Ridge Road <br />�' - <br />MI&HANICAL <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE. <br />6 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />3 <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />REFRIGERATION UNITS - H.P. EA <br />1 <br />BATHTUB <br />6 <br />OO <br />BOILERS - H.P. EA. <br />3 <br />LAVATORY (WASH BASIN) <br />2 <br />OO <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />1 <br />SHOWER <br />2 <br />00 <br />FORCED AIR SYSTEMS - B T.U. M EA. <br />1 <br />KITCHEN SINK & DISP. <br />2 <br />00 <br />WALL HEATERS - B.T.U. M <br />1 <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />00 <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />1 <br />CLOTHES DRYERS <br />3 <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />]- <br />RANGE HOOD <br />Q <br />_ <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />3 <br />O n <br />1 <br />METAL FIREPLACE & CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC.) <br />24 <br />00 <br />SUBTOTAL <br />s <br />14 00 <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />S <br />$ 24 <br />00 <br />TOTAL <br />FEE S <br />14 Do - <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SFTBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />620 <br />20' <br />80/7857 <br />FEE116.50 RECEIF NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LRYAS ❑NO <br />FEES <br />VALUATION <br />EE <br />R-1 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />BUILDING <br />$ 72,500. <br />233 <br />00 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />23'x44' <br />PLUMBING <br />24 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />14 <br />00 <br />3 <br />none <br />DYES aO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.G. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />271 <br />QO <br />TOTAL <br />3. FIRE HYDRANT <br />�Ni� <br />• 'qAE PROTEGTION SYSftM <br />PER-1MApIgAT10 <br />VJHEN�AbItFfiLYVA (DATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5726 $233.00 <br />L: <br />_ <br />5. GRADING <br />� <br />6. DRAINAGE ,- <br />YOUR ftECE <br />YOUiRICT <br />T, .ASK 'n U R °cCEiPT <br />CIC <br />r <br />c <br />2�7. ENVIRONMENTAL IMPACi.STATEMENT <br />HEALTH I <br />pAPPLICAT( . BY <br />LANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />�' ' <br />THANK <br />YOU <br />� 4 <br />V.C. <br />_�ruc80 <br />ADDRESS FILE _1 <br />- 11 ALC 8 0 <br />