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the Ewryieen <br />CITY OF <br />everett <br />Ar 'LICATION FOR <br />CONSTRUCTION <br />PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT.WA98201 ❑COMBINATION PBUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />eve�rett JI <br />0 <br />OWNER <br />MAIL.ADDRESS <br />CDY <br />/IP PHONE <br />Sherstad <br />S Williams, Inc. P.O. Box 419 <br />Kirkland <br />98033 <br />827-0494 <br />ARCHITECT OF DISIGNIR <br />MAIL ADORE SS <br />CITY <br />ZIP PHONE <br />Sane <br />GENERAL CONE RAC FOR <br />MAIL ADDRESS <br />CITY <br />ZIP F'NONF <br />LICENSE e <br />Same <br />_ <br />sll /In Sr -' <br />G 1.?_ <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE e <br />PIUMBINIL CONTRACTOR MAIL ADDRCS CITY ZIP PHONE LICENSE <br />L1 AS%Of WORK <br />®NEW ❑ADDITION ❑ALTERAFION ❑REPAIR ❑DEMOLITION ❑FENCE [:]SIGN ❑GARAGE ❑BUILDING RELOCATION <br />S Au•ATION OF WORK <br />'7 7 SO-0 <br />DISCRIBI WORK <br />New construction Plan S-1075 <br />PROPOSED OSE OF RUILDING <br />New residence <br />I HEREBY CERTIFY THAT I HAVE READ AND UONMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE. PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATUR[ OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />� ��, �Q <br />IIGAI OISCRIPTION OF PROPERTY ISHOWN RILOW OR ATTACH FOUR COPIES) <br />LOI 43 BLOCK -OF Plat of Cedar Ridge Estates <br />- <br />l G_ <br />UII ADIIRISS <br />7607 Lower Ridge Rd. Everett, Wa 9P203 <br />PLUMBING <br />M CHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE - <br />WATERCLOSETITOLIETI <br />AIR COND UNITS -HP [A <br />l <br />BAIHTUR <br />RFFRIGERATION UNITS -HP [A <br />1 AVATORY(WWASH BASIN) <br />BOILERS -HP [A <br />- <br />SHOWER <br />2 <br />GASTIRFDAC UNITS -TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS-8 T U M EA <br />DISWASHER <br />HEATERS -BTU M <br />LAUNDRY IRAY <br />—2WALL <br />TWIT HEATERS -BTU M <br />CLOIHESWASHER <br />Q <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />� <br />I <br />CTOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR '_RAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADI.RS <br />MFTAL FIREPLACE d CHIMNEY <br />SINK (SERVICE -BAR. ETC) <br />SUB TOTAL <br />SUBTOTAL S <br />PERMIT <br />i <br />PERMIT S <br />TOTAL FIT <br />S <br />TOTAL TEE S <br />SIDE YARD SE TRACK <br />STREET SE TRACK <br />RUN YARD SI TRACK <br />PLAN CCIpIRCCKGK NUMBER <br />7CJ✓ <br />PLAN <br />HE <br />CHECK fL[ <br />HIRE NO <br />R[Eg7-13 <br />4 <br />USE ZONE <br />E� .1 <br />y, <br />LOT ARU <br />VACANT SITE <br />ILLYES [.NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF f O,,NST <br />1'4 <br />OCCUPANCY CROUP <br />2-5 <br />NO OF DWIILING UNITS <br />1 <br />BUILDING <br />LAY <br />$7 t5UI LZ <br />JE/ <br />SIZI OF BLOC, <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />_ <br />FIRE ZONE <br />BASF [NT <br />13 )ROOMS <br />FIRE SPRINKLERS <br />nQ51RfF 0� <br />MECHANICAL <br />APPROVAL\ <br />BY <br />FATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC 3010) <br />2 BUILDING PLANS <br />TOTAL <br />ci L <br />3 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINGII XCWATION A CIA ARINGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 MAE TH DISTRICT <br />APPLICATION ACC. BY <br />PLEANNSyCHECKEO BY <br />V.L/! <br />APPR FOR ISSUANCE BY <br />91 79 <br />