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�he�'E'��ergreen CO"I �T R U�T I O N � <br />CITY OP <br />everett PERAAIT PERMlT NO.O�S66 <br />CITY HALL 259�8745 <br />EVERETT. WA 98201 �J COMBINATION � BUILDING Q MECHANICAL C� PLUMBING <br />OWNEP MAllA00RESS CITY ZI' PHONE <br />Sherstad & Williams, Inc. P.O. Box 419 Kirkland 98033 827-0494 <br />ARCNREQ CR DESIGNER I.IN'L AD�RE55 CRV ZIP PHONE <br />GENEPNLCONTRACTOP MAtI PDORESS dTY ZIP PHONE LICENSE • <br />SH ER SW 24613 <br />IAECNANICALCANTRFCTOR MAILADDFE55 CITI ZIP PHONE LICENSE/ <br />PLUMBINGCONTRAGTOR MAILA�DFE55 CITV ZIP PHONE UCENSE� <br />C1A550F WORK <br />L�SA�EW ❑ADDITION L�ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GnRAGE <br />VALUATION OF WOFK <br />s 65,000.00 <br />OESCFIBE WORK <br />Construct Single Family Residence Plan <br />PROPOSED USE OF BUI�DING <br />Single Familv Residence <br />LEGAI. DESCRIPTIDN OF FROPERTY �SNOW OELOW OR AiTACH FOl1P CAPIES� <br />31 _.__.. __ Cedar Ridge Estates <br />wer Ridge Road <br />PLUMBING <br />NO. <br />1 WATER CI <br />l BATHTUB <br />TYPE OF FIXTURE OR <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEFS <br />ROOF DRAINS — RAINLEAOERS <br />AINK ISFRVICF — RAR. GTGI <br />YARD SETBACK I S�iflEET <br />6' <br />USE ZONE <br />R-1 <br />7YPE OF CANST. <br />V-N <br />SIZE OP BLDG. <br />26'x60' <br />FIRE ZONE 3 <br />1. ENVIRONMENTAL CHECK LIST <br />2. �WLOINGPLANS � <br />3. FIRE HYDRANT L' <br />4. FIRE PRO,TECTION SVSTEM <br />� 5. GRADING ,... J_� <br />�. ORAINADE ;-; p <br />HEALiH DISTFNC7 <br />PLICATION A . BY <br />C. -U <br />AREA <br />R 12-2A- <br />FEE <br />3ACK REAR YARD SE <br />20' 20' <br />VACANT SITE <br />[�Y�S ❑NO <br />�NCY GROUP <br />R-1 <br />STORIES <br />none <br />CHECK'eD BY <br />V.C. <br />I HEREBY CERTIFI .?,T 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 />7YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF ;. PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORI"i Y TO VIOLATE l:q C,'ANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL `_4W REGULATING <br />CONSTRUCTION OR T'H�lE PERFORMANCE OF CGNSTRUCTION. <br />SX�GNATURE OF \OT�fr�°i�Rpr/�y � �ATE <br />/ L/ / 8�1�8� <br />MECHANICAL <br />AIR <br />TYPE OF EGUIPM <br />). UNITS — H P. EA. <br />7ATION UNITS — H.P. E <br />— H.P. EA. <br />GAS FlRED AQ UNITS—TONNAGE EA. <br />FORCED AIR SYSTEMS — � T.U. M <br />IYAL�HEATEflS—BT.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTH[S DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C. <br />PERMIT <br />�� TOTAL F <br />:K PLAN CHECK NUMBER <br />80/7866 FEE <br />FEES � <br />UNITS <br />1 BUILDING <br />�ono <br />PLUMBING <br />KLERS MECHANICAL <br />to <br />CATE OTHER <br />PENALTI <br />TOTAL <br />5 65,000 <br />U.B.C. <br />SEC.303(a) <br />FEE <br />FEE <br />RECEIPT NO. <br />217 00 <br />14 00 <br />14 00 <br />245 100 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERM1IIT <br />' �OIh.OG- 3 5�uz $217.00-.--�� <br />� <br />'" ' !: RcC�IPT ,'���R REC�IPTo <br />APPR. FOR ISSUANCE BY ..� \� ., I ��� U <br />. � C.,� � i' �li�'it, <br />