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tlte £vergreen .. %� � ! S� � u tlT I i./ � <br />CIT1' OF V <br />everet►i PER��IT pF_RMIT NO.O7Hb1. <br />CITY H4LL 259�Bi45 <br />EVERETf, WA 9P201 ❑ COMBINATION ❑ BUILDING ❑ 67ECHANICAL ❑ PLUMBING <br />OW4E� MAILADDRE55 GITY ZIP PHOIIE <br />:�erstad & Williams, inc. P.O. Bcx 419 Kirkland 98033 _ <br />,-�..N��!�iLRDE5IGNER MAILADDflE55 CITY ZIP PHONE <br />G[NERAL CONTRACTOR MAIL A�DRE55 CITY ZIP PMONE LILENSE � <br />SH ER SW 24613 <br />MPIIANICALCANiRACtOR IAAILApORESS CITY ZIP PHONE LICENSE� <br />JMBING GONTRACTOP MAIL ADORESS CItY 21P PHONE LICEhSE � <br />i� <br />a 67,500.00 <br />❑ADDITION L�ALTLRATION ❑REPAIR ❑DEMOLITION ❑FEiJCE ❑SIGN ❑GARAG[ <br />construct sinale familv residence <br />PROPOSED USE OF BUILDING <br />single famil7� residence <br />�EGAL DESCPIPTION OF FROPERTY �SHOW 6ELOW OR ATfACH FOUR COPIES) <br />�or 33 9LOCK__OF Cedar Ridge Estates <br />JOB AOORE55 <br />7710 Lower itidga Road <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITf <br />2 WATERCLOSETlTOILET) ___ <br />SIDE VAPD SETBA( <br />6' <br />USE ZCNE <br />R-1 <br />NPE OF COIJST. <br />V-N <br />SIZE OF �LDG. <br />33'x62' <br />FIRE ZONE <br />3 <br />DI51 <br />— BARLETC.)n <br />SUB TOTAL <br />PERMIT _ <br />TOTAL FEE <br />� STREET SET�ACK <br />2�� <br />LOT AFFA <br />OCCUPANCY GR06 <br />R- 3 <br />N0. OF STORIES <br />1 <br />BASEMENT <br />none <br />1. ENVIRONMENTALCHECKLIST <br />2. BUIL�ING PLANS � <br />3. F�RE HVDRANT w <br />4. FIRE PROTEC7fON SYSTE� <br />5. GRADING � J <br />_'_..." " cfl <br />ENVIRONtdENTALIMPAGI-G7ATEMENT <br />HEALTiialSfq,CT � <br />7LICAT101� ACCJ BV �NS CHECKED 9Y <br />� i V.C. <br />R-12-28-4 <br />2�� <br />VACFNT SITE <br />X�lES ❑NO <br />NO.OF DWELLING l <br />1 <br />MAX.00G LOAD <br />I HEHEBY CERTIFY THA1 I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW ��HE SAME TO BE TRUE AND CORRECi. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR 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 />CON UCt��R T E PE JRMANCE OF CONSTRUCTION. <br />SIGt �TUR OF ACT IZED AG[NT OATE <br />X \Y/� ii �e'laGC� ��/� <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. [A <br />BOILERS — H.P. cA. <br />GAS :IRED A.C. UNITS — TONNl�GE EA. <br />�JRCED AIfl SVSTE1d5 — B T.0 M <br />WALL HEATERS -- f3 T.U. M <br />UNIT HEATERS — �.1".U. ti� <br />EVAPORATIVE COOLERS <br />CLOTHES URVEflS <br />VENTILFTION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C <br />STOVE <br />METAL FIREPIACE 8 CHI�dNEY <br />80/7861 <br />FEES <br />BUILDING <br />PENALTY <br />TOTAL <br />�. ' �;r_c�iPr <br />„ ,,, � � <br />' YOU <br />APPR. FOR ISnUANCE BY ''�� !'� <br />� <br />FEE <br />PLAN GHEGK Ytt <br />FEE O , � REC�P�� <br />/— �o <br />ve� uerinN FEE <br />567,500 <br />u.e.c. <br />SEC. 303 (a) <br />223 00 <br />16 00 <br />QN THIS SPACE) THIS IS YOUR PERMfi <br />5138 $223.G0 --- #n <br />� <br />ti <br />YO U R RECEIPT � <br />�� � '�,i:. �l ���� <br />�� <br />