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Ike Evergreen <br />piY Or <br />everett <br />CITY HALL 25936745 <br />EVERETT, WA 98201 <br />�FONSTRUCTIONk <br />PERMIT PERMIT NO. 16501 <br />IN COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYINER MAIL ADDRESS CITY ZIP PHONE <br />C. H. QUIST 1557 - 164th NE V-7 Bellevue WA 98008 747-7419 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSED <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />C�1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION Cl FENCE ❑ SIGN Cl WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />$ 80.000.00 <br />New single familv residence <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BF. COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />or CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOL;AL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE ONTRACT R OR THO ED AGENT DATE <br />X lP j <br />MECHANIGAL---- <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH F009 COPIES) <br />LOT -BLOCK -OF 9-28-5 and 8-28-5 <br />Parcels 1 and 2 attached <br />JOB ADDRESS <br />X88X Larimer Road <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT I <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />2 <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />3 <br />LAVATORY (WASH BASIN) <br />6 <br />00 <br />BOILERS — H.P. EA. <br />1 <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINKS DISP. <br />FORCED AIR SYSTEM:. — B.T.U. M EA. <br />1 <br />DISHWASHER <br />WALL HEATERS — B.T.0 M <br />LAUNURYTRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />n <br />EVAPORATIVE COOLERS <br />�1 <br />1 <br />I WATER HEATER <br />2 <br />00 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />3 <br />On <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />1 <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />$1 <br />26 <br />00 <br />sue50 <br />PERMIT <br />S <br />PER <br />TOTAL FEE <br />f <br />26 <br />00 <br />1 TOTAL FEE S <br />1 <br />SIDE YARD SETBACK <br />- <br />STREET SETBACK <br />50' <br />REAR YARD SETBACK <br />- <br />PLAN CHECK NUMBER <br />86/16501 <br />PLAN <br />FEE 203.45 <br />CHECK FEE <br />9 9 RECEIPT NO. <br />— <br />USE ZONE <br />A-1 AFFD <br />LOT AREA <br />5 AC Min <br />VACANT SITE <br />XYES -:NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3, M-1 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$80,000. <br />373 <br />00 <br />SIZE OF BLDG. <br />3748 R-3, 432M <br />NO. OF STORIES <br />2+ basement <br />MAX, OCC. LOAD <br />PLUMBING <br />26 <br />00 <br />FIRE ZONE <br />BASEMENT <br />RFIRE EQUIRED SPRINKLERS <br />):YES -;NO <br />MECHANICAL <br />/13/86 B; <br />000AN4979 <br />5= <br />a e U <br />OTHER St to E 9 <br />C <br />O <br />APPROVALS <br />BY <br />GATE <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTYDriveway Perm <br />Weiw^f3 <br />,DD 20 <br />00 <br />2. BUILDING PLANS <br />TOTAL <br />494 <br />00 <br />0. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION yy��ryry�� ((��GG <br />WHEN PROPERLY VALIDATED (IN'}HTS'SPACE 10OUR PERMIT T--j <br />HECH 190.05 O <br />MECH $19.50 lI? <br />B SRC♦i $1.50 ((� <br />E SRCH .00 <br />$20, <br />DRVWV 20.00 <br />000005053 <br />*CENTiNUE: <br />5.GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />mm <br />PLANS CHECKED BY <br />jef <br />APPR. FOR ISSUANCE BY <br />1c <br />ADDRESS FILE <br />