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the Evergreen CITY OF CI N ST R U CT I O N <br />everett PERMIT <br />CITY HALL 259 8745 �T PERMIT NO. 07091 <br />EVERETT. WA 98201 TJ COMBINATION 0 BUILDING CJ MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS CI T v <br />zIv vnoNE <br />James S. Irvine 17817 Wayne N. Seattle 542-1826 <br />APCHITFf <br />GENERALCONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAIL AnnPFcS <br />PV IMBING CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSE, <br />CLASS DF WORK <br />)NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />$ 90,000.00 <br />DESCRIBE WORK <br />construct single family residence <br />PROPOSED USE OF BUILDING <br />single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />31 Ibberson Park <br />LOT BLOCK -OF <br />11401 West Ibberson Drive <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />TRAY <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 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 STA E OR LOCAL LAW REGULATING <br />CONSTRUCTION OF; THE PER RMANCE OFt CONSTRUCTION. <br />SIGNA R OFCONNNTTRACTCROR�AAUTHORI DA T DATE <br />x It <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.P. EA, <br />REFRIGERATION UNITS— H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATFRS — R T I I 1. <br />PERMIT S PERMIT $ <br />TOTAL FEE S 30 00 TOTAL FEE S 20 00 <br />SIDE YARD SETBACK STREET SETBACK I REAR YARD SETBACK I PLAN CHECK NUMRFR e, ... .. , <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />/('-1 <br />5810 Sq. Ft. <br />OYES DCKO <br />'YPE OF CONST. <br />OCCUPANCY GROUP <br />70. OF DWELLIN <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. I OAD <br />34'x62' <br />2 <br />I <br />FIRE ZONE <br />3 <br />BASEMENT <br />I VeS <br />FIRE SPRII <br />REOUIREL <br />OYES O <br />APPROVALS <br />BY <br />1. ENVIRONMENTAL CHE�LIST <br />2. BUILDING PLANS `0 <br />3. FIRE HYDBBNT 00 <br />^� 4. FIRE P}A0Q:TION SYoTEM <br />5. GRAOIT GL- 67 <br />6. DRAINAG <br />7. ENV�RbN TAL IMI1=T STATEMENT <br />00 <br />O B. HEAEfH OI)TRICT O <br />APPLIC TIO CC. RY <br />C I <br />PLANS CHECKED BY <br />V.C. <br />APPR. FOR <br />I7091 I FEE 133.50 I RECEIPT NO <br />I 45706 <br />FEES I VALUATION I FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />PENALTY <br />TOTAL <br />$90,000. 267 00 <br />30 00 <br />20 00 <br />U.B.C. <br />SEC. 303 <br />317 1 00 <br />LylliE{1 ATE jjRl�Ff�LY VALIDD (IN THIS SSPnACCE) THIS IS YOURRPERMIT <br />J/J '$ZOO —_ <br />11J1/ �ftJJ � <br />R RECEIPT <br />!!K YOU VOUR RECEIPT ~o <br />THANK YOU <br />24uut80 24w80 <br />ADDRESS FILE , <br />