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The EvergmR <br />CITY OF <br />everett <br />CITY HALL 2E487I5 <br />41ONSTRUCTION- <br />PERMIT PERMIT NO. 1.5331 <br />EVERETT, WABem' g COMBINATION [� BUILDING Q MECHANICAL Q PLUMBING <br />OWNEIII MAIL ADDRESS CITY ZIP PHONE <br />JFM Construction P.O. Box 70461 Bellevue 98007 644-9780 <br />DESIGNERARGIOTICT OR MAIL ADDRESS CITY ZIP PHONE <br />GENERAL MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Same JFMCOCI163CC <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE e <br />O z; OF WORK <br />MEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEHT <br />f43,300.00 <br />DEFCRIBE WORK <br />LwwwA.�.w4 C�wwlw Ta�wi lv Dwni Annnn <br />PROPOSED USE OF BUILDING+ <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE BEAU A EXAMINED ED THIS <br />T <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 BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OF. CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />NCE OF CONSTRUCTION. <br />MNATU ONT R O TMORIZED AGENT DATE <br />- — <br />EGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT 31_3�L�K 410 OF St. Nicholas <br />.I,yJpD�gB <br />20" Highland Avenue <br />PLUMBING <br />M96HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK B DISP. <br />9 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDY, TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />2 <br />EVAPORATIVE COOLERS <br />—.L <br />WATER HEATER <br />CLOTHES DRYERS <br />a <br />so <br />URINAL <br />2 1 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />I <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — _ C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT E <br />TOTAL FEE <br />S <br />18 <br />00 <br />TOTAL FEE f <br />22 <br />50 <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBF <br />85/15331 <br />PLAN <br />FEE 16640 <br />CHECK FEE <br />R T O. <br />4 <br />USE ZONE <br />R-2 <br />LOT AREA <br />6200 Sq. Ft. <br />VACANT SITE <br />7IXS NO <br />FEES <br />V ALUATION <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 />$43,300. <br />256 <br />00 <br />SIZE OF BLDG. <br />122 S . �t <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />PLUMBING <br />-- <br />_-_ <br />18 <br />00 <br />FIRE 20 <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REOUIREO... <br />YES rMY <br />MECHANICAL <br />22 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK L' T <br />PENALTY <br />U.B.C. <br />SEC. 303 lal <br />—_— <br />296 <br />— <br />50 <br />2. BUILDING PLANS o <br />TOTAL <br />3. FIRE HYDRANT �n <br />4. FIRE PROTECTION SYSTEIF <br />PERMIT VALIDATION <br />WHRN IP�gFR►Y VALIDARyD (IN TI�S0S5A0CE) THI$ I YOUR 0 0 li <br />i Il I 1 11 7 3 M <br />Ln <br />P, i',[C�I�T 1'OU R i:�CElI T ''� <br />in U I i-Ii, i\Ii: YOUJEF <br />S. GRADING <br />,DRAINAGE cF: <br />J„ENVIRONMENTALIMPACT ATEMENT <br />HEALTHCm TRIOT <br />ePLICATION A _ . BY <br />FLANS CHECKED 6Y <br />APPR. FOR ISSUANCE BY <br />- q iaov 8 5 Kov 8 5 <br />ADDRESS FILE <br />