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the EreCONSTRUCTIOP' <br />CITY <br />Tv 0o1 f <br />everett PERMIT PERMIT NO.06943 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ® COMBINATION ® BUILDING 0 MECHANICAL KI PLUMBING <br />OWNER MAIL ADDRESS CITY if, PHONE <br />Snohomish 99R999 568-2844 <br />Truman Lewis 1011 Alice Avenue 98290 <br />unu AnnRFSS CITY IP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Cltt <br />ZIP <br />98201 <br />PHONE LICENSE I <br />252-4826 <br />Jade Construction <br />230E Jade Street <br />Everett <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE <br />JA DE <br />C284M0 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE I <br />CLASS OF WORK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN EIGARAGE <br />VALUATION OF WORK <br />f 46,000.00 <br />DESCRIDE WORK <br />CQ11bzr UU._ aiuy is a-- 1-----____ <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />single family residence <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />'EGAL DESCRIPTION OF PROPERTY(SHOWBELOW OR ATTACH FOUR COPIES) <br />>tn Tract 4 5 Beverly Homes <br />"LOr <br />Tract Div. I <br />TYPE OF WORK WILL BE COMPL'L) WITH WHETHER SPECIFIED <br />BLOCK _OF <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 REGUL.LTING <br />Q 7-28-5 <br />COVST.PR 6TION OR THE PERFORMANCE OF CONSTRUCTION. <br />S NATU OF CONTRACT R IZED AGENT DATE <br />41 11/28/79 <br />JOB ADDRESS <br />7830 Highland Drive <br />PLUMBING <br />MECHANICAL _ <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />2 <br />00 <br />REFRIGERATION UNITS - H.P. EA <br />1 <br />BATHTUB <br />4 <br />00 <br />BOILERS - H.P. EA. <br />2 <br />LAVATORY (WASH BASINS <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />5110WER <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS - B T.U. M <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />LAUNDRY TRAI <br />00 <br />EVAPORATIVE COOLERS <br />1 <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />00 <br />1 <br />CLOTHES DRYERS <br />2 <br />VENTILATION FAN <br />URINAL <br />I <br />RANGE HOOD <br />00 <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />F3 <br />LOOR DRAIN <br />VACUUM BREAKERS <br />Els <br />STOVE <br />METAL FIREPLACE & CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />00 <br />SUB <br />TOTAL f UT000- <br />PERMIT <br />f <br />PERMIT <br />S <br />TOTAL FEE <br />f 18 00 <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />6' RR 20' <br />201 <br />6943 <br />FEE 87.50 RECEIPT NO. <br />44963 <br />USE ZONE <br />R-1 <br />LOTT AR 67 Sq. Ft. <br />57 <br />SITE <br />YIXdES TONG <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$46,000. <br />175 <br />00 <br />V-N <br />R-3 _ <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />18 <br />00 <br />30'x20' <br />2 <br />PLUMBING <br />FIRE ZONES <br />BASEMENT <br />FIRE SPRINKLERS REOUIRKM <br />MECHANICAL <br />10 <br />00 <br />OYES ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENAI TY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />203 <br />00 <br />3, FIRE HYDRANT sa <br />4. FIRE PROTEeCON SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />I S. a o �— 3 5345 t 175.00 <br />ram. GRADING {` <br />,06. DRAINAGE C� <br />_ <br />P Cr <br />. ENVIRONMENTAL IMPAC75TATEMENT <br />•' <br />'c YOUR RECEIPT c <br />RECEIPT THANK YOU <br />li`_ <br />B. HEALTHDISDICT <br />-E <br />\CAPPLICAT m BY NS CHECKED BY <br />APPR. FOR ISSUA, <br />V.C. <br />1 , <br />U 1 <br />C "9 ' <br />K + 1 • <br />AI�ww��y 7q /` 29Nov 79 <br />RqqESS F_fLE <br />