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Ir <br />0 <br />L <br />the Evergreen <br />CT I C y <br />CITY OF <br />I <br />C O N ST R U <br />everett <br />PERMIT <br />PERMIT NO. <br />311? <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 U <br />COMBINATION Coo BUILDING [I] MECHANICAL <br />Xn PLUMBING <br />ADDRESS CITY <br />ZIP <br />PHONE d <br />i <br />OWNERMAIL <br />Design <br />Ltd 141OG Cascadian Everett <br />98204 745-1502 <br />Mukilteo <br />ZIP <br />PHONE <br />ZIP PHONE <br />LICENSE X <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />MU KI LD <br />L177BB <br />Same <br />ZIP PHONE <br />LICENSE X <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />CITY ZIP PHONE <br />LICENSE X <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />t11 <br />CLASS OF WORN <br />(NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WUHK <br />S 76,000.00 <br />Construct Single Family Residence <br />PROPOSED USE OF BUILDING <br />I <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LAWS AND ORDINANCES <br />LEGALDESCRIPTION01PROPERTYISHOI'JBELOW ORATTACH FOUR <br />COPIES) <br />CORRECT. ALL PROVISIONS OF <br />THIS TYPE OF WORK WILL BE COMPLIED WITH <br />Valley View <br />3F <br />2 BLOCK <br />#2 <br />GOVERNING A <br />REIN OR NOT. THE GRANTING <br />ITIPR <br />LOT _OF <br />PRESUME TO GIVES AUTHOED RITY TO VIOLHL <br />DOES NOWHETHER ATE <br />PERMIT <br />OF ANY OTHER STATE OR <br />OR CANCEL THE PROVISIONS <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />U 8 28 <br />5 <br />PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS <br />SIGNATUy� OF CONTf�ACTOR AR AU ORIZE AGENT,,,, DATE4 "'Ip <br />RrS L1 LJ fK t7 ROX"T <br />v <br />A <br />8007 Hamlet Lane <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />4 OO <br />AIR COND. UNITS - M.P. EA. <br />2 WATER CLOSET (TOILET) <br />QO <br />REFRIGERATION UNITS - H.P. [A. <br />l BATHTUB <br />4 QO <br />BOILERS - M.P. EA. <br />2 LAVATORY (WASH BASIN) <br />2 OO <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 SHOWER <br />2 1 OO <br />FORCED AIR SYSTEMS - B.T.U. M EA. _ <br />1 KITCHEN SINK 8 DISP. <br />2 OO <br />WALL HEATERS - B.T.U. M <br />1 DISHWASHER <br />UNIT HEATERS - G.T.U. M _ <br />LAUNDRYTRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />- O _ <br />WATER HEATER <br />VENTILATION FAN <br />CO - <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />_ <br />STOVE FI WOOD <br />�_ <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />_ <br />FIREPLACE INSERT <br />- <br />SINK (SERVICE -BAR, ETC.) <br />HEAT PUMP <br />I <br />_ <br />SUB TOTAL f 22 50 <br />SUB TOTAL <br />ZO OO <br />_ <br />PERMIT $ <br />PERMIT <br />f <br />- 22 50 <br />TOTAL FEE $ <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBAI:K <br />t 2Q <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE <br />Fffilf_ <br />6' 20' <br />84/13112 234.6 <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEES VALUATION FEE <br />R-1 <br />XNES . NO <br />NO. Or DWELLING UNITS <br />TYPE OF CONST. OCCUPANCY GROUP <br />V-N R-3 <br />1 <br />BUILDING $ 76 000. 3G1 00 <br />SIZE OF BLDG. NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING 20 OO <br />1 <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />22 <br />SO <br />None <br />YES NO <br />-- <br />OTHER <br />APPROVALS <br />BY DATE <br />- <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (a) <br />TOTAL 403 50 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT ' - <br />4. FIRE PROTEC110N SYSTEM <br />PERMIT VA <br />RO O IT <br />WHEN PROPERLPEEL ON <br />Y VALIDATED (IN THdS 3iACE) THII, YQUI <br />/O <br />5. GRADING <br />), 2 7 1. . <br />6. DRAINAGE - <br />r <br />� <br />7. ENVIRONMENTALIMPACT SYATEMENT <br />BY <br />(' 1 p _ <br />S �L C.LIPT YI ,.. IJ ;` RECI.IPI r <br />8. HEALTH DISTRICT <br />I APPLICATION ACC. BY vPLANS CHECKED BY <br />APPR. FOR ISSUANCE <br />L. <br />r"14K Y 0 U <br />- - --' Jef <br />LC <br />IdlI YC)U <br />EB <br />k <br />(\ <br />ADDR130FIR 81I <br />2 4 1"T 8 4 <br />