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1r <br />0 <br />eLnCITYOF r NONSTRUCTIOI� <br />evereYt CITY MALL 2598745 PERMIT PERMIT NO. 13192 <br />EVERETT, WA 98201 F1 COMBINATION L BUILDING CKI MECHANICAL CXI PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />to Ken Berg 17928 43rd Avenue N.E. <br />Arlington 98223 659-6697 <br />Af,CHITEGT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />R- <br />GENERAL CONTRACTOR MAIL ADDRESS <br />Same CITY D. PHONE LICENSE A <br />KENBEC187RC <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />UNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 55,000.00 <br />DESCRIBE WORK <br />Construct Single Family 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 BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PE OR CE OF CONSTRUCTION. <br />SIGNATUR CONTRACTOR CR A RIZED AGENT DATE <br />X .Q <br />LEGAL DESCRIPTION OF PROPERTY (SHOWBELOW OR ATTACH FOUR COPIESI <br />31 Valle View TI <br />LOT —BLOCK —OF y <br />U 9 28 5 <br />_ <br />JOB ADDRESS <br />8013 Hamlet Lane <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET(TOILET) <br />4 <br />OO <br />AIR COND. UNITS - M.P. EA. <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS - H.P. FA. <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />OO <br />BOILERS - H.P. EA. <br />I <br />SHOWER <br />2 <br />00 <br />GAS FIRED A C. UNITS - TONNAGE EA. <br />1 <br />gITCHEN SINK & DISP. <br />2 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />OO <br />WALL HEATERS -R.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />1 <br />CLOTHES DRYERS <br />4 <br />50 <br />URINAL <br />2 <br />VENTILATION FAN <br />6 <br />00 <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />4 <br />S <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL i <br />20 <br />00 <br />SUB TOTAL S <br />15 <br />00 <br />PERMIT S <br />PERMIT f <br />TOTAL FEE $ <br />20 100 <br />TOTAL FEE $ <br />15 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />84/13192 <br />PLAN <br />I 83.95 <br />CHECK FEE <br />RECEIPT NO. <br />66195 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />X&S NO <br />FEES <br />VA!UATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3-M <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />S55,000. <br />298 <br />00 <br />ZZOF Bi <br />3S11O8 Sq. Ft. <br />N0. OF STOIRIES <br />MAX. OCC. LOAD <br />6 <br />PLUMBING <br />20 <br />00 <br />IR <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REQUIRED <br />EYES L-,M <br />MECHANICAL <br />15 <br />OO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />333 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEiW <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS,$2AGE) I� Yqf. PERMIT <br />LEI 11 )) Ti\ 11 U U <br />9 CY7 <br />-j R L C E I PT <br />/'-NK YCU <br />IPT <br />5 GRADING <br />G. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />A. HEALTH DISTRICT I 1 <br />APPLICATION ACC. BYoPLANS <br />c. <br />.L .. EB .: <br />CHECKED BY <br />HFRd <br />APPR. FOR ISSUANCE BV <br />LC <br />J <br />n U 2 4 APR 81I <br />ADDRESS FILE <br />