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i <br />the Evergreen _ <br />evereCITY OF tt r CONSTRUCTIO <br />PERMIT <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ® COMBINATION C,d BUILDING X MECHANICAL <br />PERMIT NO. 13498 <br />I,XI PLUMBING <br />OWNER MAIL ADDRESS <br />CITY <br />:Ip <br />PHONE <br />Duane M. Berg 2704 128th Street S.W. <br />Everett <br />98204 <br />353-6229 <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />CITY <br />_ <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE N <br />Same <br />DU AN EM B224PA <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE If <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />'� .. yr n'•." <br />7Q NEW ❑ADDITION ❑ALTERATION ❑REPAIR [I DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVI',FIREPLACE INSERT <br />45,000.00 <br />(•nnchrnrh Ci nnlo Fami Tv Rnci Armen <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS 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 ,GANCTHE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />/PERF M�NCE OF C STRUCTION. <br />SIG TURE FCONTRAC AUTHORI AGENT DATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 30 BLOCK -OF Valley View #2 <br />T 8 28 5 <br />JOB ADDRESS <br />8015 Hamlet Lane <br />PLUMBING <br />MECHANICAL <br />NO. <br />2 <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />4 00 <br />NO. <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />FEE <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS - H.P. EA, <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />CO <br />BOILERS - H.P. EA. <br />1 <br />SHOWER <br />2 <br />00 <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />KITCHEN SINK & DISP. <br />2 <br />00 <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. <br />1 <br />CLOTHES WASHER <br />2 <br />EVAPORATIVE COOLERS <br />_ <br />1 <br />WATER HEATER <br />2 <br />1 <br />CLOTHES DRYERS <br />4 <br />50 <br />URINAL <br />1 <br />VENTILATION FAN <br />3 <br />00 <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />4 <br />50 _ <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE d CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />20 <br />00 <br />SUB TOTAL $ <br />18 <br />00 <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />$ <br />20 <br />00 <br />TOTAL FEE $ <br />18 <br />0 <br />S:I1E YARD SETBACK <br />61 Rol <br />USE ZONE <br />R-1 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />84/13498 <br />PLAN <br />FEE 169.33 <br />CHECK FEE <br />RECEIPT NO. <br />LOT AREA <br />VACANT SITE <br />Xl&s NO <br />FEES <br />VALUATION <br />FEES <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3-M <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />S45,000.00 <br />260 <br />50 <br />j_jZElgF9�LOS1,, Ft• <br />$• <br />NO. OF STORIES <br />MAX. OCG. LOAD <br />4 <br />PLUMBING <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES XXO <br />MECHANICAL <br />18 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC.. (a) <br />2. BUILDING PLANS-- <br />TOTAL <br />298150 <br />3. FIRE HYDRANT ' <br />4. FIRE PROTECTION SYSTEMu <br />5. GRADING <br />T <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED(INTASC UE) THI 13 N� i 6EIRMIT (�] <br />"� O• Q O -- 3 <br />% R n <br />RECEIPT <br />1 I LiM'a! \ YC., U <br />- <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT — <br />APPLICATION ACC. BY <br />o- STG <br />PLANS CHECKED BY <br />," ffi9M <br />APPR. FOR ISSUANCE BY <br />LC <br />Z <br />0 <br />M <br />m <br />-1 m <br />O <br />-i <br />nn II, I <br />�= ADDRESS F(LE"" E 4 <br />L 7 JUN 64 <br />