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I <br />the Elen <br />CTYeOF F rONSTRUCTION _ <br />everett PERMIT PERMIT NO. 1355 l <br />CITY HALL 259 8745 _ <br />EVERETT, WA 98201 ® COMBINATI01J ® BUILDING Lg: MECHANICAL LXI PLUMBING <br />OWNER MAIL ADDRESS CITY bP PHONE <br />Ken Berg 17926 43rd Avenue N.E. Arlington 98223 659-6847 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY bP PHONE <br />R <br />GENERAL CONTRACTOR MAIL ADDRESS OIIT LP PHONE LICENSED <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />KKNEW ❑ ADDITION ❑ AL1ERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />$ 45,000.00 <br />(`nncl-rurt sinnle 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 TJ BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL IIE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR ANCE OF CONSTRUCTION. <br />SIGN TORE F CONTRACTOR 0 TH.OR12E0 AGENT GATE <br />X SL- <br />LFGAL OESCRI'TION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />29 Valley View #II <br />LOT __BLO _OF <br />U 8 28 5 <br />JOB ADDRESS <br />8017 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 />AIR COND. UNITS - N.P. EA. <br />1 <br />BATHTUB <br />2 <br />00 <br />.IEFRIGERATION UNITS - H.P. EA. <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />KITCHEN SINK 8 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 />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />_-� <br />CLOTHES WASHER <br />WATER HEATER <br />], <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />_L <br />URINAL <br />2 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <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 8 CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />18 <br />00 <br />SUB TOTAL $ <br />15 <br />00 <br />PERMIT <br />S <br />PERMIT $ <br />_ <br />TOTAL FEE <br />S <br />18 <br />00 <br />TOTAL FEE $ <br />15 <br />00 <br />SIDE YARD SETBACK <br />6' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />84/13557 <br />PLAN <br />FEE 169. 33 <br />CHECK FEE <br />RECEIPT NO. <br />706 8 <br />USE ZONE.-1 <br />li <br />LOT AREA <br />VACANT SITE <br />j(iES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$45,000. <br />260 <br />50 <br />, -ZE CF ELDG. <br />-M3-il=0 Sq. Ft. <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />3 <br />PLUMBING <br />18 <br />00 <br />-FIRE U E <br />BASEMENT <br />RIIRESPRI KLERS <br />RED <br />YES NO <br />MECHANICAL <br />15 <br />00 <br />OTHER <br />BY <br />DATE <br />_APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />293150 <br />3. FIRE HYDRANT <br />_ <br />4. FIRE PROTECTION SYSTEM- <br />PERMIT VALIDATION ��]] <br />WHEN P116PEbLV V5ALIDATE01pN THLS,,S A9E) THIS 19YOV RE?IT <br />UU 1111 JJ Ln <br />I` (, i�'I _ (r <br />°._� <br />: <br />• '. `J K 1' CU <br />S.GRADING - <br />6. DRAINAGE .n <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />.B.HEALTH DISTRICT <br />-ABPLICATION ACC. BY <br />I EB <br />PLANS CHECKED BY <br />— H(+1M <br />.n <br />r.T - <br />APPR. FOR ISSUANCE BY <br />Lc <br />Z <br />0 <br />c=) <br />m <br />Z <br />O <br />k) )RFSS FILE <br />