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"��?4''`�r�i"n : � � LONSTRUCTION <br />e���L�,��,,. ,i <br />etti� `" � PERMIT PERMIT NO. 1266t� <br />Y °E�EREUL3'�'ZN.9FGW <br />� �(SI�BINATION � BUILDING � MF:CHANICAL � PLUMBING <br />OWNER MAIL AODRE55 CITY ZIP PHONE <br />Duane M. Berg 2704 128th Street S.W. Everett 98204 353-6229 <br />ARCHITECT OR �ESIGtlER MAIL ADDRESS GTY • 21P PNONE <br />GENERAL CONTRAGiOR MAIL AODRE55 QTY 21P PHGNE LILENSE t <br />Same <br />MEGMANICAL GONTFRCTOR MAIL ADDRESS CITY 21P PHONE LICENSE R <br />PWMBING GONTRAGTOR MAIL AppRE55 dTY ZIP PHONE LIGENSE � <br />BXIEW <br />.UATION Oh �JORN <br />s 45,OG0.00 <br />Construct <br />❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION O FENCE O SIGN O WOOD STOVE'FIREPLACE INSERT <br />Single Family Residence <br />Residence <br />�oT270LOCN_OF Valley View #II <br />JOB nDDRE55 <br />8103 Hamlet Lane <br />PLUMBING <br />NO. TYPE OF FI%TU <br />z WATERCLOSET�TOILET) <br />1 BATHTUR <br />Z LAVATORV�WASH �ASIN) <br />SHOWER <br />KITCHEN SINK 8 <br />LAUNDRYTRAY <br />1 CLOTHESWASHER <br />1 WATER HEATER <br />URINnL <br />DRINKING FOUNTAIN <br />fLOOR ORAIN <br />VACUl1M BREAKEFS <br />ROUF ORAINS — RAINLEADERS <br />SINK ISERVIGE -- BAR, ETQ) <br />SUE TO7AL <br />PEflM1T <br />TC+7AL FEE <br />SIDE YAR� SETBACK STFEET SETBACK <br />6' 20' <br />USE ZONE LOT AREA <br />R-1 <br />TYPEOFCONST. OCCUPANCVGROI <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STORIES <br />1270 Sq. Ft. 1 <br />� None <br />APPROVALS <br />1. ENVIRONMENTAI CHECK LIST <br />.� <br />2. BUILDING PLANS o <br />3.FIREHYDRANT "' <br />4.FIREPROTECTIONSVST M <br />� 5. GRADING �� � % <br />�6.DRAINAGE`-- '+`� <br />�7.ENVIRONMEHTALIMP STATEMEN7 <br />� 8. HEALTIADISTRIGT M <br />l.N � \ / <br />, S7'� <br />C -n <br />� <br />fiWM <br />U8285 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APFLICATION 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 AUTHORIIY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />L��l�YCA� REGULAT�IN�CONSTRUCTION OR THE <br />PE a MA CE OF CON CTION. <br />5 N qE OF OHTRACiOR 0 0 A�i DATE <br />FEE N0. TYPE OF EQUIPMENT FEE <br />4 AIR COND. UNITS — H.P. EA. <br />Z OO REFRIG[RATION UNITS — H.P. EA. <br />�I OO BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />2 FORCED AIR SYSTEMS — B.T.U. M EA. <br />2 00 �'�'AI.L HEA7ERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />Z Q� EVAPORATIVE COOLERS <br />2 00 ], CLOTMES DRYERS <br />1 VENTILATION FAN <br />RANGEHOOD <br />AIR MAN�LING UNIT — C.F.M. <br />1 STOVE — WOOD <br />IAETAL FIREPLACE d CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />� <br />S <br />S <br />flEAR YARD SETBA� <br />20' <br />VACANT SITE <br />X�(ES . �.NO <br />NO. OF DWELLING <br />1 <br />MA%.00C.LOAD <br />5 <br />FIRE SPRINKLERS <br />REOUIREO <br />I YES NO <br />BY OATE <br />LC <br />SUB TOTAL S 22 SO <br />PERMIT f <br />TO7AL FEE f 22 SO <br />83/12668 'FEj E169 33 RbS738N0. <br />FEES � VALUATION FEE <br />BUILDING s45,000. 260 50 <br />PL11M81NG ZH OO <br />MECHANICAL 22 SO <br />O7HER <br />PENALTY U.B.C. <br />SEC. 303 Ia1 <br />70TA1 301 00 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED �IN TMI�S ^�P� �) THIS�$�VQU� P�i(�tIT � <br />5�� c e y� <br />� <br />N <br />•,� ;U� RtC�IPT� <br />�ie.i�i v:'1 <br />, h 1 L� <br />ADDR[55 fIL[ <br />- (, U�C 8 � <br />