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theEvergreen <br />CITY CC`15TRUGTIUN �- <br />everett PERMIT PERMIT NO.06525 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRESS CITY ZIP PHONE <br />Dr. Randall Gould 155310 Woodfern Lane N. Bothell 98011 743-4198 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GE'fti�I.FaMth Const. Inc. 4819ft`feWer Way MerceVYlsland zm98040 2n!N5765 LICENSE. <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE' <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />[39EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />y 200,000.00 <br />DESCRIBE WORK <br />construct single family residence <br />PROHOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />9 Replat of lot X Darlington <br />LOT BIOCK_OF _ <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TN PE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />Q 35-29-4 <br />CONSTR N OR THE E ORMANCE OF CONSTRUCTION. <br />JOB ADDRESS <br />4704 Lynnwood Drive <br />N R N R OR A 1110 ED AGENT DATE <br />X 8/13/79 <br />PLUMBING <br />M C ANI AL <br />NO. <br />TYPE OF FIXTURE OR ITEMftFEE0. <br />T E OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />IR CONDITS — N.P. EA <br />BATHTUB <br />RE RATION UNITS — H.P EA <br />LAVATORY ASH BASIN <br />BOILERS — H P. EA <br />GAS FIRED A.C. UNITS — TCNNAGE EASINK <br />& OISP. <br />1 <br />FORCED AIR SYSTEMS — B T.U. M EA.1 <br />DISHWASHER <br />WALL HEATERS — BT.U. M <br />LAUNDRY TRAY <br />UNITHEATERS — B.T U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />CLO'EHES DRYERS <br />URINAL <br />2 <br />VENTILATION FAN <br />4 <br />00 <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />3 <br />00 <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE <br />6 <br />ROOF DRAINS — RAINLEADERS <br />1 <br />METAL FIREPLACE 8 CHIMNEY <br />3 <br />no <br />SINK (SERVICE — BAR, ETC.) <br />SUS TOTAL <br />40 <br />00 <br />SUB TOTAL S <br />PERMIT i <br />PERMIT S <br />TOTAL FEE <br />1 <br />TOTAL FEE III18 00 <br />REAR YARD SETBACK <br />SIDE YARD SETBACK STREET SETBACK. <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />712' 25' <br />USE ZONE LOT AREA <br />R—s <br />25' <br />79/481 FEE 218.5C RECEIPT NO. <br />41580 <br />FEES VALUATION FEE <br />1'ACANT SITE <br />(NXS ❑NO <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />V—N R-3 <br />1 <br />BUILDING s200,000. 437 00 <br />SIZE OF BLDG. NO. OF STORIES <br />25' x88' 2 <br />MAX. DOG. LOAD <br />PLUMBING 40 00 <br />FIRE ZONE BASEMENT <br />3 none <br />MECHANICAL 18 00 <br />_ <br />FIRE SPRINKLERS <br />REOUIRC,Dv <br />U YES O <br />APPROVALS <br />OTHER <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY Us C. <br />SEC. 303 (a) <br />2. BUILDING PANS ,y <br />3. FIRE HYDRANT - 0% <br />TOTAL 495 00 <br />4. FIRE _P O TION SYSMM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATE (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRAD KIG _ <br />W 6. DRAT L 17-Cra d <br />FS 7. ENV NMFjJTAL IMPAL'f STATEMENT <br />l!MTA��X..��IFnMym�UMyTHEIGHT OF 2_55'' ABOVE THE AVERAGE jL0 <br />a'♦''v'777'N�AT "�iE F1JO17 64 TBE 7� <br />• - UU YYYY 3 (%) <br />8_HEALTH DI �RICT <br />APPLIC©O C.BV PANSCHECKEDBY <br />C -�+ v.c. <br />APPR.FOPISSUANO6PV) <br />R RECEIPT 'YOUR RECEIPT <br />THANK YOU <br />