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r <br />the EYerXreen _ <br />evereCITY OF <br />tt r "YONSTRUCTION <br />CITY MALL 2598745 PERMIT PERMIT NO. 12012 <br />EVERETT, WA 98201 0 COMBINATION Q BUILDING MECHANICAL lx] PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Trans' Land Inc. P.O. Box 2996 Everett 98203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same TRANSLI173B1 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY 2iP PHONE LICENSE . <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />L- <br />1 <br />CLASS OF WORK <br />fXNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f 29,376.00 <br />DESCRIBE WORK <br />Construct Single Family Residence <br />PROPOSED USE OF BUILDING <br />Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW RFLOW OR ATTACH FOUR COPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />}�-13 BLOCK 5330F Mitchell Land 6 Improvem n*OVERNING 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 />N 2129 5 LOCAL LAW REGULATING :.ONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS SIGNAT P OF CONTRACTOR OR THORI_E AG NT -OAT <br />2407 Harrison Avenue X �_�` <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br />WATER CLOSET (TOILET) nn AIR COND. UNITS — H.P. EA. <br />1 BATHTUB 2 00 REFRIGERATION UNITS — H.P. EA. <br />1 LAVATORY (WASH BASIN) 2 OO BOILERS — M.P. EA. <br />SHOWER GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. 2 on FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER 2 no WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY UNIT HEATERS — B.T.U. M <br />1 CLOTHES WASHER 2 00 EVAPORATIVE COOLERS <br />WATER HEATER O 1 CLOTHES DRYERS 4 50 <br />URINAL 2 VENTILATION FAN <br />_ 6 00 <br />DRINKING FOUNTAIN 1 1 RANGE HOOD 4 50 <br />FLOOR DRAIN AIR HANDLING UNIT — <br />C.F.M. <br />VACUUM CREAKERS STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) FIREPLACE INSERT <br />HEAT PUMP <br />+ SUB TOTAL : 14 00 SUB TOTAL f 15 00 <br />PERMIT 51 PERMIT f <br />TOTAL FEE $1 14 1 00 1 TOTAL FEE f 15 OO <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />S' 20' 20' 83/12012 FEE 125.45 RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE A 1) 3 <br />YES NO FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br />V-N R-3 1 BUILDING f 29,376 193 00 <br />SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOAD <br />816 Sq. Ft. 1 3 PLUMBING 14 00 <br />FIRE ZONE BASEMENT FIRE SPRINKLERS <br />(_ REQUIRED MECHANICAL 15 00 <br />YES XND — <br />APPROVALS BY 6�DAATE OTHER <br />1. ENVIRONMENTAL CHECK LIST PENALTY U.13C. <br />2. BUILDING PLANS SEC. 303 (a) <br />3.FIRE HYDRANT TOTAL 222 00 <br />A. FIRE PROTECTION SYSTBM PERMIT VALIDATION <br />E 5. GRADING. R_RORTLY VALID�.i�D ON THfJ F1 JE) THIIII Y11. RfTIT <br />B. DRAINAGES __ a y U �f J <br />40* <br />C`FENVIROINM LIMPAQWTATEMENT C) <br />HEALTH 916T T — (\j <br />PLICAT . BY UANC Y LANS CHECKED BY APPR. FOR ISSI R R E C E I PT Y�._) U R RECEIPT <br />ON E� a YOU 1.-1!t1 < YOU <br />R HWM LCIll <br />-g 83 -8JX83 <br />ADDRESS FILE <br />