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. , <br /> rheEvc�veoF �'' C�NSTRUCTION �� <br /> everett. PERMIT pERMIT NO. 06207 <br /> CITV HALL 259�8745 <br /> EVERE7T.WA 98201 � COMBINATION 0 BUILOING � MECFIANICAL �I PLUMBING <br /> OWNER A�AILnU�PE55 (n:Y 21V PMONE <br /> David A. Brandvold P .O. Sox 3066 Everett 98203 355-1135 <br /> ARCHITECT OR OESIGNER MAII ADDRE55 (:ITY ZIP �HONE <br /> OENEML CANTNACTOR MAIL ADDPE55 �:ITY ZIP PH01:E LICENSE� <br /> BR AN DD A299QK <br /> MECHANICALfANTRACTJR MAILAD�PE55 CRY [IP 1'MONE LICENSEI <br /> PWMBINGCONTRACTOR MAILAOORESS CITY Y�P PHONE LICENSE� <br /> CUSS OF WORK <br /> �NEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑�EMOLITION ❑FENCE OSIGN ❑GARAGE <br /> VALURTION OF WORK <br /> f 45� ��0. �� <br /> DESCRIBE WMK � <br /> Construct sinqle family residence <br /> PROPOSED USE OF BUILDINC+ <br /> single family residence 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- � <br /> IEGAI DESCRIPTION OF PHOPENTY�SMOW BELOW Ofl ATfhCH FOUR CAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. . <br /> 5-6 193 Everett Div. "T" ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BLOLK..__OF TYPE OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THF GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUT,iORITY TO V�OLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING , <br /> G 17:29�5 CONSTRUCTION OR THE PERFURMANCE OF CONStRUCTiON. <br /> � 5 CANTRACIOP H AUTHOP12E0 AGENT DATE <br /> �� . .pB AODIIESS <br /> '� 1005 Pine Street X r—� <br /> I �LUMlINO CHANICAL <br /> , "�I N0. TYPE OF FlXTURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> . �i��i <br /> WATER CIOSET QdILEq AIR CAND.UNITS-H.P.EA. <br /> �'K �� REFRIGERATION UNITS—H.P.EA <br /> 4�':� BATHTUB <br /> ' `� UVATORY ASH BASIN �ILERS—HP.EA. , <br /> SHOWER GNS FIRED AC.UNITS—TONNAGE EA. <br /> 1 KITCHEN SiNK d DISP. 2 O O FORCED AIR SYSTEMS—B 7.LL M EA. <br /> 1`�� DISHWASHER WALL HEA7ERS—O.T.U. M <br /> .T�-�-� UUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> .. � . CLOTMES WASHER EVAPOFlATIVE COOLRS � <br /> � • WATER HEATER 1 CLO7HES DRVERS <br /> URINAL 1 VENTILA710N FAN � <br /> DRINKING FOUNTAIN 1 RANGE HOOD <br /> � FLOOR OMIN AIR HANDLING UNIT— GF.M. <br /> i VACUUM BRFANERS S70VE <br /> � ROOF DMINS—RANLEADERS ME7AL FIREPLACE 8 CHIMNEY <br /> I <br /> ISINK SERVICE—BAR.E1C) — <br /> . SU!TOTAL 2 O O O SUB TOTAL f 8 O O <br /> PERMR t PERMIT S <br /> TOTAL FEE i 2 O O O TOTAL FEE <br /> SIDE YARD SETBACK STREE7 SETBACK REAR YARD SE7BACK PU1N CHECK NUMBEfi PLAN CHECK FEE <br /> ' $ S ' 20 � ZO� 78��5 FEEBASZC RECEIP7N0. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R_2 OYES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNI7S � <br /> V-N R-3 1 BUILDING 545 ,000. 172 00 <br /> SIZE4qF�B�DG� NO.OF STQRIES MA%.OCC.LOAD � <br /> 2 4 1 PLUMBING 20 OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 0 OO <br /> 3 none �FOUIRi{1a <br /> ❑YES 1'1A0 <br /> AVPROVAL6 SY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LISL pENq�ry U.B.C. <br /> SEC.309(a) <br /> / _ 2�BUIIDING PUNS <br /> TOTAL 200 00 <br /> 3. FlRE HVDRANT <br /> <. FIRE PROTECTION SYSTEM PERMR VAUDA710N • <br /> WNEN PROPERLY VALIOATED(IN THIS SPACE)THIS IS YOUH PERMIT <br /> ` ' 'S. GRADING t <br /> y 6.�DMINAGE � �,��, •�������� �� <br /> 7. ENVIRONMENTAL IMPACT STA7EMENT N <br /> � <br /> 8. HEALTH DISTRICT <br /> � � �PPL�TION FEC.BV PIANS CHECKED BY APPR.FOR�SSUANCE BY YO U R� REC�IPT � <br /> . THANI: YOU ' <br /> • v.c. <br />