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theEcergreen ,-, � C�STRUCTION " � <br /> CITY OF <br /> everett PERMIT PERMIT NO. os2os <br /> CITV HAIL 25�J�8745 <br /> EVERETT,WA 9b�oi � COMBINATION � BUILDING � MECHANICAL �xI PLUMBINO <br /> OWNCR MAILApORE55 CITY ZIP PMONE <br /> David A. Brandvold P .O. Box 3066 Everett 98203 355-1135 <br /> ARCMITECT OR DESIGNER MAIL POORE55 CITY IIP PHONE <br /> GENEPRLCONiRACTOR MAILAO�PE55 LITY ZIP PHONE IICENSE� <br /> BR AI3 DD A299QK <br /> MECNANICAIfANTRACTOR MAILADDRESS CITY ZIP PNONE LICENSE• <br /> PIUMBING CANTRACTJR MAIL ADORE55 CITV 21P PMONE Lk:ENSE 1 <br /> CLASS OF WONI( <br /> �NEW ❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE � <br /> VRLUATION OF WOPK <br /> S Q5 � 00�. �� <br /> DESCRIBE WORK <br /> Conetruct single family residence <br /> PROPOSED USE 0�BUILDIHG <br /> sinylc family residence IHEREBYCERTIFYTHATIHAVEREADANDEXAMINEDTHISAP- <br /> �.EGALDESCRIPfIONOFPqOPERTYISNOWBELOW0�7ATTACHFOURfAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC'. <br /> 9-10 193 Everett Div. "T" ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING Thilo <br /> �or eiaK_oF TYPE OF WORK WILL BE COMPUED WI'fH Yv4ETHER 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 /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUiHORIZED RGENT DATE <br /> JOB ADDRESS <br /> 1009 PINE STREET X I <br /> PLUMlINO MECHANICAL ' <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE ! <br /> WATER CLOSET(TOILEf) AIR COND.UNITS-H.P.EA. i <br /> BATHTUB REFHIGERATION UNITS-FI.P.EA � <br /> . 2 LAVATORV(WASH BASIN) A O O BOILERS-H.P.EA. ! <br /> SHOWER GAS FIRED A.Q UNITS-TONNAGE EA. � <br /> . 1 KITCHEN SINK 8 DISP. Z O O FORCED AIR SYSTEMS-B.T.U. M EA � <br /> � 1 DISHWASHER Z OO WALLHEATERS-B.T.U. M �i <br /> . ,. UUNDRY TFiAV UNIT MEATERS-B.7.U. M ' <br /> - � 1 CLOTHES WASHER 2 O O EVAPORATIVE i.00LERS <br /> � '- 1 WATEA HeATER � 2 00 CLOTHES DRVERS <br /> - �� � URINAL VEN71tATION FAN <br /> ' � ' DRINKING FOUNTAIN RANGE HOO� ' <br /> � FLOOR DRAIN AIR HANDLING U�'.iT- C.F.M. , <br /> . � ,��' VACUUM BREAKERS STOVE <br /> � � . ROOF�RAINS-RA�NLEADERS METAL FIREPIACE � CHIMNEY <br /> . � SINK(SERVICE-BAR,ETGI <br /> 5U!TOTAL 2 O O O SUB TOTAL 3 8 O O <br /> PERMIT S PERMIT <br /> TOTALFEE i TOTALFEE 8 <br /> ' SIDE YARD SETBACK STREET SETBACK REAR YAPD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> , 5� 20� Z�� 78�761 FEE $dB�C AECEIPTNO. <br /> � USE ZONE L,OT AREA VACANT SITE <br /> R-2 6000 SQ. Ft. f][16 ❑NO FEES VALUATION FEE <br /> � TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> ! SIZE OF BLOG. N0.OF STORIES MAX.OCC.LOAD BUILDING s Q S � O 00. 17 2 00 <br /> 24 �X34� 2 PLUMBING 20 00 <br /> FIRE ZONE BASEMENT FIRE SPR�IN(KLERS <br /> 3 none ❑ESRTJNO MECHANICAL 8 �0 <br /> AppppVAL! !Y DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST �NA�n. U.B.C. <br /> 2. BUILDING PIANS SEC.303(a) <br /> 3. FIREHYOMNT TOTAL 200 00 <br /> 1. FIRE PROTECT!ON SYSTEM PERMR VAL.IDATION , <br /> - WHEN PROPERLY VALIDATED(IN THIS 5PACE)THIS IS YOUR PERMIT � <br /> 5. GRADING •��,e ��,�`.,�'�,��� <br /> • 7 �7 <br /> 6. DRAINAGE Q <br /> 7. ENVIRONMENTALIMPACT5TATEMENT N <br /> B. HEALTH DISTRICf Yo u�R Re�s.� <br /> APPLICATION ACC.BY PUNS CHECNED BY APPR.FOR ISSUANCE BY , � 7MANK YO-1J � <br /> v.c. . . <br /> . , . <br /> � ; � ,�,� tq <br /> ADDRESS FILE . ' _ _ <br />