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thc Evcrgreen /� �N STt�U CTIO N ��- <br /> ,_ <br /> CITY OF <br /> everet� PERMIT pERMlT N0. O62OH <br /> CIT1'HALL 259�8745 <br /> EVERETf, `•:A 98201 C� COMBINATION L� BUILGINO � MECHANICAL PLUMBINO <br /> OWt:ER MAILPDDRESS GTY ZIP PHONE � -. 'v�•:.'e <br /> David A. Brandvold P .O. Box 3066 Everett 98203 355-1135 <br /> APCNITECT OR DESIGNER MRIL ADDRESS CITY 21P PMONE <br /> GENERAL CONiR�CiOR MAII ADORE55 CITY Z�P PNaNE ��� 'E� <br /> BR AN DD A299 <br /> MECMANICALCONTMCTOR MAILAOORE55 CITY 2�P PMONE LICENSE� <br /> QK <br /> PLUMBINGCANTRPGTOR MAILADDRESS CITY Zli PNONE UCENSE� <br /> ClA55OF WONK <br /> .��yy ❑ADDI710N C�ALTERATION ❑REPAIF ❑DEMOLIiIUN ❑FENCE ❑SIGN GARAGE <br /> yql,ATION OF WORK <br /> � 45 �0�0.�0 <br /> OESCPIBE WOHK <br /> Conatruct Single Family Residence <br /> PROPOSED USE OF BUILOING <br /> sinqle family residence I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THI5 �P• <br /> LEGALDESCNIPTIONOFPROPERIY�SNOW BELOWORATTpCNFOURCOPIES) PLICATION AND KNOW THE SAI,AE TO BE TRUE AND CORRECL �� <br /> 13-14 193 Evarett Div. "T" ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLOCIL_OF TYPE 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 VIOLATF OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW CcGULATING <br /> CONSTRUCTION UR THFRERFORMANCE OF CONSTRUCTION. <br /> NTRACTOR OR AUTHOF3e AG NT OATE <br /> JOBAUORE55 <br /> 1013 Pine Street X <br /> PLUMBINO ANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATER CIOSET(TOILET) �I OO AIR COND.UNITS—H.P.EA. <br /> � 2 BATHTUB �I OO REFRIGERATION UNITS—H.P.EA <br /> � Z LAVATORY ASH BASIN) �I OO BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AA.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINK 6 DISP. Z OO FORCED AIR SYSTEMS—B.T.U. M EA. <br /> � � - � DISHWASHER 2 00 WALL HEATERS—B.T.U. M <br /> ' � UUNDRY TRAV UNIT HEATER$—B.T.U. M <br /> � � � GLOTHES WNSHER EVAPORATNE COOLERS <br /> � '' Z Q Q 1 CLOTHES�RVERS 3 �� <br /> - 1 WATER NEATER 2 OO <br /> � " �..;:�'v,`.:. ' URINAL 1 VENTILATION FAN <br /> `�� " � 1 RANGEHOOD 3 00 <br /> � . , �ti,,��'.;'�`i DRINKINGFOUNTAIN <br /> . � ��'' � FLOOR DMIN AIR HANDLING UNIT— C.F.M. <br /> � VACUUM BREAKERS STOVE � <br /> � ' . � � . ROOF DRAINS—RA�NLFADERS METAL FIREPLACE 8 CHIMNEY <br /> ' � SINK SERVICE�-ifAR,ETC.) <br /> SU!TOTAL 2 0 0 0 SU!TOTAL 1 '. <br /> PEIIMR i PERMIT f <br /> TOTAI FEE S O TOTAL FEE 8 O O <br /> � SIDE YARD SETBACK STREET SETBP.CK REAR YARD SETBACK PLA11 CHECK NUMBER PIAN CHECK FEE <br /> 5 � Zp' 20� 78/763 FEE $ASIC RECEIPTNO. <br /> . USE ZONE LOT AREA �S T ONO FEES VALUATION �E <br /> R-2 <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLI'N.G UNITS <br /> V-N R'3 BUILDING s 45 ,000. 172 00 <br /> � SIZE OF BLDG. NO.OF STORIES MA%.OCC.�OAD — Z O O O <br /> 26'x34' 2 PLUMBIVG <br /> FIRE ZONE BASEME 7 FIHE SPRINKLERS MECHANICAL 8 00 <br /> 3 �one REOUIRED <br /> GYES NO <br /> APPROVALB�• ' <br /> !Y DATE OTH[R <br /> 1. ENVIRONMENTALCHECKLIST' PENALTY U.B.C. <br /> SEC.303(e) <br /> � 2. BUILDINGPlANS ZOO 00 <br /> TOTAL <br /> �'-• 31 FIRE HYDRANT <br /> + PERMIT VALI011TON <br /> r.n a<, FIRE PFiO C.TIOtj 5 M WHEN PROPER�V VALIDATED(IN THIS SPACE)THIS IS YOUR PERMI7 <br /> � 5. GRA9 . . ���� ��� 7��'� ' <br /> � • s. o , N <br /> � 7. EN TALI STATEMENT <br /> ; e � � �:�R �`�� � <br /> � AF'PL C.BY PUNS CHECKED BY APPF.FOR ISSUANCE BV }�r <br /> ��� V.C. � � ,j� �; � ` i. �� , � <br /> ;�� Y �' � . . � � . <br /> �: � ., � � �M11`�9 <br /> �� ADDRESS FILE �.L� t: _. -. � . <br /> � . � <br />