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. <br /> dre Er.•r�reen C�N ST R U CTI t�N <br /> c!n•oF <br /> ever��t PERMIT pERMIT NO. OH897 <br /> CITY HALL 255�8745 <br /> EVEFETT,WA 98201 �J COMBINATION � BUILDING C7a MECHANICAL �] PLUMBING <br /> OWNEP MAILADORESS CITY ZIP PMONE <br /> Douqlas Slattum 10601 t4ashington Way #4 Everett 98204 355-1272 <br /> ARCNITECT OR OESIGNER MAIL AD�RESS CIiV 21P PNONE <br /> GENERALCONTRACiOR MAIL AO�PESS CITY 21P PHONE L�CENSE I <br /> P & E Construction 17531 Interurban Blvd. Snohomish 98290 568-5792 <br /> MECMANICAL CONiRACTOR h1All ADDRE55 CIiY ZIP PH LICENFE I <br /> PE CO N �EXKE <br /> PLUAIBINGCONiPACTOR MAILADDRESS CITY ZIP PHONE LIC[NSE♦ <br /> CLA55OF WORN <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI110N ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORH <br /> a 28 ,000. 00 <br /> DESCR!�E WORK <br /> Construct single family residence <br /> PROPOSED USE OF Ol11LDING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCRIPTIONOFPROPEPTY�SNOWpELOWORARACNPoURCO°IE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 11-1 30 Pinehurst Div. "B" ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or ?6ia�oF TYPE OF WORK WILL BE COIv1PLIED 1VITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING Or A PERMIT C�JES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> E 8 2 8 5 CONSTRUC1lON OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AOORE55 SIGNAI RE OF CONipACTOR OR AUINORIZED FGhNT OATE <br /> 2210 Monroe Avenue X � <br /> PLUMBING MECHANIC L <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET ROILET) AIR CJND.UNITS—H.0[A. <br /> 1 BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORV(WASH�ASIN) Y OO BOILERS—H p,EA. <br /> SHOWER GAS RRED A.C.UNITS—TONNAGE F.A. <br /> .1 KITCHEN SIkK 8 DISP. Z O O FORCED AIR SYSTEM1IS—b T.U. M EA. <br /> 1 DISHWASHER Z OO �v��LH6ll[RS—�.T.U. M <br /> LAUNORY 1(iAV UNiT HEAT[RS—�T.U. M <br /> ], CLOTHES WASHER EVAPOPATNE COOLERS <br /> 1 WATER HEATER ]. CLOTHES DRVERS (1 <br /> URINAL ]. VENTILATION FAN � <br /> DRINKING FOUNiAIN ]. RANGE HOOD I <br /> FLOOR DRAIN AIR HANDLING UNIT— C.E61. � <br /> VACUUM BR�AHERS STOVE � <br /> ROOF DRAINS—RAINLEADERS �7ETAL FlREPLACE 8 CMIMNEV <br /> SINK�SERVICE—BAR,ETCJ <br /> _— � <br /> SUB TOTAL 19 00 Sl1B TOTAL S 2 0 � <br /> PENMIT S PERMI7 S <br /> TOTAL FEE S 4 O TOTAL FEE S 12 00 <br /> SIDE YARD SETBACK STREET SETBf,CK REAR YARD SET9ACK PLAN CHECK NUMBER PLAN CHECK PEE <br /> rj� ZQ � 20 ' 8897 FEE 119.60 �ECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE � <br /> gigES ❑NO FEES VALUATION FEE <br /> TYPG OF CONST. OCCL'PANCY GROUP NQ OF DWELLING UNITS <br /> V-N R-3 1 ouuoiNc sZ8,000. 189 00 i <br /> S12E OF BLC�G. NO.OF STORIES MAX.OCC.LOAD <br /> 3O � XQO � 1 _ PLUMBING 14 �� <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> � None AEOUIR[�{),� �dECHANICAL 12 00 <br /> tlYES ^100 <br /> APPHOVALS BY DATE O711Eq <br /> 1. ENVIRONMENTALCHECKLIST pENALTY U.BC. <br /> 2. BUILUING PLANS i�� _ SEC.303(a) <br /> 3. FIREHVDRANT __� <br /> TOTAL 210 00 <br /> 4. FIRE PRO-ECTION SVSTEM — PERMIT VALIUATION <br /> WHEN PROPERLV VALI04TED QN iH15 SFACE)THIS IS YOUR PLRMIT <br /> 5. G�AOING ' - 1 � r r � <br /> f. DRAIyL14iE . �..o , i , i 1. �: �: __' � . . � I � I S �I. � �J __ <br /> 7. ENVIf10NMENTAI IMPACT STATEMFI$I � <br /> 8. HEALT�l�DISTRICT �' ' . N � <br /> �i ; ; �['j � <br /> AFPLI N ACC.BV�� . �PLANS CI�E�KED BY ..PPR.FOR ISSUANCE�Y � � � • � � <br /> � , <br /> �.. .i Y. <br /> L'• � �.i . .. c.'� I '. l� <br /> _i I <br /> �j -� � �� � _ , � <br />