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ihe Evergreen ;� <br /> ��TY°� �-�� -�CONSTRUCTiOC` �� <br /> � everett �� <br /> PERMIT PERMIT NO. 15335 <br /> qTY HALL PS&8715 '1 <br /> EVERETT,WA 9B2p1 � COMBINATION � BUILDING GCl MECHANICAL CY� PLUMBING ' <br /> OWNER MAIL ADDRES$ CITV ZIP PHONE " <br /> Detui E. Vaz�Ove+xbelce 16905 SOth Street S.E. Snohanish 98290 334-5213 <br /> ARGHITECT OR DESIGNEH MAIL qODRE55 qTY 21P PNONE �� <br /> GENER�I:ONTRACTOR MAIL AOOOE55 GITY TIP PHONE LICENSE� ' <br /> $aIDP <br /> ( <br /> MELM�NIC\LCANTRACTOR MAILADDRESS PTY 21P PMONE LICEHSEI ' <br /> k <br /> PLUMBMO CONTRACTOR MRIL RDDriESS CITY ZIP PNONE LICENSE/ �f <br /> CLASS Of Wt;9K � <br /> �IEW ❑ ADDITION ❑ AITERATION ❑REPAIR � DEMOLI710N ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT :� <br /> f <br /> V�LUAT104 OF WOR\ � <br /> t 38�Q00.00 p <br /> OESCRIBE'NORK � <br /> Construct Sizgle Family Residence ;� <br /> PiiOPOSED USE OF BW�OING �g <br /> Single Family Residence � HEREBY CERTIFY THAT I HAVE READ AND EICAMINED'i HIS � � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL OESCRIPTION OF PROPERTY(SMOW BELOW OR ATTACN FOUfl COPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �0�6-��eiocK236 oF �erett Div. T G0�'ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> K 17 29 5 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR ANCE OF CONSTRUCTION. <br /> JOB AD�RE55 SIG ATU OF LONTRAf,TOR R AUTHORIZED AGENT DATE <br /> 1218 Maple X •'�' ���� <br /> PLUMBING M HANI L �9t <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE 1�� <br /> WATERCLOSETITOILEn 4 AIR COND.UNITS- H.P. EA. y <br /> B4THTUB REFRIGERA710N UNI fS— H.P. F.A. ,� <br /> �,qvqTORY ryJASH BASINI BOILERS— N.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCFD AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAV UNI7 HEATERS— B.7.U. M <br /> CLOTHES WASHER EVAPOFATIVE COOLERS <br /> WATER MEATEH 1 CLOTHES DRYERS 4 SO <br /> URINAL 1 VENTILATION �AN 3 00 <br /> D9INKING FOUNTAIN RANGE HOOD <br /> FLOOH DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREANERS STOVE— WOOD yy <br /> — ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV y <br /> SINK�SERVICE— BAR,ETC.) FIHEPLACEINSERT A <br /> HEAT PUMP S <br /> SUBTOTAL f 20 00 SUBTOTAL S 7 50 <br /> PERMIT f PEqM1T S � <br /> TOTAL FEE S 20 00 TOTAL FEE S 7 50 � <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CIIECK FEE <br /> 5' 20' Z0� 85/15339 FEE148.85 �g���PrNo. <br /> USE 20NE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-2 6250 Sq. Ft. XXEs :;No <br /> NPE OF GONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. NO.OF STOHIES MA%.OCC. LOAD BUILDING $ 38,000. 229 00 <br /> 1008 Sq_ Ft. 1 ?LUMBING 2O OO <br /> FIRE ZONE BASEMEN� FIRE SPRINKLERS MECHANICAL 7 SO <br /> FEOUIRED <br /> YES ;_ <br /> APPROVALS BY DRTE OTHER <br /> 1.ENVIRONMENTAL CHECK LIS7 PENALTY U.B.C. <br /> SEC.J03(al <br /> 2.BUILDING PLANS o <br /> 3.FIREHVDRANT w TOTAL 2S6 50 <br /> <.FIFE PROTECTI(1N SYST PERMIT VALIDATION <br /> nS�GRADING WHEN PROPERLY VALIDATED(IN THJ5o5��E)THI�I$YOI�F P�ER�MIT � <br /> r$yDRAINA6B �� C�a ' � j y <br /> ENVIRONMENTALIMPA TATEMEN7 � � � O. Q U '— � M <br /> MEALTH D�STRICT „ _� , � � <br /> �PLICATION ACC.BY PLANS CHECKED BY APPR.POR ISSUANCE BY . . � `� � •� h ��I.�I:I P I ' � <br /> ", - c� � ', ".•` ;=� li'��' ;' '—'.^,�.•� YOU <br /> ��� '.'� JEF � , . � " . , � I . . <br /> :_ , . �, i �. , <br /> � AUDRESS�I� SEP �5 1 � ��I �j <br />- - - -- � <br />