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, <br /> theEvergreen -- C4"ISTRUCTION - <br /> CITY OP <br /> eV�i�.� PERMIT pERMIT NO. OSZ2O <br /> CITY HALL 259�8745 <br /> EVERETT,WA 90201 ❑ COMBINATION � BUILDiNG ❑ MECHANICAL pLUMBING <br /> pWNlR <br /> MAILRDDRESJ CITY ZIP PHONE <br /> Linn Soderblom 2910 Riverview Blvd . Everett 9g203 355-4007 <br /> ARCHrtECT OR DESIGNER <br /> Mn1L/•DDRE55 CIIY ZIP PNONE <br /> GENERAL CONTMGTOR MAII�D�RE55 GITY p p PIIONE IICENSE I <br /> Rob Lund 5609 Flemming Everett 58203 353-8282 <br /> MECMRNICAL CANTRACTOR A�AIL ADDRE55 CITY 21P PMONE IICENSE I <br /> PLUMHINGGONTRAGTOR MOILPDDRE$5 CITY Z�p PMONE IIGENSE� <br /> CLASS OF WORK <br /> ❑NEW �DDITION ❑ALiERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GAPAGE <br /> VALUATION Oi WORN <br /> s 17 ,480. 00 <br /> DESCPoBE WORK <br /> room addition and deck — <br /> PROPOSED USE OF BUILOING <br /> eingle family residence I HEFEBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEGAI�ESCRIPiION OF FROPERiY�SHOW BEIOW OR ATTACH fOUR GOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOV[RN�:JG THIS <br /> ioT 103 e�oc�_or Vallev View TYPE OF WORK WILL BE CQMPLIED WITH WHETHER SPECIFIEU <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUA'�TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> VISIONS GF ANY OTHER STATE OR LOCAL LAW REGULr1TING <br /> CONSTRUCTION OR THE PERFORMANCE O N TRUCTION. <br /> SIGNAtUFE OF WNi OR R NT CATE <br /> JOB ADDRE:S <br /> 2910 Riverview Blvd. 8 80 <br /> PLUMBINO MECH I � <br /> N0. TYPE OF FOCTURE OR ITEM FEE N TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS–H.P.EA. <br /> pFFRIGERATION UNIT$–H.P.EA <br /> BATHTUB <br /> LAVAIORY(WASN BASIN� BOI�ERS–HP.EA. <br /> GAS RRED A.C.UNITS–iONNAGE EA. <br /> K i0H[N SINK d DISP. FORCED AIR SYSTEMS– B T.U. M EA � <br /> DISMWASHER WALL HEATERS–BS.U. M <br /> UNITHEATERS–BT.U. M <br /> LAUNDRY TMV • EVAPORATIVE CAOlERS <br /> CLOTHES WASHER _ <br /> CLOTHES DRYERS <br /> WATEP HEATER <br /> V[NTIIATION FAN <br /> URINAL <br /> – RANGEHOOD <br /> DRINKING FOUNTAIN — <br /> -- – AIR HANDLING UNIT– GF M. <br /> FLOOR DRAIN <br /> VACUUM EREAKERS _ STOVE _ <br /> ROOF DRAINS–RAINLEADERS METAL' �IEPL10E B CHIMNEY <br /> SINK(SERVICE–BAR.ETC.) <br /> SUSTOT�L SUBTOTAL = � <br /> VERMIT t PERMIT = � <br /> TOTALFEE f TOTALFEE <br /> SIDE YARD SEiBPCK STFEET SETBACK REAR VARU SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> 80/9220 42 . 00 50267 <br /> USE ZONE LOT ANEA YACANT SITE FEES VALUATION FEE <br /> R-1 []YES �(JO <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DW i LING U4�TS _ <br /> V-N R-3 BU�LD�NG <br /> f 17 �q80 84 00 <br /> SIZE OF BLDG. NO.OF STORI[S MAY..OCC.LOAD <br /> 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEPS MECHANICAL <br /> FEOUIRE <br /> 3 ea oves � <br /> APPAOVALS er DATE <br /> OTHER <br /> 7. ENVIRONMENTAL CHECK LIST_ PENALTY EC 303(a) <br /> 2. BU:IDINGPLANS TOT�L 84 OO ' <br /> 9. .'-IRE kiYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT V�LIDATION <br /> WHEN PROPERLY VALIDA7ED(IN 7HIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING . 7'9 I e � O p �. (� O �` � <br /> 6. DR4INAGE � � U <br /> 7. ENVIRONMENTAL IMPA:7 STATEMENT � N <br /> � <br /> 8. HEALTH DISTRICT 1��,:�.�� R R,_C E�P r � <br /> APPLICRTION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> �.�. <br /> : ,-�nri�; YUU • <br /> ADDRE55 FILE I p S�P SO <br />