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�he£��ery¢rcen <br /> ��i��� '� �ONSTRU���'101� � <br /> everett PERMIT PERMIT NO. 16167 <br /> CITY MALL 25987l5 <br /> EVERETT,WA98201 ❑ COMBINATIOM ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> OWNER MAILADOflE55 ��T� Z�P PNONE <br /> Boy�en Realty, Inc. 1429 Broadway �erett 98201 252-1166 <br /> ARLMITECT JR pE51GNER MAIL AOORESS qTY ZIP PMONE <br /> Gary Parkinson 527 Medical-Dental 331dc. �erec� 98201 252-2153 <br /> GENERRLCONTRACTOF MRILFD�RE55 CITY ZIP YHONE LILENSEI <br /> J & D Builders 1429 Broadway Everett 98201 252-1166 223-01 <br /> MECMRNICAL GONTRRCTOR MAIL ADDRE55 GtY ZIP PMONE LICENSE� <br /> � `9U1223J0 <br /> PWM8ING CONTRACTOP MAIL A�DRESS CITY ZIP FMCVE LICENSE� <br /> White Coast Plumbina 119 Avenue A Srohomish 98290 56b-6t55 <br /> CU55 OF 1YORK <br /> �NEW ❑ ADDITION ❑ pLTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCe ❑ SIGN � WOOD STOVFJFIREPLACE INSERT <br /> VRLUATION OF WORK <br /> 546,000.00 <br /> OESGRIBE WORK <br /> New Sinqle Fasily Residence - Basic "B" <br /> PROPOSED USE OF BUIL�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Singlr_ Famil Residence AppLICATION AND KNOW THE SAMF TO BE TRUE AND <br /> LEGRL DE5CRIPTION OF PROPERtt�SHOW BEL01Y OR RTTRCH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 70 e�ocK_oF Sunridge Div. III GOVEflNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUiHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMAN E OF CONSTRUCTION. <br /> JOBROONE55 SIGNATUREOFCO F/GTOROPAU�T °MIEDA/ � �RTE <br /> 9213 - lst Dr. , S.E., Everett X ,/ ;C��.•.—� (�. C�+ '/.f'=J' <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATERCLOSET�TOILEn i} O AIR COND.UNITS- M.P.EA. <br /> j BATHTUB Z OO REFRIGERATION UNITS- H.P. EA. <br /> Z LAVATORV�WASH BASIN� 4 OO BOILERS-H.P. EA. <br /> 1 SHOWER 2 OO GAS FIRE�A.C.UNITS-TONNAGE EA. <br /> ], KITCHEN SINK 8 DISP. FORCEO AIR SYSTEMS- B.T.U. M EA. <br /> 1 OISIIWASHER Z 0 WALL HEATEFS- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> 1 CLOTMES WASHER z EVAPORATIVE COOLERS <br /> 1 WA7ER MEATER Z �p 1 CLO7HE5�PYERS 4 50 <br /> URINAL Z �ENTILATION FAN G OO <br /> DRINKING FCI�NTAIN 1 NANGE HOOD �I SO <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINlEAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE- BAR.ETQ) 1 FIREPLACE INSERT 'I SO <br /> HEAT PUMP <br /> SUB TOTAL S 20 00 SUB TOTAL f y2 5 _ <br /> PERMI7 t PERMIT S <br /> TOTAL FEE f ZO OO TOTAL FEE f <br /> SIDE VARO SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> PRD PRD PRb 86/16167 - Basic FEE �0_ RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> $YES . .NO FEES VALUATION FEE <br /> R-1 g, o e urc arg <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS �erQy-�Ode-�uY,Clldr 2- 1 S nn <br /> V-N R-3 �. DUILDING `-06,000.00 265 00 <br /> SIZE OF BL�G. NO.OF STORIES MA%.O�C.LOAD <br /> 1599 SF 2 fj PLUMBING 20 0� <br /> FIHE ZONE BASEMENT FIRE SPRINKLEfIS MECMANICAL 22 SO <br /> REOUIFEO <br /> YES NO ZO OO <br /> APPROVALS BV DATE 1Px'f�E' Driveway <br /> L ENVIflONMENTAL CHECK LIST � U.B.C. <br /> �` SEC.J09 lal <br /> 2.BUILDING PLANS H TOTAL P \� <br /> J.FIREHYDRANT �.. 344.00 X�X <br /> d.FIREPROTECTIONSYSTEM F PF.RMITVALIDATION�1 X <br /> � M 1�1fj�1��E�Y VALIDAT�QN TNIS SPACE)TMIS IS YOUR PERMIT • <br /> 5.GRADING N N N p• � � � � <br /> 6.�RAINAGE o Op fJ a CII . <br /> 7.ENVIRONMENTAUMPACTSTATEMENT • • • • O��S S � QQQ i : �. <br /> B.HEALTHDISTRICT � � . <br /> APPLICATION ACC.BV PLANS CMECNED BY APPR.FOR ISSUANCE BV <br /> •.. <br /> M.M. S.T.G. L.N.C. � <br /> � <br /> ;e <br /> ,c <br /> ADDRESS FIIE }` <br />