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�he£vergreen <br /> `�'�°F '� �ONSTRUCTIOI� � <br /> everett PERMIT PeRMiT No. 16161 <br /> CITY HALL 459$7l5 <br /> EVEREIT,WA g82p1 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADOflE55 GTY �IP PHONE <br /> Boyden Realty, Inc. 1929 Broadway EVerett 98201 252 1166 <br /> � t MAIL�DORE55 GITY ZIP PHONE <br /> Gary Parkinson 527 Medical-Dental Bldq. Everett 98201 <br /> GF.NERNLGONTR�GTOR MAILADDRESS ZSZ � � <br /> LITY 21P PMONE LIGENSE/ <br /> J & D Builders 1429 Broadwav E,Verett 9820� <br /> MELNANIC�L CONTR�CTOR MRIL AppRESS LITY 21P PMONE"�� �ICE SE I' <br /> PWMBINGCONTP�CTOR MAILAODRESS DB � 7T(1 <br /> CITY ZIP PMJNE LICENSE I <br /> White Coast Plwnbing 119 Avenue A Snohomish 98290 68-�iss <br /> GU55 OF WORK <br /> i�NEW ❑ qDDITION ❑ A�TERATION ❑qEPAIR ❑ DEMOLITION O FENCE L] SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> WLU�TION OF WORN <br /> = ae,000.00 <br /> DESCRIBE WONR <br /> New Single Family Residence - Basic "B" <br /> PRJPOSED USE OF 6UILDING <br /> Single Family Residence I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br /> LEWLOESGRIPTIONOFPROPEPTY�SMOWBELOWOR4TTACNFOURWPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 69 BLOCIc_pF Sunr'd GOVERNING 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 AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOG4L LAW REGULATING CONSTRUCTION OR THE <br /> JOB nD�RESS PERFOqMAl�fLF OF CONSTRUCTION. <br /> SIGNRTURE��NTRACTOP ON AU '..IZED r1G DATE <br /> 9217 - lst Dr., S.E., �erett X N �°- C „ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND. UNITS-H.P. EA. <br /> 1 BATHTUB REFRIGERATION UNITS- H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS- H.P. EA. <br /> SMOWER — <br /> � GAS fIREO A.C.UNITS- TONNAGE EA. <br /> KITCHEN SINK d DISP. � FORCED AIR SVSTEMS- O.T.U. M EA. <br /> DISHWASHEN WALI HEATERS- B.T.U. M <br /> LAUNDRYTRAY UNIi MEATERS- B.T.U. M <br /> CLOT+ES WASMER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL 2 VENTILATION FAN <br /> DRINKING FOUNTAIN 1 RANG[HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR, ETC� 1 FIREPLACE INSERT <br /> HEAT PUMP <br /> , SUB 707AL S SI1B TOTAL s <br /> 22 SO <br /> PEHMIT f PERMIT { <br /> TOTAL FEE 5 20 00 TOTAL FEE S 2Z 5 <br /> SIDE YARD SETBACK STFEET SETBACK REAR"ARD SETBACK PLAH CMECK NUMBER PLAN CMECK FEE <br /> P� P� P� 86 16161 BdSiC �EE -0- RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE � <br /> R-1 XVES . NO FEES VAWATION FEE <br /> TYPE OF LONST. OCCUPANCY GROUP NO.OF DWELLING UNITS $uilding Code SUYCI7 , ��� B%S RM OW{�IIO�I 1 <br /> �'N R-3 1 . ar <br /> BUILDING — 5 OO ZGS OO <br /> SIZE OF BLOG. N0.OF STOPIES MA%.OCQ LOAD <br /> 15�9 SF z e P���,B;N� e s�w s .so zo 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS �{—SI �- <br /> FEOUIRED MECHANICAL <br /> . �.VES .-NO qq p�{+; f� 22 50 <br /> APPROVALS BY UATE OTMER P�11C WOYICS P 7:7RSL f •� ZO �0 <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV <br /> 2.BUILDING PLANS 3(a) <br /> 7.FIREHYDRANT TOTAL �1 34 O <br /> 4.FIflE PHOTECTION SYSTEM PERMIT VALIOATION • <br /> S.GRAGiNG WHEN PROPERLV VALIDATED(IN�TMIS IS VOUR PERMIT ��� <br /> 6.DRAINAGE �� � � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT 6FDIII {�,� - <br /> B.MEALTHDISTRIC7 C� s7S��� � � - <br /> APPLICATION ACC.9Y PLhNS CHECKED BY APPR.FOR ISSUANCE BY • - <br /> M.M. S.T.G. L.N.C. <br /> !�L`DfiF55 PILE <br />