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the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />CINSTRUCTION <br />PERMIT <br />PERMIT NO. 19805 <br />❑ DEMOLITION jkCOMBINATION ❑ BUILDING ❑ MECHANICAL fl PLUMBING ❑ SIGN <br />OWNER MAR ADDRESS CITY ZIP PHONE <br />GeonercO 1914 N 34th #107 Seattle, WA 9B103 547-8213 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL AGE RESS CITY ZIP PHONE LICENSE F <br />Owner GEONEI173RL <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE P <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 55,000.00 <br />DESCRIBE WORK <br />New home construction - Basic 1262 <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS 17 WOODSTOVE ❑ OTHER <br />PROPOSED USE OF 9WLGNG <br />Single family residence <br />4 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PE FORMANCE OF CONSTRUCTION. <br />SIGNATURE CONTRACTOR. AUTHORIZED A ENT. OR OIV E ATE n/ <br />X b ) / y li b X <br />LEGAL DESCRIPTION OF PROPERTY )SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -28_BLOCK —OF Twin rya <br />JO., ADDRESS <br />10910 3rd Dr. SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />10 <br />OO <br />A/C - A/HNDLG UNITS - H.P. <br />2 <br />BATHTUB <br />10 <br />00 <br />REFRIGERATION UNITS -H.P. LA <br />2 <br />LAVATORY (WASH BASIN) <br />lO <br />OO 1 <br />BOILERS -BT.U/H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS - 8 T.U. <br />_- <br />1 <br />KITCHEN SINK 8 DISP. <br />5 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA <br />1 <br />DISHWASHER <br />5 <br />00 <br />WALL HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />1 <br />CLOTHES WASHER <br />S <br />DO <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHES DRYERS <br />6 <br />50 <br />DRINKING FOUNTAIN <br />1 <br />VENTI!ATION FAN <br />4 <br />50 <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC.) <br />1 <br />METAL FIREPLACE 8 CHIMNEY <br />30 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />_ <br />GAS PIPING <br />E.XHAUSTFAN <br />SUBTOTAL <br />$ 45 <br />OO <br />SUBTOTAL <br />54 <br />OO <br />PERMIT <br />$1 <br />1 <br />1 PERMIT <br />TOTALFEE <br />$451 <br />00 <br />1 TOTALFEE <br />54 <br />00 <br />FRONT SETBACK <br />20 <br />REAR SETBACK SIDE <br />SETBACK <br />6 <br />PLAN CHECK NUMBER <br />88/19381 <br />FEE <br />Basic <br />RECEIPT NO <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />ves ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$55000.00 <br />937 <br />00 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />R-1 <br />NO. OF DWELLING UNITS <br />PLUMBING <br />45 <br />00 <br />SIZE OF BLDG <br />7 <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />54 <br />- <br />00 <br />FIRE SPRINKLERS REOUIRED ❑ YES NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />_ <br />STATE ENERGY SURCHARGE <br />15 <br />00 <br />APPLICATON ACC BY PLANS CHECKED BV <br />M. M. B.E. <br />APPR FOR ISSUANCE BY <br />B.E. <br />DRIVEWAY PERMIT <br />20 <br />00 <br />TOTAL <br />574 <br />50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />Ln <br />Cn <br />ADDRESS FILE <br />