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the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />C )NSTRUCTICN � " <br />PERMIT <br />PERMIT NO. 19722 <br />❑ DEMOLITION 1;: COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Geonerco Inc. 1914 N. 34th #107 Seattle, WA 98103 547-8213 <br />OR <br />MAIL ADDRESS <br />MAIL ADDRESS <br />ZIP PHONE <br />ZIP PHONE LICENSE <br />Owner GEONEI173RL <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />[]I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION L] BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 55,000.00 <br />New home construction - Basic 1262 <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ElWOODSTOVE ❑OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />4 Y <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 NO'- PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTIO1I OR <br />THE PERF444RMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTR. AUTryORI:FD A NT OR /ATE / <br />X '\J //�/ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 29 BLOCK _ of Twin Cedars <br />JOB ADDRESS <br />10906 3rd Pr. 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 />00 <br />A/C — A/HNDLG UNITS — H.P. <br />2 <br />BATHTUB <br />10 <br />00 <br />REFRIGcRATION UNITS —H.P. EA. <br />2 <br />LAVATORY (WASH BASIN) <br />10 1 <br />-00 <br />BOILERS-0 T.U.IH.R <br />SHOWER <br />GAS FIRED ABC. UNITS — B T.U. <br />1 <br />KITCHEN SINK & 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 />CLOTHESWASHER <br />5 <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />A <br />SO <br />ROOF DRAINS — RAINLEARERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />'An <br />nn <br />FIREPLACE INSERT <br />_ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />$ 45100 <br />SUB TOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTAL FEE <br />S <br />TOTAL FEE <br />S4 <br />OO <br />FRONT SETBACK <br />20 <br />REAR SETBACK SIDE <br />20 <br />SETBACK <br />6 <br />PLAN CHECK NUMBER <br />88/19381 <br />FEE <br />Basic <br />RECEIPT 140. <br />USEZONE <br />R-1 <br />LOT AREA VACANT <br />[kES <br />SITE <br />ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ 55,000.00 <br />437 <br />00 <br />TYPE OF CONST <br />V—N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />45 <br />00 <br />SIZE OF BLDG <br />1262 <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />N/A <br />MECHANICAL <br />511 <br />00 <br />FIRE SPRINKLERS REOUIRED El YES Pq NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />15 <br />00 <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />B.E. <br />APPR FOR ISSUANCE BY <br />S.E. <br />DRIVEWAYPERMIT <br />20 <br />00 <br />TOTAL <br />574 <br />50 <br />PFRMIT VAI IDATIDN <br />WHEN PROPERLY VALIDATED BN THIS SPACE) THIS IS YOUR PERM11 <br />N <br />N <br />C� <br />CT. <br />�I SS FILE <br />