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the Evergreen CITY OF CO r, ;T R U CT I O N <br />everett PERMIT PERMIT NO. 06454 <br />CITY HALL 259.8745 MECHANICAL I� PLUMBING <br />EVERETT, WA 98201 [2 COMBINATION � BUILDING X <br />OWNER NAIL ADDRESS <br />Brian Olson 5978 Evergreen Way <br />CITt <br />ZAP <br />98203 <br />PHONE <br />353-4533 <br />ARCHITECTOR DESIGNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />COY <br />ZIP <br />PHONE LICENSE I <br />ST OA JE 310 <br />James E. Stoa 1520 128th Street <br />Seattle <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE P T <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />Cltt <br />ZIP <br />PHONE LICENSEI <br />PLUMBING CONTRACTOR <br />CL `.SS OF WORK <br />']NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />s 35,000.00 <br />DESCRIBE WORK <br />Construct single family residence <br />'D RISE OF BUILDING <br />single family residence <br />,IPTION OF PROPERTY (SHOW BELOW ON Al IAUH n <br />-17 3 Lowell <br />2215 <br />U 32-29-5 <br />JOB ADDRESS <br />XW5 49th Street S.E. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />14EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />cicveruanTiF'v@IAiACiOR OR AUTHORIZE? Ay ,J�T OATE <br />MFCHANICAL <br />PLUM I1INVU <br />FEE <br />NO. <br />TYPE OF EQUIPMENTWATER <br />TYPE OF FIXTURE OR ITEM <br />AIR COND UNITS — HPEABATHTUB <br />CLOSET (TOILET) <br />REFRIGERATION UNITS — HPEALAVATORY <br />BOILERS — H.P. EASHOWER <br />(WASH BASIN) <br />GAS FIRED A.C. UNITS —TONNAGE EA.KITCHEN <br />RFEENO. <br />2 <br />OO <br />FORCED AIR SYSTEMS — BTUM EA.DISHWASHER <br />SINK & DISP. <br />00 <br />WALL HEATERS—B.T.U. MUNIT <br />HEATERS — B.T.U. MLAUNDRY <br />TRAYCLOTHES <br />2 <br />O <br />EVAPORATIVE COOLERS <br />WASHER <br />CLOTHES DRYERS2QQ- <br />WATER HEATER <br />1 <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />STOVE <br />— <br />VACUUM BREAKERS <br />METAL FIREPLACE &CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC) <br />14 00 <br />SUBTOTAL <br />SUB TOTA._ <br />PERMIT E _ <br />PERMIT <br />$ <br />TOTAL FEE S 13 O Q <br />TOTAL FEE <br />STAFF i SET CACX <br />$ <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />SIDE YARD SETBACK <br />5'N-10'S 20' <br />20' <br />FEE RECEIPT NO. <br />79/401 71.00 40376 <br />USE ZONE <br />R-2 <br />LOT AREA <br />5000 Sq. Ft. <br />VACANT SITE <br />RYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />PLUMBING <br />s35,000. <br />142 <br />14 <br />00 <br />QQ <br />V—N <br />R-3 <br />1 <br />$17E 10F BE <br />G4 ]C <br />NO. N0. OF STORIES <br />MAX. DOC. LOAD <br />.l <br />MECHANICAL <br />13 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRE1iv <br />3 <br />none <br />[]YES`L'Nb <br />OTHER <br />PENALTY U.B.G. <br />SEC. 3031a1 <br />TOTAL ElT9O:O�: <br />APPROVALS _ <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT N <br />SYST% <br />PERMIT VALIDATION <br />VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT <br />4. FIRE PROTECTION <br />5. GRADIN <br />WHEIJ PROPERLY <br />116, DRAINAgE Cz <br />0202 4* <br />I'�. ,,,/� (D <br />~J CD <br />—7. ENVIRONMEWL IMPA=$TATEMENT <br />. HEALT I CT <br />R _ YOUR RECEIPT <br />PPLICATIO A�. BY <br />NS CHECKED BY <br />APPR. FOR IS J <br />'ta <br />V.C. <br />RECEIPT HANK YOU <br />O fI, <br />f <br />r t`?r1 <br />K YOII <br />ADDRESS FI!..E '70 <br />