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`: fhe Evergreen ,� �O N ST R U CTIO � � <br />CI7V OF <br />everett P E R M I T PERM:T No. 1� a�s <br />CITY HALL 2598715 <br />EVERETi, Wq982pt � COMBINATION �j BUILDING <br />Caj MECHANICAL � PLUMBING <br />'"' tN M�iL ADDRE55 GTY ZIP PHONE <br />Gary Masciotra 2908 Miilcilteo Elvd. Everett 98203 347-5258 <br />ARCNITECTORDESIGNER MAILpDORISS CITY ZIP PHONE <br />GENE9ALCONTRACTOR MAILAD�RE55 QTY ZIP PHONE LICENSE• <br />5ame <br />MECHANICAL CONTRACTOR MAIL AODRE55 CITY ZIP PMONE LICENSE 1 <br />PLUMBINGCONTRACTOR MAILADDPE55 CITV 21P PHONE LICENSEI <br />s <br />I�IEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN L� WOOD STOVE/FIREPLACE INSERT <br />OF WORK <br />68,400.00 <br />Construct Single Faauly Residence <br />Single Family Residence <br />e�.a�. ueSCHiNiiON OF PFOPERiY (SHOW BELOW OR ATTACX FOUR COPIES) <br />�or �� BLOCN_OF Kenilworth Hills I <br />G3284 <br />3108J56th Street S.W. <br />PLUMBING <br />N�• TYPE OF FI%TURE OR ITEM <br />WATER CLOSET ('OILEn <br />BATH'fUB <br />� LAVATORV�WASHBASIN) <br />SH�JWER <br />KITCHEN SINK 8 CISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />�IOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTA�N <br />FLOOR DRAIN <br />VA(:UUM BREAKERS <br />ROO/�DRAINS — RAINLEADERS <br />SINK (;iERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE VARD SETBACK STFEET SETBAI <br />USE ZONE LO7 AREA <br />R-S <br />TYPE OF CONST. OCCUPANCY GI <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STORIE: <br />2571 Sq. Ft. 1 <br />FIRE ZONE BASEMEN7 <br />APPROVALS <br />t. ENVIRONMENTAL CHECK IIST <br />2. BUILDING PLANS <br />3. FIR[ HYDRANT <br />0. FIRE PROTECTION SVSTEM <br />5. GRADING <br />8. DRAINAGE <br />� 7.ENVIRONME4TALIMPACT.STATEMENT <br />B.HEAITHDISTRICT "�"� <br />t, APPLICATION ACC. BY � i PLANS CH�CN <br />STG _ JEF <br />I HEREBY CF.RTIFY THAT I HAVE READ AND EXAMINED 7HIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF L�WS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEFMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION QR THE <br />PERrQF�futANCE OF CONSTRUCTION. <br />SIGNAT�V1t�OFCONTRPCTORORAUTNOFIZEDAGENT ' 04TE <br />.. i7..i ..`�nn . � .- . i...� <br />MECRANICAL ' <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FCRCED AIP SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UAIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEH00� <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIqEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PENMIT S <br />TOTAL FEE S <br />HEAFi YARD SETBACK PLAN CHEGK NUMBER PLAN CHECK FEE - <br />84/14409 FEE L2] .00 I RECEIPT N0. <br />VACANT S�"'F - 72-%97 <br />}�S ;!NO FEES VALUATION FEE <br />1 <br />C� <br />if.T�7 <br />BY �APPR.FOR <br />I,C <br />BUILDING $68,400.00 340 00 <br />PI.UMBING 24 00 <br />MECHANICAL 19 SO <br />OTHER <br />PEN.ILTY U.B.C. <br />SEC. 3CJ (a) <br />TOTAL 383 50 <br />PEfIMIT YALIDATION <br />WHEN PROPERLY VALIDATE7 (IN 7HIS SPACE) THIS IS YOUA PERMIL ij3 <br />_ _ . . � . . � l� <br />�' <br />_ p" <br />„ i � <br />ADDRESS fILL- <br />