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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�e� <br />everett <br />OWNER MAIL ADDRESS ZIP PHONE <br />Curt L. Lillibridge 4815 Glenhaven Drive <br />� <br />3 <br />I <br />ARCHITECT OR DESIGNER MAIL ADDRESS PF'ONE LICENSE NO. <br />GENEHAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />N <br />R.S.T. Construction Inc. P.O. Box 2157 252-6566 <br />Z <br />C <br />M.-CHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />cn m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Cn <br />CAS <br />PERMIT <br />❑COMBINATION <br />[BUILDING [PLUMBING ®MECHANICAL <br />CLASS OF WORK <br />_[Z NEW ❑ADDITION ❑ALTE9ATION ❑REPAIR T. <br />IF7l <br />VALUATION OF WORK <br />$ 56,000.00 <br />❑ DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Construct single family residence <br />PROPOSED USE <br />single family residence <br />MECHANIC,'IL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 28 BLOCK —OF Granada SeaV1eW Estates <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />U 35-29-4 <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />SPACE & WALL HEATERS - B.T.U. <br />5 00 <br />1 L <br />. <br />JOB ADDRESS <br />4903 23rd Avenue West <br />UNIT HEATERS-B.T.U. <br />I Gi <br />EVAPORATIVE COOLERS <br />PLUMBING <br />1 <br />CLOTHES DRYERS <br />3 1 00 <br />1 <br />VENTILATIONFAN <br />RANGEHCOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING U_ NIT- C.F.M. <br />BATH TUBS <br />$ 2 00 <br />I <br />CLOTHES WASHER <br />21 0 <br />WATER HEATER <br />DISH WASHERS <br />1 <br />_ <br />FAC. BUILT FIREPLACE a CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM: NO OF OUTLETS <br />;�LOOR DRAINS <br />1 <br />SUBTOTAL $ <br />0 1 00 <br />1 <br />_ <br />KITCHEN SINKS N DISP. <br />2 I 00 <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS -- RAIN LEADERS <br />I <br />TOTAL FEE S I <br />lo I oo <br />1 <br />SHOWER BATHS <br />2 OO <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />18�79 <br />SERVICE SINKS <br />SUMPS -SEWAGE PUMP <br />URINALS <br />1 <br />.L <br />WATER CLOSETS <br />6 1 00 <br />1 <br />WATER HEATERS - ELECTRIC <br />2 I 00 <br />WASH BASINS <br />I 00 <br />LAUNDRY TRAYS <br />`' O <br />I <br />I <br />1 <br />SUB TOTAL <br />I <br />PERMIT $ <br />TOTAL FEE <br />WATER <br />SER VICE $IZE BLDG. SUPPLY <br />SIZE <br />S ATILAE OF TRACTOR OR AUV. AGENT DATE <br />SITE YARD SETBACK <br />71-II <br />i <br />STREET SETBACK <br />251 <br />REAR YARD SETBACK <br />251 <br />PLAN CHECK NUMBER <br />78/737 <br />PLAN CHECK FEE <br />FEE RECEIPT NO <br />93.50 35419 <br />USE ZONE <br />R-S <br />LOT AREA <br />VACANT SITE <br />D ES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING <br />UNITS <br />1 <br />BUILDING <br />$ 56,000.00 <br />I <br />199 1 00 <br />SIZE OF BLDG. <br />281x621 <br />NO. OF SFORIES <br />3 <br />MAX.00C. LOAD <br />PLUMBING <br />281 00 <br />- <br />10 I DO <br />FIRE ZONE <br />3 <br />BASEMENT <br />Yes <br />FIRESPRINKLERS <br />REOUIES RONO ED <br />❑Y <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />- <br />MaximAm hei of 25 feet abovb average <br />PENALTY <br />SEC 303 (a) <br />elevatgn a e foot of the building. <br />TOTAL <br />237 1 00 <br />Y <br />:r <br />R•.•nr yyyx���-��'_•`}��r0TIO ` 9 ,^`� 1 <br />HEI�I!RS]IyNLV VNL TED UNIT ASPACE!1,93 BAIPE RM1T1 <br />_ <br />1 <br />: it` 10EIPT <br />YOU ` �� YOUR REC£IP9 <br />�. Y� <br />C2*70 <br />m a-- Y <br />AWIIr..ATI0NjLMFC 1� IE ISSUANCE IIY. <br />V.C. <br />1y <br />■ <br />