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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />�e <br />OWNER MAIL.:)ORESS ZIP PHONE <br />Curt L. Lillibridge 4615 Glenhaven Drive <br />m <br />M <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />R.S.T. Construction Inc. P.O. Box 2157 252-6666 <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />9 <br />00 <br />Ul m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Cn <br />W <br />PERMIT <br />❑ COMBINATION <br />[})BUILDING ®PLUMBING ®MECHANICAL <br />CLASS OF WORK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 56,000•00 <br />- <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Construct single family residence <br />PROPOSED USE <br />single family residence <br />MECHANICAL <br />— <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGALDESCRIPTICNOFPROPERIY(SHOW PELO'W OR AT TAC H <br />FOUR COPIES) <br />LDT 28 BLoc�OF__ Granada SeavieW 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 />1 <br />U 35-29-4 <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />5 00 <br />JOB ADDRESS <br />4903 23rd Avenue West <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.'F.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />1 <br />CLOTHES DRYERS <br />3 I 00 <br />1 <br />VENTILATION FAN <br />2T 00 <br />RANGEHOOD <br />I <br />NO. <br />TYFE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ 2 00 <br />_ <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP CUTLETS <br />I <br />FLOOR DRAINS <br />I <br />1 <br />KITCHEN SINKS & DISP. <br />2 I 00 <br />SUB TOTAL S <br />0 I 0 <br />BAR SINKS <br />1 <br />PERMIT $ <br />ROOF DRAINS — RAIN LEADERS <br />1 <br />TOTA1. FEE $ <br />io_Ion <br />1 <br />SHOWER BATHS <br />2 1 00 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTPUC <br />TION AUTHORIZED IS 140T 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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A <br />PION AND KNOW THE SAME TO DE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />GI NOT, THE GRANTING A PERMIT DOES NOT PRESUME TO <br />GIVE AUTiiOBITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ONY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SERVICE SINKS <br />SUMPS — SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />6 I 00 <br />1 <br />WATER HEATERS -ELECTRIC <br />2 I OO <br />_ <br />WASH BASINS <br />8 I DO <br />LAUNDRY TRAYS <br />2 00 <br />1 <br />— _ <br />I <br />SUB TOTAL <br />28 I 0 <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE_ BLDG. SUPPLY <br />SIZE _ <br />5 c, n OFTX�NTRA.CTOR OH nU .AGENT DATE <br />SIDE YARD SETBACK <br />7Y" <br />STREETSETBACK <br />25' <br />REAR YARDSETBACK <br />25' <br />PLAN CHECK NUMBER <br />78/737 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />93.50 35419 <br />US• ZONE <br />R—S <br />LOT AREA <br />VACANT SITE <br />[34S ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP NO. <br />UNITS <br />R-3 <br />OF DWELLING <br />], <br />BUILDING <br />$ 56.000.00 <br />1991 00 <br />SIZE OF BLDG. <br />261x621 <br />NO. OF STORIES <br />3 <br />MAX. OCC. LOAD <br />PLUMBING <br />28 100 <br />I <br />FIRE ZONE <br />3 <br />_ <br />BASEMENT FIRE <br />yes R <br />SPRINKLERS <br />QUI❑YESED ❑NO <br />MECHANICAL <br />10 I 00 <br />SPECIAL CONDITIONS: <br />OTHER <br />MaximMm hei of 25 feet above averse <br />PENALTY <br />SEC 9071a1 <br />elevat;gn a •.he foot of the building. <br />TOTAL <br />237 1 00 <br />Icy o ` 9 9 rw, 1p, 1 <br />FEE tt•IQK�/�,fILY V11NL� ATED (IJAI#PACER L1919 VYVR PE9MIT1 <br />r <br />: iZ`itECElP7 YOUR RECEIPT, <br />,!K YO U TH44K Y 40 CA) <br />, <br />_�� 1 ;• <br />0 1 r <br />o leu 7! 'r. p 1 Q <br />A ,� <br />A <br />.-c n <br />�^ <br />APP IICAIION4='F )IIY' <br />Y ANti 1:141 CK)U by APPOOvri) <br />V.C. <br />on LS11ANCL'IY <br />ADDF�KWFVLrr I ---A 1a_ i—I U .._. - <br />