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(heEve�grcen . .--�, cr y�NSTRUCTION � r��-� <br /> CITY OF <br /> everett PERMIT pERMiT N0. OHO9�J <br /> CITY HALL Z59�B745 0 COMBINATION � BUILDING Cx7 MECHANICAL � PLUMBING <br /> EVERETT,WA 98201 <br /> OWNER MAIL ADDFESS <br /> GITY ZIP PHONE <br /> Gordon E. Bjorg 4221 Thompson Avenue Everett 98203 252-7720 <br /> ARCHITECT OR DESIGNER MAIL ADDPE55 <br /> dTY ZIP PHONE <br /> GENERALCONTRACTOR <br /> MAIL ADORE55 CITY ZIP PHONE LICENSE I <br /> MECHANICALGONTRACTOR <br /> MAIL AOOFESS CItY 21P PHONE UCENSE� <br /> MAIL A��RE55 <br /> QTY ZIP PHONL UCENSE� <br /> PWMBING CANTRACTOR <br /> ClASS OF WOPN <br /> $}E.�Eyy ❑ADDI710N ❑ALTERATION ❑REFAIR ❑DEMOLTION ❑FENCE ❑SIGN f�ARAGE <br /> VALUATION OF WOAK . <br /> f 139 ,000. 00 <br /> DESCFIBE WOPK <br /> Construct single family residence <br /> raovoseo use oF euaoiuc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> single family residence pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ie�ra oescaiPnorv oF PaoPeerr isNow aE�ow or+nnncN Fooa wPiesi ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �I g�p�K�OF Granada Seaview Estates TYPE OF WORK WILL BE COMPLIED WITH WHETIIER SPECIFIED <br /> L0T #1 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH E PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> U 35-2 y-4 COjJSTRUCTION OR THE PERFORMANCE OF CONSTR�U ETION. <br /> SIGN�1\OFCON�FACT �U^RIiEDAGENT lO�lO�BO <br /> JOB ADDRE55 <br /> 4914 23rd. Av,nue West X � ✓` � <br /> McCHANICAL <br /> PLUMBINQ FEE <br /> NO. TYPE OF FIXTURE ON ITEM FEE 'N0. TYPE OF EOUIPMENT — <br /> 4 WATEn CLCSET QOILET) S AIR COND.UNITS—H.P.EA. <br /> REFRIGERATION UNITS—H.P.EA <br /> 2 BATHTUB BOILERS—H.P.EA. <br /> ( LqyqiORY(WASH BASINi GAS FIR[D A.C.UNITS—TONNAGE EA. <br /> SHOWER FORCED AIR SVSTEMS—B.T.U. M EA. <br /> 1 KITCHEN SINK 8 DISP. WqLL HEATERS—B�T�U. M <br /> DISHWASHER UNI7 HEATERS—B.T.U. M <br /> IAUNDRY TRAY EVAPORATIVE COOLERS <br /> 1 CLOTHES WASHER 4 OO 1 CLOTHES DRYERS <br /> Z WATER HEATER VENTILA7ION FAN <br /> URINAL 1 RANGE HOOD <br /> DRINKING FOUNTAIN qIR HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN S?OVE <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEI' <br /> ROOF DRAINS—RAINLEADERS Z O O <br /> 1 SINK ISERVICE—BAR.ETC.) <br /> SUBTOTAL S Z4 00 <br /> SUB TOTAL 4 6 0 0 = <br /> f PERMIT <br /> PENMIT 4 6 0 0 TOTAL FEE S <br /> TOTAL FEE f pLAN CHECK FE�0 6 4 6 <br /> SIDE YAR7D�E7BACK STREE7 SEZTSAOK REAR YA25SE7BACK PLAN CHECK NUMBER �EE 29 � �5 RECEIPT NO. <br /> 80 8095 143 .50 49878 <br /> USE ZONE LOT AREA VACANi SITE FEES VALUATION FEE <br /> ��S ❑NO <br /> R-S <br /> TYPE OF CANST. OCCUF.�NCY GROUP NO.OF DWE i NG UNI7S <br /> �_N R-3 BUILDING $ 139 , 000 345 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.00C.LOAD pLUMBING 46 00 <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL 24 00 <br /> 3 ❑OSIREAX <br /> QND <br /> APPNOVALS <br /> BY DATE OTHER <br /> PENALTY U.B.G. � <br /> t. ENVIRONMENTAL CHECK LIST SEC.303(a) <br /> 2. BUILDINGPLANS T�TA� 4].S 50 <br /> 3. FIRE HYDRHNT �� <br /> PEHMIT VALIDATION <br /> 4. FIRE PROTECTION SYST A� WHEN PROPERLY VALIDAIED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING R,ecS(�1'd2R'(C�Bp Shdll T��k .�XCEO I�s5 �C (� y� <br /> --6. DRAINAGE t_� � �� dDON��.L{ftg -a�ae�4e e�evat��ri� O'F� �`he U <br /> �. ENVIRONMLNTALIMPACT3TATEMENT fOOt O£ the building. � <br /> �. HEALTH DISTR�T F . . _ . � � ��� r, �. . �: I f T � <br /> qPPR.FOR IS$UANCE BY � ��`� <br /> ,_.Q,ppLICATION ACC L�Y "1'lANS CHfCKED B� � <br />