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!he£verRroen ,� `O N ST R U CTI O� S <br /> CITy OF <br /> eveALi �.� PERMIT PERMIT NO. 1 � ;-%73 <br /> EVEREIT,WA 98201 � COMBINATION � BUILDINfi � MECHANICAL � PLUMBINQ � <br /> �N�� MML ADDRESS CITY ZIP PMONE <br /> Norman J. Ramquist P.O. Box 701 Bothell 98041 483-8618 <br /> r1RCHITECT OR OESIGNEfl MAIL AD�RE55 CITY ZIP PHONE <br /> GENERALCONTRACTOR MAILADDRE55 CITY ZIP PMONE LICENSE• <br /> Norm Ramquist Conatruction Inc. NORMRCT172HR <br /> MECMANICFL LONTRACTOR MAIL ADDRE55 CITY ZIP PHOI:E LICENSE P <br /> PLUMBING COHTpACTOR MAIL ADORE55 CITY 21P PHONE LICENSE I <br /> CLF55 OF WORK <br /> }�NEW L� ADDITION ❑ ALTERATION ❑IiEPAIR G DEMOLITIGiJ ❑ FENCE ❑ SIGN O Wp0�1 STOVEIFIREPLACE INSEFT <br /> VALUATION OF WORK <br /> S 119�000.00 <br /> DESCRIBE WORK <br /> Construct Single Family Residence <br /> PROPOSlD USF.OF BUILOING <br /> Single Family Residence I HEREBY CEPrIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION . ''D KNOW THE SAME TO BE TRUE AND <br /> 'LEGFLDESCflIPTIONOFPPOPERTY;SM']WBELOWOR4TTACHFOUpCOPIES) CORRECT. ALL PHOVISIONS OF LAWS AND ORDINANCES <br /> 25 Ker.i�v,-th Hills #5 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT__BLOCK_OF_. . <br /> WHETHER SPECIFIED HEREIN OR NO"f.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE I\UTHORITY TO VIOLATE <br /> - OR CANCEL THE PRO�'ISIONS OF ANY OTHER STATE OR <br /> D 2 28 4 LOCAL LAW REGULATING CO TRUCTION OR THF <br /> PERFO A E OF CONSTRUC <br /> JOBADDRESS GNA OF R4CTOR ORAUT NT • OATE <br /> / <br /> 5205 23rd Avenue West X / /' i � / <br /> PLUMBING ME HAN AL � � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERCLOSET�701LEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER ! GAS FIRED A.i'. L'NITS—TONNAGE EA. I� <br /> KITCHEN SINK 8 DISP. Z FORCED AIR SYSTFMS— B.T.U. M EA. 12 00 <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> � LAUNDRYTRAY , UNIT HEATEFS— B.T.U. M <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS <br /> 2 WATEF HEATER CLOTHES DRYERS <br /> URINAL , VENTILATION FAN <br /> DRINKING FOUNTAIN 1 RANGE HOOD <br /> FLOOR �RAIN AIR NANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAI:JLEADEFS 1 METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE— BAR.ETC.) FIREPLACEINSERT <br /> 1 i HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PEflMIT S PERMIT f <br /> TOTAL FEE f 36 00 TOTALFEE f <br /> SIDE YARD SETBACK STREET SE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 7 � 2?� 2 � 85/14973 FEE z69��5 RE�EIPTNO. <br /> USE ZONE LOT AREA VACANT SITE FEES VAI,UATION FEE <br /> RS 24,508 Sq. Ft. %�Es :'ruo <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING 5 119,000. 480 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> 3218 Sq. Ft. 1 PLUMBING 36 00 <br /> FIRE 20NE B:.SEMENT FIRE SPRINKLERS MECH�NICAL <br /> RE�UIRED 37 SO <br /> fiVES - O <br /> APPRUVALS BY DATE O7HER <br /> 1.ENVIRONMENTAL CHECK LIST ('ENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRAN7 TOTAL 554 00 <br /> 4.FfRE PROTECTION SYS7EM PERMIT VALIOATION <br /> S.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUF PERMIT (L7 <br /> &DRAINAfiE � . - r r ' ..-�— � <br /> , i � <br /> �7.ENVIRONMENTALIMPACTSTATEMENT � <br /> -B:HEALTHDISTRICT -.�i �� <br /> rAPPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY , , , <br /> �� <br /> EB JEF LC . � � � � <br /> t <br /> � <br /> ADDRESS FILE � <br />