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i <br /> � <br /> 1 <br /> , w . I — — . ..__'"_� <br /> � �heEvergreen CONSTRUCTIOP� ' <br /> CITY OF � <br /> everett pERMIT PERMIT NO. 1ZO1�. a <br /> CITY HALL 259�8745 <br /> EVERETf,WA98201 �} COMBINATION � BUILDING � MECHANICAL � PLUMBING � <br /> OWNER MAILADORESS CITV ZIP PMONE <br /> Duane M. Berg 2704 128th Street S .W. Everett 98204 353-6229 ' <br /> ARGHITECT OF DESIGNER MAIL ADDRESS CITY ZIP PMONE <br /> GENERALCUNTRRCTOR F�nILADOHESS QTY ZIP PHONE LICENSEN I <br /> Same DUANEMB224DA <br /> MECMANICAL CONTPACTOR MAIL ADORESS CITY ZIP PMONE LICENSE M � <br /> PLUM9ING CONTRFCTOFl IAAIL AODRESS CITY ZIP PHONE IICENSE� <br /> ' CLASS OF WONK � <br /> Y�(NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VA�UATION OF WOflK <br /> S 52 � 0��.�� <br /> DESLRIBE WORK <br /> Ccnstruct Singl=Family Residence <br /> PROPOSEU USE OF BUILOING <br /> Single Fnmily Residence I HEREBY CERTIFY THAT I HAVE READ PND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPEflTY�SMOW BELOW OR ARACH FOUfl COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 10 BLOCN_OF Valley View #II GOVERNING T��IS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR C THE PROVISIONS OF ANY OTHER STATE OR <br /> U 8 28 5 LO LA REGULATING CONSTRUCTION OR THE � <br /> P FO A CE OF CONSTRUCTIOJN <br /> JOBADDRE55 SI N EOf ONTFACiOROR�RF'�M�OJRI2ED ENT 6/1/83 <br /> 8014 24th Drive S .E. � <br /> PLUMBING MECNANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSE7(TOILE7) 6 00 AIR COND.UNITS— H.P. EA. <br /> � 1 BATHTUB REFRIGERATION UilITS— H.P.EA. - <br /> LAVATORY(WASH BASIN) BOILERS — H.P. EA. <br /> . SHOWER GAS FIRED A.C.UNITS—70NNAGE EA. J <br /> 1 KI7CHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. � <br /> 1 DISHWASHER WALL HEATERS— B.T.U. M <br /> � LAUNDRYTRAY UNIT HE�TERS— B.T.U. M <br /> �� CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 1 CLOTHES D(iYERS I <br /> � URINAL 1 VENTILATION FAN � <br /> ORINKING FOUNTAIN 1 RANGE HOOD � <br /> � FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD � <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPUCE INSERT � <br /> HEAT PUMP I <br /> � <br /> � SUBTO7AL f ZQ 00 SUBTOTAL S 12 00 I <br /> PERMIT f PERMIT S I <br /> TOTAL FEE S TOTAL FEE S 12 00 �� <br /> SIDE YARD SETBACK STfiEET SETBACK REAR YARD SE78ACK PLAN CHEGK NUMBER PLAN CHECK FEE � <br /> � 6 � 20� 20 � 83�12011 FEElB� gs BRECEI ZONll i <br /> USE 20NE LOT AREF: VACANT SITE <br /> R-1 :�S CNO FEES VALUATION FEE <br /> TYPE OF CON57. OCG' �ANCY GROUP NO.OF DWELLING UNI7S <br /> V—N x-3 1 BUILDING a52,000. 289 00 <br /> SIZE OF BL�G. NO.OF STOtilES MA%.OCC. LOAD <br /> 1390 SQ. FC. Z 5 PLUMBING 24 00 <br /> FIflE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL 12 00 <br /> None RE�UIRF� <br /> � �.�YES !YO <br /> APVROVALS BY OATE O7HER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(a) <br /> 2.BUILDINGPLANS � 32S 00 <br /> 3.FIREHYDRANT � TOTA� <br /> 4.FIRE PROTECTI�1 SYSTE PERMIT VALIDATION <br /> � GRADIN WHEN PROPERLY VAIIDATE�(IN T�f64GE)THl�lf►Y�l�p.qEq►71T � � <br /> � 024. 00 — 3 " ° c � uu <br /> , �RAINAG� M - . <br /> � <br /> .ENVIRON N IMPA ATEMENT N <br /> EALTHOI�fFOCJf ,t YJ�U�R � RECEIPT r-+ <br /> �pUCATION.A .BY �ANS CHECKED BY APPR.FOR ISSUAN R R E C E 1 PT - � <br /> ��+ -� TNANK YOU <br /> � m �' xwM Lc il, NK YOU <br /> c -o <br /> � L ��g� - � ,� 83 <br /> ADDR�SS�FICE 8 3 <br /> 1 - - <br />