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■ <br /> �heErcrerecrr �,---. �O�A�����I��� <br /> aiv oF v <br /> everett PE�MIT P�RM�� ��. 1��» <br /> CITY HALL 259�87d5 <br /> EVERETT,WA9B201 c� COMBINATION � BUILDING � MECkANICAL i%i PLUMBING <br /> OYJNF.R MAIL A�DRE55 qTY ZIP PMONE <br /> Ken Berg 17928 43rd Avenue Arlington 98223 659-6847 _ <br /> ' AflGMITEGT UR OESIGNEN MAI�ADDRE55 GrtY LIP PMONE <br /> GENERTL GONTRACTOP MAIL A�DRE55 CiTP ZIP PMUNE UCENSE M <br />� �[�A:Cl87t� <br /> MECY./. 4LWNTPRCTOH MAILAODRESS GIfY ZIP PtIONc LICENSEa <br /> PLUMBING GONIRACTOR MAIL AODRE55 'JITY ZIP PHONF UCENSE Y <br />` C1A550F WONN <br /> I �IEW O A�DITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE rJ SIGN ❑ WOOD STOVFJFIPEPLACE INSERf <br /> VAWATION OF WORK <br /> s 45,000.00 . <br /> pESCRIBE WORK <br /> Constr.uct Single Family Residence ._ <br /> PROPOSEO USEOi BUICDiNG I HEREBV CERTIFY THAT I HAVF. READ Af�� �"'!AMINED THIS <br /> Single Family Residence APPLICATION AND KNOW THE SAME TO bE TRUE AND <br /> �ec«oescaiaTioNOFarr�eHrr�snoweeiowoannncNFooacoaie�� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 40 Valley View 1'II 30VERNING THIS TYPE OF WORK WIL�BE COMPLIED WITH <br /> �or_eiocK_—oF � � - — WHETHER SPECIFIED HEREIN OR NOi.THE GRANTING Oi A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTIOM OF THE <br /> U 8 28 S PERFOR NCE OF CONSTRJCTION. <br /> JOB RDDR[55 SIG ATU F CONTRACiOR OR P . �NGENT DATE <br /> 8107 H�X7mtlt1HS 24th Drive S.E. <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 2 WA7ERCLOSET(TOILEn ^IR COND.UNITS— M.P.EA. ,_ <br /> *"_ <br /> 1 AATHT�B 2 0� �"�.FRIGERATION UNITS—H.P. EA. _ <br /> LAVATOFY(WASH BASIN� �I OO BOILERS— H.P.EA. <br /> SMOWER GAS FIFC:7 A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8�ISP. z 00 FOflCED AIR SYSTEMS— B.T.II. M EA. <br /> DISHWASMER z '.VALL HEATEFlS— B.T.U. M ' <br /> LAUNDRYTRAY UNIT MEATERS— B.T.U. M � <br /> I <br /> 1 CLOTHESWASHER Q OO E9APORA71VECOOLERS I' <br /> 1 WATER HEATER 1 CLOTHES�RYERS 50 <br /> URINAL <br /> 2 VENTILATION FAN _ I <br /> DRINKING FOUNTAIN 1 NANGE HO00 <br /> FLOOH DflAIN AIR IIANDLING UNIT— C.F,M. <br /> VACUUM BREAKERS 1 STOVE—WOOD � <br /> ROOF DRAINS— RC.INLEADERS METAL FIflEPLACE 8 CHIMNEV <br /> SINK(SERVICE— 9AR,ETC.) FIREPLAGE INSEflT <br /> ' HEAT PUMP � <br /> SUB TOTAL S SUB TOTAL f ZZ SO <br /> PEPMIT S PEflM1T S <br /> TOTAL FEE S ZB OO TOTAL FEE 5 22 SO <br /> SIDE YARD SETBACK STREET SETBACX REAR YARD SFTBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6, Z�� zQ� 83/12665 FEE 169.3 AECEIPTNO. <br /> 65537 <br /> USE ZONE LOT AREA VACANT SIT� FEES VALUATION FEE <br /> R-1 Es �.��.O <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF L•NELLING UNITS _ <br /> V-N R-3 1 BUILDING s 26U 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAO i6 00 <br /> PLUMBING <br /> 1270 S . FT. 1 . - <br /> FIREZONE BASEMENT REOUSRE� KLERS MECHANICAL ZZ SO <br /> ._ NOIIE :;YES _NO <br /> APPflOVALS <br /> BY DATE OTNER <br /> 1.ENVIRONMENTAL CHE LIST PENALTY � U.B.C. <br /> SEC.J03(a) <br /> 2.BWLDINGP�ANS o TOip� v 3�1 �0 <br /> 3.FIRE HVORANT `� <br /> 4.FIRE PROTECTION SYSTEM PERMIT VAIJDATION � r�I � ���O <br /> V�HEN PROPE9LY VALIDATED(IN THIS P �'fHIS I U � ---LC)' <br /> � S.GRADING " - �.. E.A � <br /> p�6.ORAINAGE•-" � � . ,�' o � <br /> { o7.ENVIRONME�7TALIMPAGTSTATEMENT � ' ^� <br /> �.-� — � ���, :a ,� ��:��, .� n PEeci�� <br /> �B.HEALTMDISR�ICT pp � �� � <br /> OOAPPLIClQJ`[1 C.BY PLANS CHECKED BY A?PR.FOR ISSUANCE�Y � : (� � . ��� ��e� }.'�J <br /> l�i ��i f:.� o � i, <br /> r� rn I <br /> � G� ewn� Lc �_ -o <br /> �' CJ A - E, OEC �3 <br /> , ADDR'eSS FlLE <br />