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._ -- _ � � -,� <br /> ..r` <br /> ' _ _--"� <br /> � _ <br /> !he Evergreen <br /> ��TY oF � <br /> CONSTRUC�10" ' <br /> pVPr�� PERMIT PERMIT N0. 12034 <br /> CI7Y HALL 259�8745 <br /> EVERETT.WA 98201 � COMBINATION � E �ILI)ING � MECHANICAL � PLUMBING <br /> OWNER � MAILA�DRE55 f:.fV 21P PHONE <br /> William J. Frodsham 31029 15th Avenue N.W. Stanwood 98292 435-9233 <br /> ' ARCHITECTORDESIGNER MAILAOORESS CITY ZIP PHONE � <br /> G'_NEflPL.ONTRACTOR MAIL A�DRESS CITY 21P PHONE LICENSI:/ <br /> Same <br /> MECMANIO.L CONTRAGTOR MAIL ADDRE55 CITV ZIP PHONE LICENSE Y <br /> PLUEIBING LONTPACTOfl MAIL AD�PEaS CITY ZIP PHONE LICENSE M <br /> • CUSS OF WORK <br /> �]{dEW ❑ ADDIT�ON ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE �SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORN <br /> Q4, 600.00 <br /> D�SCPIBE WORK <br /> Construct Single Family Resiflence <br /> ' PROPGSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPEFiY�SMOWBELOWORATfACHFCURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L0�5=1�LOCK 3 oF Hatch Heirs lst GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEHEIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PitESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THF PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW fiEGULATING CONSTRUCfICN OF THE <br /> ' R 20 29 5 PERFORMAN::��UCTION. <br /> JOBAUDRESS SIGN/•iUf':OFGDNT CTOR AUTHORIZEDAGENT OATE <br /> . 3110 25th Street _ X � <br /> PLUMBING MEC .�CAL <br /> NO. TYPE OF FIXTURE OR ITE'A FEE NO. TVPE OF E�UIPMENT FEE <br /> , 1 WATERCLOSET�TOILET) 2 00 AIR COND.UNI7S— H.P.EA. <br /> � ]_ BATHTUB 2 00 REFRIGERATION L1NIT5—H.P.EA. <br /> ,� LAVATORY�WASM BASIN) 2 BOILERS — H.P. EA. <br /> SHOWEq GAS FIRED A.C.UNITS—70NNAGE EA. <br /> j KITCHEN SINK 8 DISP. 2 00 FORCED AIR SYSTEMS - B.T.U. M EA. <br /> �ISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNCRYTRAY UNIT HEATERS— B.T.U. M <br /> � CLOTHES WASHER _ EVAPORATIVE COOLERS <br /> _� WATER MC-ATER CLOTHES DRYERS <br /> ' URINAL VENTILATION FAN <br /> � ORINKING FOUNTAIN RANGE HOOD <br /> � FLOOR DFAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM B!IEAKERc STOVE—WOOD <br /> ROOF DRAINS�- RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> ', SUBTOTAL i 12 00 SUBTOTAL f 1 00 <br /> PERMIT S PERMI7 S <br /> 7G�AL FEE 5 12 00 TOTAL FEE S <br /> � SIDE YAHD SETBAGK STREET SFTBACK REAR YARD SETBACK PLAN CHECK nUMBER PLAN CHECK FEE • <br /> FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE 83/12034 110.63 62839 <br /> . -:YES i.:NO FEES VALUATION FEE ,,, <br /> TYPE OF CONST. O�'CUPANCY GROUP NO.OF DWELLING URITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. NO.OF S70RIE5 MAX.OCC.LOAD BUILDIhG $ Z 4�BOO. ].']0 S O <br /> 720 Sq. Ft. 1 3 PLUMaING 12 00 <br /> � FIRE ZONE BASEMENT FIRE SPRINKLERS MECMANICAL 12 OO <br /> REOUIR <br /> None GYES .�10 — <br /> � ' APPROYALS BY DATE OTHEF <br /> 1.ENVIRONMeNTAL CHEC IST PENALTY U.B.C. <br /> SEC.303(a) <br /> . 2.BUILDINO PLANS o0 <br /> 3.FIREHYDRANT TOTAL 194 50 <br /> 4.FIRE 2H0T C N SYSTEM PENMIT YALIDATION <br /> �.GRADINC�' WHEN PROPERLY VALIDATED(IR TWfi�66NCE)THltly 1'�1�[i qEt1►AIT � <br /> g �j a b U 7 � 1 / J tl U <br /> � �.D'riAINA,SIG �'1 O ( G. O O �� J . � ' C� <br /> � ENVIRON_LIENTALIMPA�,j�STATEMENT � � <br /> .HE�.LT�I OIS CT IV CJ <br /> �PPLICATJ@N C. BY PLANS CHECKED BV APPR.FOR ISF.UfW6E 8Y R E C E I Fry� Y�� R REC�I Pt ••� <br /> � � ` ' ' � 1!-!�'�NK YOU <br /> � E HWM LC �'t{;!. ;��I� �(U U <br /> , Aa�E��5���3 � o ,� si <br /> , - - <br />