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ri,e E��c rvcoF C. J N STR U CTI��I <br /> everett PER�IIIT PERMIT NO. 09293 <br /> CITY H4LL 259�8745 <br /> eveRerr.wn eazoi � COMBINATION � BUILDING Xn MECHANICAL � PLUMBING <br /> owmtH Mni�nooness cirv <br /> Sherstad & Williams , Inc. 10829 N.E. 6flth Kirkland 98033 827�8666 <br /> ARGNITECT OR DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br /> GENERA�C01liRl�CtOR MAIL ADDRESS GITY ZIP PHONE LICENSE/ <br /> Same <br /> 61CCHANICA�WNi{iACtOfi MAIL PDDRESS LITY ZIP PHONE LICENSE I <br /> PLUMpWGGONTFAGIDB l.IAILAD�RE55 CITY ZIP PHONE LICENSEI <br /> CLA55 OF WORK <br /> �JEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑G:MOLITIOfl ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OP WORK <br /> s 69 , 300. 00 <br /> oEscnioE woaK <br /> Construct single family residence <br /> PROPOSE�USE OF pUIL01NG — <br /> sinale familv r.esidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAP� <br /> iecn�oeseaianoNOFanoaearr�sHowoe�owoannncHFouacaPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 36 Fir—Ever ALL PROVISIONS O� LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN QR NOT. THE GRANTING OF A PFRMIT DOES NOT <br /> PRESUMETO aIVEAUTHORITYTOVIOLATEOHCANCELTHEPRO� <br /> VI�IONS OF ANY OTHER STATE OR LCCAL LAW REGULATING <br /> F 19-28-5 CO�: UCTIO R 1 ' PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORE55 5��:rASu 'OF GCNT ACl JR OR 1UtH0 'ED FGENT pAiE <br /> 1006 104th Place S .E. X �/�/�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE O UIPMENT FEE <br /> l4ATER CLOSET(TOILEn AIR COND. UNITS-�H.P.EA. <br /> BATHTUB Q Q(' � ?E��'iIGERATION UNITS—H.P. EA <br /> 3 LAVATORY�WASH BASIN) Fj OO BOILERS—H.P.FA. <br /> 1 SHOWER /� 00 GAS FIREO A.C.UNITS—70NNAGE EA. <br /> ], KITCHEN SINK&DISP. 2 OO 1 FORCED HIF S1'STFMS--B.T.U. M EA. <br /> 6 00 <br /> 1 DISHVJASHER 2 0 0 wa��HenTea;—a.r.��. rn <br /> LAUNDPY TRAY UNIT HE�T[RS—B.T.U. M <br /> ]. CLOTHES WASHER 2 Q Q EVAPORAI IYE COOLERS <br /> .1 VlNTEA HEATER Z OO CLOTHES DRVFRS � <br /> URINAL ]. VENTIIS,TION FAN <br /> 3 00 <br /> DRINKING fOUNTAIN ], RANGE HOOD 4 5� <br /> FLOOR DR:IN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS fiTOVE <br /> ROOf-DRAINS—RAINLEADERS ]. METAL FIREPLACE&CHIMNEY Q S O <br /> SINK�SERVICE—BAR.ETC.) <br /> SUBTOTAL 26 00 SUBTOTAI 5 27 00 <br /> PEfiMIT S PEHMIT E <br /> 70TALFEE 5 26 00 TOTALFEE S <br /> S�DE YAG7 SETBACK STFEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> S7� Z O� 2 O � FEE qECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE B d S 1 C <br /> �—I �XYES I]NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> V—N R-3 I <br /> BUILDING � 69 , 300. 343 00 <br />� SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br />� XX� �rX.� I PLUMBING 26 00 <br /> FIREZONE BASEMENT FIFESPRWKLERS <br /> yes REOSFED MECHANICAL 27 00 <br /> APPROVALu BY DA7E OTHEF <br /> L ENVIR^�JMENTAL CNECR LST PENA�-Y LLB.C. <br /> 2. BUILUING PL�NS �� SEC.303(a) <br />, 3. FIREHYDRANT TOTkL 396 �� <br /> 4. FIRE PROTECTION SYSTFM . . -. PEHMIT 4ALI�ATION�"� � 1 <br /> WHEN PROP[RLY VALIDFTED(IN THIS SPACE)THIS IS YOUR PERldIT <br />� � 5. GRADING � <br /> , . . , � <br /> �_ 6. DRAINAGE � ' � � � � �: �� ; i' <br /> F '�- 7. EN' '70NMENTAL IMPACT-STA'EMENT � � ' N <br /> — _ T_ <br />, B. Hh..LTH JISTRICT � '. Q7 <br /> ,-APPLICATION ACC.BY PLANS CHP'KED BV nPPi7 FOR ISSUANCE BY � � <br />