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dicGvergreen � �����`�K ������ <br /> QTY OF �'/C � �pA <br /> everett �G�'Y'I•� PERMIT NO. �92'�� <br /> CITY HALL 259�8745 <br /> eveaerr.wn sazo� x�COMBINATION � BUILDING 0 MECi1ANICAL � PLUMBING <br /> OWNER IdAILF0�FE55 (8 CITY 2iV PHONL <br /> Sherstad & Williams , Inc. 10829 . 447(TH St. Kirkland 98033 206-827-8G66 <br /> naaurecr oW oEsicr+en rnna aooness ciTv ziv ar�on�.. <br /> GENLNaLCONTRAGiOR MPILA�ORE55 CITY ZIP PHOME LIGEt15[e I <br /> Same — <br /> M1�EC�b11LCALCONiRACiOR MAILADDPESS CIiY ZIP PNCNE LICEtISCt <br /> PI.UMCINGf.ONiPACTOR Idl.ILAD�PESS CIiV ZIP PMONE LIGENSEY <br /> I <br /> C Lf�55 OF LY JRX <br /> '�EW ❑ADDITION ❑NLTERATION IJHhrldR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUATIOH OF WORK I <br /> ; 69 , 300. 00 I <br /> OESGdIBE YIORK <br /> Construct Single Family REsidence <br /> PROPOSEO USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFI' ThAT I HAVE READ AND EXAMINED THIS AP- <br /> ��cn�oescaianoNOFanoaenrrts�wwoe�owonnnncr+rouacoriesi PLICATION AND KNO\N THE SAME 10 BE TRUE AND CORRECT. <br /> 34 Fir-Ever ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or oiceK_oF TYPE OF WORK WILL BE COI�IPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHOHITY TO VIOLATE OR CANCEL'�HE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> F 19 2 8 5 CON CTION OR T�iE PERFORMANCE OF CONSTRUCTION. <br /> — SiGN. IUR PCOtJi GORO FU1��ORIZE�AGENi fAE <br /> JO�AODRE55 � <br /> 10924 lOth Drive S .E . X � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 3 WATER CLOSET(TOILET) E� OO A�R COND.UNITS—H.P.EA. <br /> 1 BATNTUB z Q O REFRIGERATION UNITS—H P.EA <br /> 3 LAVA"iORY!'.7ASHBASINI Ei OO BO�LFRS—H.F.EA. <br /> Z SHOWE`� GAS FIRED A.C. UNITS—TONNAGE EA. <br /> ;� KITCHF.N SINK&DISP. z OO �. FOPCED.41R SYSTEM1IS—9 T.U. M EA. 6 OO <br /> 1 DISHWASH[R 2 O WALLHEATERS—BTLL M <br /> LAUNDRY TRAY UNIT HEATERS—B T.U. M <br /> 1 CLOTHES WASHER E\�APORATIVE COOLERS <br /> ]_ WATER HEATER 2 C.0 1 CLOTHES DRYERS �I S O <br /> URINAL 1 VENTILATION FAN B OO <br /> DRINKING FOUNTAIN <br /> 1 RANGE HOOD A S O <br /> AIR HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINL ADERS <br /> z METAI FIflEPLACE&CHIMNEV B OO <br /> SINK(SERVICE—BAR.ETC.1 <br /> SUBTOTAL SUBTOTAL 5 27 00 <br /> PEHMIT S PERMIT _ 5 <br /> TOTAL FEE 1 2 6 TOTAL FEE S Z� �0 <br /> SIDE YARD SETBACK SiREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEF <br /> PLAN CHECK PEE <br /> gX 6� 2� � 20 � 81/9292 FEE z�3 qs RECEIPiNO. <br /> USE ZONE � LOT AREA V�CANT SITE FEES VALUATION FEE <br /> X$tS ❑NO <br /> R-I <br /> TYPE Of CANST. OCCUPARNC3GROUP N0.OF DWEI.LING UNI'S <br /> V-N BUILDING s 69 , 300. 0 343 00 <br /> SIZE O`BLDG. N0.OF STORIEF MAX.OCG LOAD <br /> 1 PLUMBING ZFi OO <br /> PIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 2 7 OO <br /> Y05 REOUIRED <br /> ❑YES f <br /> APPRn/ALS <br /> BY DATE O?HER <br /> 1. ENVIROWldENTAL CHECI:LIST PENALTV U.B.C. <br /> , _ SEC,303(a) <br /> 2. BUILDINGPLANS 396 �� <br /> TOTAL r <br /> 3. FIRL NVDRANT - � — , <br /> 4. FIRE PROTECTION SYSTEM .. PERM�T VAUUATION <br /> WHEN PROPERLY VALIDATED(W THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING oN� <br /> < , 3 '' � . '� - c�tl <br /> 6. DRAINAGE � ' ` � , -- <br /> 7. ENVIRONMENTAI IMPACT STATEMENT �, � <br /> . B. HEALTH DIS7RIC7 - , 0 <br /> ,APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR'SSUANCE�Y � ' <br /> — v.c. j . . U <br /> I , <br /> �– ADDRE55 FILE ; ' � <br />