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�he Lvergreen ^ r � e� � � `� � � ! , � <br />� <br />CITY OF � V� V V W <br />�V��l.l.l. ���'Y'��T PERMIT N0. C'B41T <br />CITY HFLL 259�8745 <br />eveaerr.wn �ezoi QtCOA+BINATION � BUILDING � MFCHANICAL � PLUMBING <br />OWNEH IAAILADDHLSS CIiY ZIP PN01lE <br />Sherctad & Williams _ P.O. Box 419 K.irkland 98033 827-0494 <br />ARGHR[GT OR �ESIGNEiI �dAR AD�RESS GITY 21P PNONE <br />GENEBALCONTRACTOR �dAI�AD�FE55 CITY 21P PHON[ LICENSEX <br />Same <br />MECHANICALCON7fiACTOR hlqllA�ORE55 GtY ZIP PNONE LICENSE� <br />PLUMBING <br />h1FIL <br />C1A55 OF K'ORK <br />�IEW I]ADDIT'ON ❑ALTERATION <br />UATION OF WORK <br />g 57,950.00 <br />Construct Sinqle Pamilv Reside <br />PROPOSED USE OF BUILDING <br />single family residence <br />LEGAL OESCRIPiiON OF PROPEflTY �SHOW �E10\V OR ATTACH FOUR GOPI65� <br />�or 1 aiock_oF Pir-Ever <br />10424 9th Drive <br />PLUM8ING <br />N0. TYPE OF FIXT <br />2 V/ATER CLOSET (TOILET) <br />1 BATHIUB <br />2 LAVATORY (WASH BASIN) <br />1 SHOWLP <br />.I. KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDPYTRAY <br />], CLOTHES WASHEFi <br />\NATEP HEATER <br />UfJNAL <br />DRINKING FOUNiAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — PAW LEADI <br />SINK ISERVICE — BAR. ETCJ <br />SIDF VARD SETBhCK <br />6' <br />USE ZnNE <br />R-1 <br />TYPE CF CONST. <br />V-N <br />SIZE OF BLDG. <br />45'X58' <br />FIRE ZONE <br />TOTALFEE <br />SiRGET ['�f.iB�iC�( <br />20' <br />LOT AREA <br />9157 Sq. Ft <br />OCCUPANCY GRJUP <br />R- 3 <br />NO. OF STORIES <br />BASEh1ENT 1 <br />none <br />t. ENVIRONMENfALCHECKLIST <br />2. OUILDING PLANS �,� <br />3. FIRE HYDRANT �'�� <br />4. FIRE PHOTECTION SYSTEAt <br />,,, i <br />�n 5. GRADING �� <br />o a DRAINAGE� � <br />c—� _— <br />� 7. ENV190NMEMAL I� P�CT ST�1fEMENT <br />] 8. HEACfH,D�STRICT � _ <br />IC'.TIOIdALC BY� PLANS CHECKED BY <br />�. � <br />—ij I V.C, <br />21P <br />❑REPAIF ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />FEE <br />REAR YARD SETFIACK <br />20' <br />VACANT SITE <br />f�S L1N0 <br />NO.OF DWELLING UNITS <br />1 <br />M,Vc. OCC. LOAD <br />FIRL' <br />BY <br />APPR,FORISSUANCE <br />PHONE LICENSE Y <br />I HEFEBY CERTIFY THAT I fiAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THiS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIE� <br />HER�'N OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />FRESUME TO GIVE AUTHORITY TO VIOLATE OP CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATII� ; <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGIJATU�RE 0�O�ITRFCiOFl ON AUiHORIZED AGENT DFTE <br />X [(//C �//LdG(i�.i�f4.f'L.0 <br />MECHANICAL <br />N0. TYPE OF EQUIPMENT <br />FIR COiJD. UNITS -- H.P. EA. <br />REFFIGERATION U�lITS — H.P. EA <br />OOILERS — N.P.EA. <br />GAS FIRED A C. UNITS — TONNAGE EA. <br />l FORCFD t.IR SYSTEMS — B.LU. M EA. <br />WALL HEATERS — �.T.LL M <br />IINIT HFATERS — B.T.U. hi <br />EVAPORATIVE <br />VENTILATION PAN <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />CHECK NU�d6ER <br />�UILDING <br />PLUMBING <br />IdECHANICAL <br />PENALTY <br />FEE <br />TOTAL S Z D <br />�71T S <br />1L FEE S z 5 <br />PLAN CHECK FE[ <br />FE° RECGIPT N0. <br />'Basic <br />VALUA710N FEE <br />557,950. <br />U.B.C. <br />SEC. 303 (a) <br />307 00— <br />20 00 <br />25 �5�' <br />TOTAL I I I <br />Pi:flMIT VALIDATION <br />W-I[N PROP[RLY VAUDATED (W THIS SPACEI7HIS IS YOUR PERMIT <br />(�.n�._ � 4E35 �301.00— � <br />� <br />;: c;,:IF'T `.'. '';' R'�C�IPT o <br />. ���' J � -'<''.��(. �i'(,JU <br />. i . <br />A,CJD 1�E'SS�FI L E <br />7 / GCT 0 � <br />. � <br />� <br />