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�he £rcrAreen <br />n pr ��iY°� ���^ - CC�NSTRUCTIC��I <br />a'��`''1��� ��R�i� PERMITNO. �.653� <br />CITY HALL 259�A745 <br />EVERETT,WA98201 � COMBINATION ❑ B'JILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAODFE55 GITY 21P PHONE <br />Bcoker Realty 1321 SE Everett Mall Way Everett, faA 98204 348-3635 <br />FRCHpECT OR OESIGNER MAIL A�ORE55 CI7Y ZIP PHONE <br />GENERAL CONTqAGTOF MAIL AO�FE55 CITV ZIP PHONE IICENSE N <br />Tomjay Construction 1321 SE Everett Mall [+Iay Ever.ett, WA 98209 348-3535 TOMJAC2320J <br />MECMANIC.>L CONiRAC10F MFIL AOOFESS CIiY LIP PHONE LICENSE a <br />PWMBING CONTRAGTOR MAIL ADORESS CITY ZIP PHONE LICENSE e <br />� NEW ❑ ADDITION � ALTERATION ❑ qEPAIR ❑ DEMOLITIOW ❑ FENCE O SIGN O WO00 STOVFJFIREPLACE INSERT <br />.UATION OF WJRN <br />1 %2��0�. <br />Naco ccnstr��ction <br />PPOPOSED USi:Of BUIL�ING <br />Single family residence <br />�EGAL OESGRIPTION OF FROPERTY �SHOY! BELOYJ OR ATfFCH FOUP COPIES� <br />S. 280' of E'� of tract 29 Plat of Broadway <br />LOT _ BLOCK _DF <br />Farms No. 2, recorded ti. 13 Page 93. Er.cept <br />S 100' and excent W 30' as conveved to Sno- <br />nomisn co. tor road. L-19-28-5 <br />Lot E Short plat no. 8510110321 <br />JOB PODRE55 <br />10629 - 9th Dr SE <br />PLUMBING <br />N0. <br />3 WATEPCLOSET�TOILET� <br />j BATHTUB <br />fYPE OF FIXTURE OR <br />1 SHOWER <br />1 KITCHENSINKBDISP. <br />], DISHWASHER <br />LAUNDRY7RAY <br />1 CLO7HES WASHER <br />1 WATER HEA�ER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR URAIN <br />VACUUM BREAKERS <br />RUOF DRAINS — RAINLEADERS <br />SINY, �SERVICE — BAR, ETC.) <br />FEE <br />SU6 TOTAL <br />PEHMIT S <br />TOTAL FEE 5 <br />7SETBACK STFEET SETBACK REAR VARD SETBACK <br />G' 20' 20' <br />R-1 <br />TYPE OF CONST. <br />V-N <br />��3� <br />S28 <br />hi,1E ZO <br />26,494 sf <br />OCCUPANCYGR <br />R-3, M-1 <br />N0. OF STORIE: <br />1 <br />BASEMENT <br />APPROVALS <br />1. EHVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIiiE HVDRANT <br />4. FIRE PROiECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTA7EMENT <br />8. HEALTM DISTRICT <br />YES NO <br />1 <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINEC THIS <br />APPLICATION AND I<NOW THE SAME TO 9E TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOI r: � E <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE JR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAjUR€ UJ CONTqACTOR OR AIITMOR12E0 FGE11T / DATE � <br />X ..� ,� _ � �<�r4 //; �y �fr=� <br />MECHANICAL <br />N0. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.F. EA. <br />BOILERS — H.P. EA. <br />GAS PIflED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — 9.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOTHES OflYERS <br />( VENTILATION FAN <br />1 RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAI FIREPLACE & CHIMNEY <br />� FIHEFLACEINSERT <br />HF.AT PUMP <br />PLAN CHECK NUMBEI <br />86/16532 <br />FEES <br />Building Code <br />% <br />5118 TOTAL S <br />PEHMIT 5 <br />TOTAL FEE 5 <br />PLAN CHECK FEE <br />PEE l7,rj,1(j RECEIPT NO. <br />79052 <br />VAIUATION FEE <br />1! 50 <br />— Pi_UM91NG — I 29 00 <br />�OUSREDINKLERS MECHANICAL 34 SO <br />YES �NG <br />ir �ATE �� Additional Pl. n Check Fe Si 57 <br />_ 6�xtc�cTtoc Driveway SECC303 2�1 00 <br />BY I PLANS CHECKEO BY IAPPR.FORISSUANCE BY <br />bf.M. � JEF <br />L.C. <br />(a) <br />TO7AL 9� <br />.`l�l <br />PERMI7 VALIflA710N <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />.�DDRESS PIIF <br />