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t1�e Erergreen C� V ST R U CT I O N <br />CITY OF <br />�verett pERMIT' PE�M,r n,o: 07323 <br />CITY HALL 259�d7A5 <br />ev�aerr, wn sex� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEP MAIL�UpHE55 CrtY ZIP PMONE <br />Lorelei Hanich P.O. Dox 5205 Everett 98206 258-4021 <br />ARCHITEGTORDESIGN[R MAILADORE55 CIiY ZIP PHONE <br />GENEPALCONTRACiOR MFILFCORESS GRY ZIP FIIONE LICENSEI <br />D. H. Enteneier 9219 Sth S.E. Everett 98205 339-7859 <br />IAECNANICAL CONTFiACiOR IAAIL ADDRESS GRY ZIP PHONE UCENSE 1 <br />PLUTABINGCONTRACTOR l.IAILFDORE55 !'IiY 21P PMONE LICENSEI <br />CLA55 CF YlORK <br />�' OEW LIADDITION ❑NLTERAiION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />g $$r0��.�0 <br />OESCRIBE WORH <br />Construct single family residence <br />PROPOSED USE OF pUILO,NG <br />single family residence <br />LEGAL �ESCRIPTION Oi PRJPERTY (SNO1Y OELOY/ OR ATTACN FOUR C <br />39 2 Broadway Farms <br />�or__u�ocK_oF <br />10709 9th Drive S.E. <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />Z WATER CLOSET (TOILET) <br />1 BATHTUB <br />Z LAVATOFiY �WASH BASIN) <br />1 SHOWER <br />CLOTHES V�ASNER <br />WATER HEATER <br />VACWM <br />nvur unnnvo — <br />SINK ISERVICE — <br />SIDE YAflD SETBACK <br />USE ZONE �' <br />R-S <br />SIZE OF OLDG <br />32'x74' <br />FIRE ZONE <br />3 <br />STRFET�FTBACK <br />25' <br />LOT AREA <br />14695 Sq. Ft <br />R- 3 <br />NO. OF STORIES <br />1 <br />nene <br />1. ENVIRONMENTAL CHEC�LST <br />2. BUILDING PLANS w <br />3. FIRE HYDRFNT N <br />4. FIRE PRQTECTJON SYSTE�d <br />� 5. GRADING c� ¢�q <br />G. DRAINf.GE �'� � <br />VZ ENVIRONh1EN7AL IMPAC�$TATEMENT <br />l HEALTH��I$T�ICT O <br />10}J A6R. BY <br />C 'p <br />CHECKED BY <br />V.C. <br />L 19-28-5 <br />S <br />S 2C <br />REAR VARD SET[ <br />25' <br />VACAN � SITE <br />X�ES L1N0 <br />NO.OF DWELLIN <br />1 <br />MAX OCC.LOAG <br />I HEREBY CERTIFY THAT I HAVE 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 CO�APLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TFIE GfiANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHGaITY TO VIOLATE OR CANCEI THE PRO� <br />VISIONS OF ANY OTHER STATF OR LOCAL lAW REGULATING <br />CONSTRUCTICN OR THE PERFORMANCE OF CONSTRUCTION. <br />S�IG�lACTUR�[O'�CONiPf.C�OROtiAUTHOPI2ED/GENi OnTE <br />�� �-cc�Lc c � � � c ) 4/1/80 <br />N0. <br />ENT <br />AIR COND. UNITS — HP. EA. <br />RLFf1IGEfiA710tJ U" — H.P. EA <br />BOILERS — HP. EA. <br />GAS FIflED AL. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />VlALL HEATERS — B.T U. M <br />UNIT HEATERS -- BT.U. M <br />P:APOHATIVE COOLERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — <br />STOVE <br />ldEfAL FIHEPIACE 8 CFill EY <br />SUB70TAL <br />PEFMIT <br />TOTAL FEE <br />PLAN CHECK NUM6ER <br />73�3 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAI <br />FEE 101.50 I 47�I8@IA�Ft�86 <br />� 58,000 <br />u.a.c. <br />SEC. 303 (a) <br />ret <br />203 00 <br />20 00 <br />15 �� <br />Toin� ; 238 00 <br />PEPMIT VAIIDATION <br />WaHEONPRGG=RLY�LIBNTEDQNTHIS�SP?C=)�HISIS$1 � jtvilOTo -- � <br />U JJ <br />N <br />M <br />'r''��� :EC�IPT YC��R RECEIPT o <br />APPR. FOR ISSUANCE BY! • �� rl � , i � .n ``!� �f (�j U. <br />