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lht� Erer�;rrcn <br /> ������� ��or�sTRucriar� <br /> everett p�RMo`� PERlNIT NO. �L6O2? <br /> CITti HALL259�Bi45 <br /> EVERETI,WA98201 � COMBINAT�ON � BUILDING � MECHANICAL � PLUMBING <br /> OVMEfl MALL AU�RESS CITY ZIP PMONE <br /> Lessley Construction, Inc. 18204 Bothell Everett Highway #2 Bothell 93012 <br /> ARCHITECi OP�ESIGNEfl MAIL ADORE55 CRY 21P PHONE <br /> nai-aa�6 <br /> GENERA�GONiflACiOR MAILApORESS CIiY ZIP PHONE LICENSEx <br /> Same LESSLI*210PK <br /> IdEGMAMCAL CONTRFCTOR M1�AIL�.D�RE55 GTV ZIP PMONE LICENSE a <br /> PLUMBING CONTFACTOF MAIL FOORE55 GITY ZIP PHONE IIGENSE X <br /> GLASS OF YlORN <br /> �7NEN' ❑ ADDITI�N ❑ ALTERATION ❑FEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ �VOOD STOVFJFIREPLACE INSERT <br /> VAWATION OF WORK <br /> 4 F12�0��.�� <br /> �ESCPIBE WORK <br /> Construct Single Family Residence <br /> PR7POSE0 USE OF Bl11LDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND K�'OW THF. SAME TO BE TRUE AND <br /> LEGFL DESGRIPiION OF PFOPERiY15MOW BELOW OR ATTAGH FOUH COPIE51 CORRECT. P.LL PROVISIONS OF LAWS AND pRDINANCES <br /> 9 Silver Lake V:ista GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF , <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GNANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTFiER STPTE OR <br /> G 30 28 5 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR ANCE OF CO UC"fION. � <br /> J06 ADDRESS SiGNATIIR P GONTRAGTOR /PUiH P Z[D AGEM DATE � <br /> 12001 14th Drive a.E. X � Z- � / ,�'j��� �. <br /> PLUMBING MEf,HANICAL II <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> z WA7ERCLOSE7�TOILEn AIR COND.UNI7S- H.P. EA. <br /> z BATHTUB REFflIGERATION UNITS- H.P. EA. <br /> 2 LAVATORY�WASHBASIN) BOILERS- H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. � FORCED AIR SVSTEMS- B'LU. M EA. <br /> DISHWASHER WALL HEPTERS- A.T.U. M1� <br /> LAUNDRV 7P.AY UNIT HEi.TEfiS- B.T.U. M <br /> CLOTHE3 WASHER EVAPORA7IVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD � <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE - WOOU <br /> ROOF DRAINS- RAINLEA�ERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE- BAR. F.TC.) FIREPLACE INSEflT <br /> HEAT PUMP <br /> SU9 707AL + 20 00 SUB TGTAL 5 22 SO <br /> PEHMIT E PERMIT S <br /> TOTAL FEE 5 20 00 707AL FEE E 22 SO <br /> SIDE YARD SETBACK STREETSEi9ACK REAR YARO SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> %�fi 6� 20' 20' 86�16022 FEE BdSi RECEIFT NO. <br /> USE ZONE LOT AflEA VACANT SITE <br /> R-1 XXES . NO FEES VALUA710N FEE <br /> TYPE OF CONST. OGCUPANCY GROUP N0.OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. NO.OF STORIES MAX. OCC. LOAD BL'ILDING g (2,000. 319 OO <br /> 1560 Sq. Ft.P.-3 1 PLUMBING 20 00 <br /> ��` BASEMENT FIRE SPRINKLERS MECHANICAL <br /> �OnC RE�UIRED 22 50 <br /> YES O <br /> APPROVP.LS BY OATE OTHER <br /> 7. ENVIRONMENTAL CHECK LIST PEN.4LTY U.B.C. <br /> SEC.303 1a1 <br /> 2.BUILOING PLANS �� <br /> 3.FIREIIYDRANT -�' TOTAL 361 SO <br /> 4.FIHE PROTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GRADING � :WHEN PHOPEqL�'�VALIdATEDyIN TF IS�SPAC�E)THIS�IS-YqUR PE(71dIT _ �.0 <br /> ; , I I � ' � <br /> G.DRAINAGE � <br /> .7.ENVIRONMENTALIMPACTSTATE�dENT � <br /> cn <br /> ;B.HEAL1"H�ISTRICT �.._� . � � � � <br /> � a-� <br /> �APPLICATICN ACC. BY PLFNS CHECKED BV APPR. FOR ISSUANCE BY <br /> � STG <br /> I J ADDRESS FILE — ' <br /> l <br />