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i , , � <br /> rhe Erer,¢reen .. . � �:' .. � <br /> �.�,oF ��-_ ';aN�l`RUCTIO ��- � <- ; ; . .. <br /> �verett PERMfI' G'L'RMIT NO: 160��' <br /> CITY HALL 253�8745 c ' <br /> EVERETT,WA 902U7 � COMBINATION � BUILDING � MECHANICAL � PLUMBING i <br /> OWNER MAILAOOF1E55 CITV ZIP t�- PHONE <br /> Lessley Construction, Inc. 18204 Bothell Everett Highway ;;2 96012 "481-8566 <br /> AHCMITECT OR UESIGNER MAI�ADDRE55 GITV ZIP � PMONE <br /> GENEHAL GONTRACiOF MAIL AODRE55 CITV ZIP PHONE UCENSE/ <br /> Same LESSLI*210PK <br /> lAEGIIANICAL CONTRFCTOR MAIL ADORE55 GItY ZIP PHON`_ LILENSE x <br /> PLWdBINGCONTRFGiOR MAILAOORE55 GTY ZIP PHONE UCENSE• <br /> CLASS OF WORK <br /> �{}�(NEW ❑ AODITION ❑ ALTERNTIJN ❑REPAIF U DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATIOt!OF WORK <br /> s 62,000.00 _ — <br /> DESCFIBE WORK <br /> Construct Single Family Residence <br /> PROPOSEO USEOFBUIL�ING I HEREBY CERIIFY THAT I HAVE READ AND EXAMINEG THIS <br /> Single Family Residence qPPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESGRIPTIONOFPHOPERTYISH0IYBELOWORATfACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 6 BLOCK_OF Silver Lake Vista 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 VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW HEGULATING CONSTRUCTION OR THE <br /> G 30 28 5 pERFOR �}`I E NSTR CTION. <br /> SIGNATJdS�E F fl�N OR OR AUTH IZEO AGFNf ��pTE <br /> JOB AOORESS X � / <br /> 12023 14th Drive S.E. — <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EOUIPME T FEE <br /> WATEflCLOSET�TOILETI AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFFIGERATION UNITS— H.P.EA. <br /> LAVATORY�WASH BASIN� 901LERS— H.P. E�. <br /> SHOWER GAS FIRED A.C. UNITS — TONNAGE EA. <br /> ]. KI7CHEfJ SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. _ <br /> 1 DISHWASHER WALL HEATERS— B.T.U. �'1 <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WhSHER � EVAPORATIVE COOLERS _ <br /> WATER HEATER CLOTHES DRYEi75 <br /> UriINAL VENTILATION FAN __ _� �_ <br /> DRINKING FOUNTHIN RANGE HOOD _ 8— <br /> FLOOP DHAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM EREAKERS STOVE —N'OOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK;SERVICE-- DAR, ETC.) FIREPLACE IIJSEHT <br /> - HEAT PUMP <br /> SUB TOTAL S 20 00 SUB TO7AL S 22 SO <br /> PERMI7 S PERMIT 5 <br /> TO7AL FEE S 20 00 TO7AL FEE S 22 SO <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SEiBACK PLAN CNECK NU1d8ER PLAN CHECK FEE <br /> 6� 20� 20� FEE RECEIPT NO. <br /> 86/16023 Basic <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 �9XS No <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELUNG UNITS <br /> V-N R-3 1 eui�oiNc S 62,000. 319 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCQ LOA� <br /> PLUTABING 20 00 <br /> 1 <br /> I E ZONE BASEMENT FIRE SPRINKLEFS MECHA.4ICAL 22 SO <br /> 156�� Sq. Ft. R-3 REQUIaED <br /> None res o <br /> 5 APPROVALS BY �A7E OTHER _ <br /> L ENVIRONMENTAL CHECK UST PENALTY U.B.C. <br /> SEC.903 1a1 <br /> 2.BUILDING PLANS _ TOiAL 361 SO <br /> 3.FIREHYDRANT ,-. <br /> 4.FIRE PROTECTION SYSTEAu PEflM1T VALIDATION <br /> WHEN PROPERLY VALIDATED QN THIS SP,4��THIS IS�V�U�P�R�11T_ � <br /> 5.GRAOING � .. J <br /> 6.DRAINAGE - O <br /> '7.'ENVIRONMENTALIMPACLSTATEMENT CL <br /> �B:HEALTMDISTfliCT "� � , � � � �� <br /> �APPLICAiION ACC. BY �-aLANS CHECKED BY APPR.FOR ISSUANCE BY " � � ' <br /> —� , <br /> .. .-_, STG 5 <br /> � <br /> i <br /> .-' AD6P,ESS FILE �� � .'. . .� <br />