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theEvcrgreen -- � �`��NSTRUCTION �� �- <br /> CITY OF <br /> everett pERMIT PERMITNO. I �69� <br /> 259 - 8745 <br /> ❑ DEMOLITIOPJ � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIWG ❑ SIGN <br /> OWNER M4ILADORESS CITv ZIP PHC'IE <br /> KEN BERG 17928 - 43rd Ave NE Arlington WA 98223 659-6647 <br /> ARCNITECTOR�ESIGNER ldqILADDRESS CiT`! ZIP PNONE <br /> GENERALCONTRHCTOR MAILAODFE55 CITY 21P PHONE LICENSEr <br /> Ken 6erg KENBEC153RS <br /> MECHANICALCONTRNCTOR IAAIIADORESS CITY ZIP PHONE LICENSE� <br /> PLUMBINGCONTRACTOR MAILAD�PE55 Cliv ZiP P��ONE LICENSE� <br /> CLA55 OF WOPH <br /> �NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITIUN ❑ BUILDING RELOCATION <br /> VALUATION OF WOPK <br /> 5 �� 5��00�. <br /> OESCPIBE WORK <br /> New reside�ce <br /> NE�TSOURC[ <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUIt�ING <br /> Singl e family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION F,ND KNOW THE SAME l"O BE TRUE AND <br /> LEGRLDESCRe "IONOFPROPEPTY�SHOWpELOYlORAtTACHVOt1RCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE3 <br /> �or �6 eiocK _ oF Silver Lake Vl Sta GOVERNING THIS TYPE OF WORK WILL BE COMPI.IED WIT'ri <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR �OCAL LAW REGULATING CONSTRUCTION OR <br /> THEPERFORMANCE OFCONS7RUCTION. <br /> JO�AODRESS SI NI+iU O' F COP!TRA�TCp.AUtMOR'I JEO AGENT,OR 01YN DATE <br /> 12030 - 14th Drive SE � � � <br /> �`-L <br /> PLUMBING MECHANiCAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FOUIPMENT FEE <br /> WATER CLOSET�TOILET� � A�C-AMN�LG UNlTS-H.P. <br /> BATYTUB P Rp.FRIGERATIONUNITS-HP.EA. <br /> LAVATORY�WASH DASIN� BOILERS-BSLIHP. <br /> �_ SHOWER 5 GAS FIRED A�G UNITS-D.T.U. <br /> KITCHEN SINK 8 DISP. � FOFCED AIR SVSTEAIS-BS.U. M EA. 9 OO <br /> DISHWASHER WALLHEAT[RS-BTL. M <br /> LAUNDRYTRAY UNITHEATERS-BS.U. M <br /> CiOTHES WnSHER EVAPORATNE COOLERS <br /> UfiINAL � CLOTHES ORYEf75 6 50 <br /> DRINKING FOUNTAIN Z VENTILATION FAN �3 OO <br /> FLOOR DRAIN � RNNGE HOOD 5 5O <br /> BACKFLOWPPEVENTERS � WATEPHEATEq ( 5O <br /> ROOF DRAINS-RAINLEADERS WGOD STOVE <br /> SINK�SERVICE-BAfi,ETC.� METAL FIFiEPLACE 8 CHIMNEV <br /> FIREPLACEINSERT ,� � .,* <br /> HEAT PUMP ` ` '" �� <br /> GAS PIPING <br /> E%HAU57FAN <br /> r <br /> SUBTOTAL s 45 00 suet `- ' 41 50 <br /> PERMIT S PEH IT.� .� Q�n .� <br /> TOTALFEE S ({rj 00 TOTAL Q� 50 <br /> vnorurSEToncK qEnRS[ioacn SID[SETpACK PLANCHFCKNUMBER FFE "-I- •�R EIPTNO. � <br /> ' 20' 5' variance 86/6017 227.18 '1 ' AA[ <br /> USEZONE LDT4REF � . '�- �•� OY4J <br /> VACANisrte FEES .VALUATION FEE � <br /> -1 5000+sf . �7i('ES ❑"o ' <br /> TYPEOFCONST OCCU�ANCYGROIIP NOOFpWELLiNGUNrtS BUILDING ��7 OOO -�� ,•Co 44b O I <br /> ' -3 � PLUh1BING � ?j5��,� 45 0 <br /> $IZE OF BLLG NO OF STORIES MA% OLC LOAD - - <br /> 1456 + 440 � MECHANICAL S�WLi< v-65 .0� 41 0 <br /> INVESTIGATIONFEE qddl RT'�fa��Ek w 62 2 <br /> FIflE SPRINKLERS REOUIRED ❑YES O NO <br /> STATE BUILDING SURCHARGE «TEfi: 'A�'� •OO ,� O <br /> .�,• , � <br /> STATE ENERGY SURCHARGE � 5 O <br /> APPIICRTIONACG �Y PLANiCHECKE�BY AVPR FORISSUANCE�Y <br /> ORIVEWAY PERY117 <br /> sg jef 1c TOTAL 631 2 <br /> PERMIT VALIDATION <br /> VJHEN PflOPLf�I.V VALIOATED(IN THIS SPACE�THIS IS VOUR PERM1IIT <br /> � <br /> Q� <br /> �� <br /> �� <br /> r— <br />