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Ihe Evergreen , O N ST R U CT I O� • <br /> everett r � <br /> PERMIT PERMIT NO. 15651 <br /> CITY MALL 259�87�5 <br /> EVfREtt,WA 98201 � CGMBINATION OO BUILUINO Q MECHANICAL � PLUMBINO <br /> OWNEA M�IL AO�PESS CITY 2io PNONE <br /> Inyrum 6 Sona Conetruction 2312 136th Place S.W. Lynnwood 745-9704 <br /> �RCHrtEGi OR OESIGNER MML AOpNE55 LILY ZIP PNONE <br /> OENEReI CONIfl�GiOR M�IL I100RE55 CIiY 21V PHONE LICEN9E/ <br /> Same INGRUS*150DM <br /> MECH�NIC�I CONTRICTOR MML ADDRE55 CIiY 21P PHONE IIGENSE� <br /> VWMBINGCONTR�CTOR MMl11�DRF55 CITV ZiP PMONE IIGENSE� <br /> C1�55 Of WORN <br /> {(�(NEW ❑ ADDI7ION ❑ ALTERAiION ❑REPAIP ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVE/FIREPLACE INSERT <br /> V�LUATION OF y�ORn <br /> s 59,000.00 <br /> DESCRIBE N'ORH <br /> Conatruct Single Family Residence <br /> PROPOSED USE OF BWLOiNG <br /> Single Family Aesidence I HEREBY CERTIFY THAT I HAVE FlEAD AND EXAMI�JED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LOESCRIPTIONOFPRO�FNTY�SNOWBELOWOR�TfACMfOUNCCPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 26 West Creek Div. N2 GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED'NITH <br /> lOT__BWCIt__OF <br /> WHETIIEF SPECIFIED HEREIN OR NOT. THE GRANTING �F A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCE'. THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL lAW RE�ULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB�DDRE55 SIG �fy1RE OF CONIP�CT 9 OR�ULNORI2E��GENT RlE <br /> 311 109th Street S.E. X � � < <br /> PLUMBINO MECHANICAL - <br /> N0. TYPE OF FI%TURE OR ITEM FEE N�—TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILETI Q AIR CON�. UNIiS — HP. EA <br /> 2 BATHTUB 4 �p HEFPIGERATION UNITS — M P. En <br /> 2 LAVATORY�WASM BASIN� BOILERS — HP. EA. <br /> SMOWEF GPS FIRE�AA. UNITS — TONNAGF E11. <br /> NITCHEN SINN d DISP. FORCED AIR SYSTEMS — B T.U. M EA. <br /> � OISHWASNER 2 WALL NEATERS — B.T.0 M <br /> LAU�+" � � tqAY UNIT MEATERS — B T.U. M <br /> 1 CLU' YlASHEH � EVAPORATNE COOLERS <br /> Wq1Lr HEATER Q� ], CLOTHESURYEFS <br /> URINAL VENTILATION FAN <br /> DFINNING FOUNTAIN RANGE HOOD <br /> FICOR ORAIN AIR MANDLING UNIT— C.F.M <br /> VACUUM BAFAKERS STJVE — WOOD <br /> ROOF DRAINS — RAINLEA�ERS METAL FIREPLACE 8 CHIMNEV <br /> SINK ISERVICE — PAR,ETC� FIREPLACE INSERT <br /> HEA1 PUMP <br /> SUBTOTRL f _ � SUBTOTAL f 9 00 <br /> PERMIT f PERMIT f <br /> TOTAL FEE f ZO OO tOTAL FEE f ��_ <br /> 1� <br /> SIDE YAHD SETBACN STREET SE78ACK REAR VARD SETBACK PLAN CHECK NUM9ER PLAN CMECK FEE <br /> 6� Z�� ZQ� BS/15651 FEE 154.�p RECEIPTN(1 <br /> USE 20NE LOt AREA VACAN7 SITE -- �—� � — -- � - <br /> R-1 2385 Sq. Ft. �XR No __ FEEs vn�unnoN —8� <br /> TVPE OP CONST GCCUPANCV GROUP -NO OF CWELLING UNIiS <br /> V-!J R-3 _ 1 eui�oiNc s 59,000. 310 00 <br /> SIZEDF.B�LDG�Y.. R_ NO OFSTORIES MA% OCC LOAD PLUMBINO i � �— —'--- ZO OO <br /> 1ZSZ e <br /> �22_$❑,�'t.' 9—__ _ _ _ _ _'- _ _ . _ ._ - <br /> FI17E ZONE I DASEMENT FIRE SPRINNLERS MECMANICRL -- <br /> Nune HFOIIIRED 9 �� <br /> vEs o <br />, RPPPOVAL6 BY OATE O7HER <br /> 1 6NVIHONMEN'4LCNECKLIST PENALTY U.BC <br /> 7.OUILDING PI/.NS '' �- SEC.J071a1 _ <br /> J.FIRE HVDRANT �.i TOTAI 339 �0 <br /> �.FIRE PROTECTION 5�'S1EM` PERMIT V�IIDATION <br /> 5 GRAOING �.�� 'i NM�N pf�jl PQNLN VALIDA f Eil pN TMIS SPACE�THIS IS VUUH PERMIT <br /> r [ (� l <br /> 6.ORAINAGE "—. �� / � J � T �I I '.i. � J "' j <br /> #:[NVIRONMENTAIIMP�CiSTATEMENT �� � <br /> .HEALiMU16TRICi - . I , , <br /> APPLICIITION ACC.BY ANS CMECKEU BY APVp FOR ISSU�NCE BY . , �- <br /> � <br /> ` jef <br /> . , ; <br /> ; <br /> �'� ADDRFSS F-1LE � '� �' ` � <br />