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1 <br /> r <br /> d)re,eTc7M•R PONSTRUCTIOP' <br /> (IIYUI <br /> everett PERMIT PERMIT NO. <br /> CITY HALL 259 8745 <br /> EVERETT,WA 98201 COMBINATION XE BUILDING MECHANICAL ❑ PLUMBING <br /> T OWNER MAH ADDRESS II, ZIP rnaN , <br /> Randy Bonsen 9011 4th Place Everett 98204 353-3215 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY SIP PHONE <br /> GENERAL CONTRACTOR MAIL AHDRFSS CITY SIP PHONE LICENSE-1 <br /> Horizon Construction 9011 4th Place _Everett 98204 353-3215 <br /> MECHANICAL CONTRACTOR MAIL ADDR(SS CITY 21P PHGNE LICENSE <br /> IIORIZC199LS <br /> r PLUMBING CONTRACTOR MAIL ADDRESS LIT! ZIP PRONE LICENSE A <br /> CLASS OF WORK <br /> W(iEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FEVCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> L 48,000.00 --- <br /> DESCRIBE WORK <br /> Construct Single Family Residence <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single Family Reeidence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACII FOUR CAP�ESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT—AJLBLOCK_—DF Highland Acres 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 REGULATING CONSTRUCTION OR THE <br /> E6 28 5 PEMANCE OF CONSTRUCTION. <br /> !OB ADDRESS SIGNA OFC ACTOR OR OR 2ED ACEMT D�TF�/� <br /> 409 58th Street S.E. X 1 -�= 43 <br /> PLUMBING MECHANICAL-- <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT �—FEE <br /> 2 WATER CLOSET)TOILET) AIR COND.UNITS— H P.EA. <br /> 1 BATHTUB _ 2 00 REFRIGERATION UNITS-H?.EA. <br /> 2 LAVATORY(WASH BASIN) _ 4 GO BOILERS-N.P.EA. <br /> 1 SHOWER 2 00 GAS FIRED A.C.UNITS-TONNAGE EA. <br /> 1 KITCHEN SINK S OISP. 2 00 FORCED AIR SYSTEMS-B.T.U. M EA. <br /> 1 DISHWASHER _ 2 OO WALL HEATERS-B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS- ELT U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL 2 VENTILATION FAN F <br /> _ DRINKING FOUNTAIN I RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C M. <br /> VACUUM BREAKERS STOVE-WOOD _ <br /> ROOF DRAINS- RAINLEADERB METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE-BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUI TOTAL i SUBTOTAL 3 <br /> PERMIT S PERMIT S <br /> TOTAL FEE f 20 00 TOTAL FEE S 22 50 <br /> SIDE YARD SETBA^,K STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 60 <br /> , I FEE RECEIPT NO. <br /> USEZONE LOT AREA VACANT SITE _83/11950 154.7 y�.q <br /> R-1 ;.YES . NO FEES _ VALUATION - k€E <br /> TYPE OF ONST. CUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 BUILDING = 48,000. 274 00 <br /> F B <br /> SIZE OLDG. NO.OF STORIES MAX.OCI.LOAD <br /> 1306 S4. Ft. PLUMBING 20 00 <br /> L FIRE ZONE BASEMENT FIRE SIPRI KLERS MECHANICAL 22 50EQ <br /> A+ <br /> ,.YES :7N0 <br /> APPROVALS BY DATE OTHER <br /> I.ENVIRONMENTAL CHECK�IST PENALTY BE <br /> SEC. <br /> 9EC.303 lAl <br /> I <br /> 2.BUIL04NO PLANS W TOTAL 316150 <br /> 3.FIRE HYDRANT w <br /> A.FIRE PROTE N SYS, PERMIT VALIDATION <br /> L RA IN �- + P�10REOLY VALID DTIN THI�SPAGE)TMI 9A'Q1R Pa1Wrt 91 <br /> AA DRAINAGE '^ u ( IUJ UU .7 77 bu LL Il 44 UU VV Cn <br /> g.ENVIRCNl AER LIMPA TATEMENT <br /> -B.HEALtr{OlSTMT YOUR RECEIPT ., <br /> —i <br /> CKVPLICATj(;N ff.BY j rLANB CHECKED BY APPR.FOR ISSUANC U R RECEIPT I Li�,•rl Y O U <br /> t✓+ O L HWM LC r, I PI I. YOU <br /> C -p <br /> 5 "15 LAY 8 3 <br /> A ApDRESS FILE <br /> gj <br /> L <br /> J <br />