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the Evergreen <br />OF <br />CNNsTRu CTI©N <br />f <br />everett PERMIT <br />CIT1 HALL 2`19.8745 �-L <br />EVEHETT. WA 98201 {t I COMBINATION �]( BUILDING MECHANICAL <br />PERMIT NO. 10533 <br />kl PLUMBING <br />OWNER <br />MAI'. ADDRESS <br />Lllr <br />III- <br />1'110III <br />Hillis Homes Inc. <br />826 S.E. Everett Hall Way <br />Everett <br />98204 <br />355-4492 <br />ARCHITECT OR DL91GPJER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />_ <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE <br />LICENSE r <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE It <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE ' TENSE 1 <br />PUSS OE WORK <br />I&W (]ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE LJSIGN ❑GARAGE <br />VALUATION OF WORK --- <br />S 44,000.00 <br />Construct Single Family Residence <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />RU TIUN OR T E PER RMANCE OF CONSTRUCTION, <br />SIGNATU E 00 T AU IZED ENT DATE <br />Al <br />I LGAL DESCRIPMN OF PROPERTY SHOW BELOW OR ATTACH FOUR COPIES) <br />32 Veralene Estates <br />LOT_BLOCK_ <br />'OR Annn(•,,, <br />703 73rd Street S.W. <br />PLUMBING <br />CHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET OIL <br />AIR COND. UNITS - HP. EA <br />1 <br />BATHTUB <br />REFRIGERATION UNITS - H.P EA <br />_ <br />2 <br />LAVATORY ASH BASIN <br />BOILERS - H P. EA. <br />1 <br />SHOWER <br />2 <br />GAS FIRED A.0 UNITS - TONNAGE EA <br />1 <br />KITCHEN SINK A DISP. <br />2 <br />FORCED AIR SYSI EMS - B.T.U. M EA. <br />1 <br />DISHWASHER <br />7 <br />WALL HEATERS - B T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />CLOTHES WASHER <br />2 <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />1 <br />CI OTHE9 DRYERS <br />URINAL <br />1 VENTILATION FAN <br />1- <br />Pin <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT -- C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />SINK(SERVICE - BAR, ETC) <br />SUB TOTAL <br />20 <br />8013 TOTAL i <br />PERMIT 8 <br />PERMIT $ <br />TOTAL FEE $1 <br />20 100 <br />TAL FEE 8 <br />SIDE YARD SETBACK <br />T201 <br />STREET SETBAC.0 <br />REAR YARD SETBACK <br />2,01 <br />PLAN CHECK NUMBE9 <br />82/10533 <br />PLAN CHECK <br />FEE Basic <br />FEF <br />RECEIPT NO. <br />USE ZONE <br />R-3 <br />LOT AREA <br />VACANT FTE <br />XWES CINC <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONEY. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO, OF DWELLING UNITS <br />1 <br />BUILDING <br />$44,000. <br />25G <br />00 <br />SIZE OF BLDG. <br />1288 Sq. Ft <br />NO OF STORIES <br />1 <br />MAX. GOD LOAD <br />5 <br />PLUMBING <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />none <br />REOUIRED IRE SPRINKLERS <br />IIYES zwo <br />MECHANICAL <br />12 <br />00 <br />_ <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U BC <br />SEC. 3031a) <br />2. BUILDING PLANS ,0. <br />__ <br />TOTAL <br />288 <br />00 <br />3 FIRE HYDRANT N <br />A. FIRE RIVT ION SYSTEM <br />5. GRAD C60 <br />9 <br />PERMIT VALIDATION �1L ��•• <br />WHEN PROPERLY VALIDATED (IN THIS SPACEY41 I YOUR NER • �- <br />(Y) <br />I] l 3 <br />C <br />R RECEIPT' I, T�1'+1` YOW <br />A K ^� V O' Ut <br />i�wtBl <br />8. DRAI Erb A.7 <br />I. ENVIOBNIgBTAL INIPiM STATEMENT <br />�8. NEA ID ICT <br />APPLI C FiTKC BY PLANS CHECKED BY <br />EB HWI•I <br />APPR. FOR ISSUANCE <br />LC <br />A 12MY82 <br />ADDRESS FILE <br />i <br />J <br />