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the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />` C INSTRUCTION <br />PERMIT <br />PERMIT NQL_ 16809 <br />❑ DEMOLITION 9COM13INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />CARROL & DARREL VALVICK 2409 - 74th St. Everett WA 98203 353-7067 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP MIONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP MIONF LICENSEE <br />Ryssel Homes Inc. 13029 Bothell Way Everett WA 98204 337--4000 RYSSEI23200 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP M(ONE LICENSEE <br />EXNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Vl IUATION Of WORN <br />F 81,800.00 <br />Demolish existing single family residence, construct new single family residence <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />ND <br />APPLICATONRTIFY ANDTHAT KNOWHAVE THE SAMEREADATO BE EXAMINED <br />AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF ONSTRUCTION. <br />SIGN915PE O CONTRACTOR. TITO 'ZED AGENT. OR OWNER DATE <br />X <br />LEGAL DESCRIPTION Of PROPLRTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _BLOCK 3 OF Buena Vista Home Tracts <br />Lot 3 and portion of Lot 2 (W 3 ft of N 145fi <br />O <br />JOB ADDRESS <br />2410 - 74th St. <br />PLUMBING <br />MECHA ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE'OFEGUIPMENT <br />FEE <br />WATER CLOSET (TOILET <br />15 <br />00 <br />AC - AMNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />3 <br />LAVATORY (WASH BASIN) <br />15 <br />00 <br />BOILERS - B T U ;H P <br />SHOWER <br />5 <br />00 <br />GAS FIRED AC UNITS -B.TU <br />KITCHEN SINK & OISP <br />5 <br />00 <br />FORCED AIR SYSTEMS - B T U M EA <br />DISHWASHER <br />5 <br />00 <br />'./ALL HEATERS -OFT.0 M <br />LAUNDRY TRAY <br />5 <br />DD <br />A <br />UNIT HEATERS - B T U M <br />CLOTHES WASHER <br />5 <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />inlinn <br />SINK (SERVICE - PAR, ETC 1 <br />5 <br />00 <br />METAL FIREPLACE A CHIMNEY <br />vacuum breaker <br />5 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />75 <br />00 <br />SUB TOTAL 1 <br />47_ <br />PERMIT <br />F <br />PERMIT III <br />TOTAL FEE <br />11 <br />75 <br />00 <br />TOTAL FEE <br />FRONT SETBACK <br />20' <br />REAR SEGIACK <br />20' <br />SIDE SETBACK <br />6' <br />PLAN CHECK NUMBER <br />86/16809 <br />FEE <br />363.03 <br />RECEIPT NO <br />80372 <br />USE ZONF <br />R-1 <br />LOT AREA <br />22,080 <br />VACANT SITE <br />[1 YES .NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />s81 ,800. <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO Of DWELLING UNITS <br />I <br />PLUMBING <br />75 <br />00 <br />SIZE OF BLDG <br />2154 + 484 <br />NO OF STORIES <br />1 <br />MAX OCC LOAD <br />MECHANICAL <br />47 <br />50 <br />FIRE SPRINKLERS REQUIRED 0 YES 0 NO <br />INVESTIGATION FEE <br />SPC BBA(P) <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />15 <br />00 <br />APMICATIONACC BY <br />sg <br />PLANSCHtCKEDBY <br />jef <br />API`R IOR I"AMNCE <br />lc <br />IIY <br />DRIVEWAY PERMIT <br />20 <br />DD <br />TOTAL <br />717 <br />50 <br />PERMIT VAI mAlinM <br />WHEN PROPEPLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />IdPillf!''i <br />