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P <br />the Evergreen <br />CITY OF <br />everett <br />�ONSTRUCTIOI<' <br />PERMIT <br />PERMIT NO. 10192 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 C] COMBINATION I BUILDING MECHANICAL PLUMBING <br />OWNER MAIL Ill CITY ill PHONE <br />Hillis Homes Inc. 826 S.E. Everett Mall Way Everett 98204 355-4492 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CHY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE E <br />Same <br />MECHAN CAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE LICENSE IT <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />yNN V• 11— kIAEW ❑ADDITION ❑ALTERATION LIREPAIR [-]DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION Of WORK <br />549E000.00 <br />n---......-.. nJ--ice a-..41.. DCai Ann no <br />PROPOSED USE OF BUILDING <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Single Family REsidenc0 <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION Of PROPERTY ISIIOW BELOW OR ATTACH FOURCOPIES) <br />85 Veralene Estates <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCOf <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />V ON OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />L <br />12-26-4 <br />N TRU TION PERFORMANCE OF CONSTRUCTION. <br />SIGN PE OON UIHORIZED AGENT DATE <br />JOB ADDRESS <br />413 74th Street S.W.IT <br />��— <br />PLUMBING <br />ECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />00 <br />AIR CUING . UNITS - HP. EA <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS - H P EA <br />3 <br />LAVATORY (WASH BASIN) <br />6 <br />00BOILERS <br />- H P EA <br />SHOWER <br />4 <br />JLCL <br />GAS FIRED AC UNITS -TONNAGE EA <br />_ <br />1 <br />KITCHEN SINK IS DISP, <br />FORCED AIR SYSTEMS - D T U M EA <br />6 <br />00 <br />DISHWASHER <br />2 <br />InnWALL <br />HEATERS - BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T,U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />4 <br />50 <br />WATER HEATER <br />1 <br />CLOTHES DRYERS <br />URINAL <br />1 <br />VENTILATION FAN <br />3 <br />0 <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />4 <br />50 <br />FLOOR DRAIN <br />AIR HANDLING UNIT - OF M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR. ETC 1 <br />SUBTOTAL <br />2 <br />0 <br />SUBTOTAL Y S <br />D- <br />PERMR _ <br />f <br />PERMIT $ <br />18 <br />00 <br />TOTAL FEE <br />f <br />26 <br />0 <br />TOTAL FEE <br />SIDE YARD SETBACK <br />: <br />STREET SETBAK <br />REAR YARD SETBACK, <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />51 <br />20` <br />201 <br />82/10192 <br />FEE Basic <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />g jrES '.IND <br />FEES <br />VALUATION <br />FEE <br />R- 3 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITE <br />BUILDING <br />E49,000. <br />278 <br />50 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OCC. LOAD <br />068 SQ. FT. <br />2 <br />PLUMBING <br />26 <br />00 <br />FIRE ZONE <br />BASEMENT <br />REOUIREFIRE <br />IOoN..K....LERS <br />MECHANICAL <br />18 <br />00 <br />none <br />AYES <br />IfNO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C <br />SEC 303 (a) <br />TOTAL <br />322150 <br />2 BUILDING PLANS <br />3 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PEST yµlON N--- <br />WL1),'NPF %AN ALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />° 9 3 5 •$ 27 S. 5 O --,< c b <br />5 GRADING <br />T <br />B DRAINAGE co <br />` <br />i 7 ENVIRONMENTAL IMP STATEMENT <br />1 <br />! • ' O <br />•� �� <br />J' R.Cr�Pr r, <br />B HEALTH DIS RICE <br />BY <br />BY <br />APPLICATION Ill Il SY <br />CHECKED BY <br />PLANS CHECKED By <br />APPR FOR ISSUANCE <br />APPR FCR ISSUANCE <br />iUo I <br />HWM. <br />L.C. <br />.T• <br />ADDRESS FILE <br />I°fLe'u, <br />