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,l <br />1dI1,-�Uanp* 4CONSTRUCTIOr* <br />Vverett PERMIT PERMIT NO. IL5426 <br />C' +Q�k'8814C i 9 S 0 f <br />EVERETT, WA 98201 U COMBINATION ❑ BUILDING C] MECHANICAL CI PLUMBING <br />INNER MA'L ADDRESS CITY ZIP PHONE <br />CENTEX HILLIS HOMES 826 SE EVERETT MALL WAY __EVERETT WA 98204 355-4492 _ <br />ARCHITECT OR 061CNER MAIL ADDRESS CITY 71P PHONE <br />GENERAL CONIRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />SANE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY 71P PHONE LICENSE a <br />KNEW ❑ AD01TION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />E 53,800.00 <br />DESCRIBE WORK New single family residence <br />PROPOSED USE OF BUILDP'0 <br />Single fw,"y residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE 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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER ;TATE OR <br />,LOCAJ, LAW REgULATING CONSTRUCTION OR THE <br />ERFO MANCE O CONSTRUCTION. <br />SIGNATU CONTpAqiO3 AUTHORIZED AGENT DATE <br />LEGAL DESCRIPTION OF PROPERTY SHOW DLLJI"051RACH FOUR COPIESt <br />LOT 117 BLOCK -IF Veralene Estates <br />L 12-28-4 <br />JOB ADDRESS <br />512 - 75th PL SW <br />PLUMBING <br />MEj24ANICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />O. <br />TYPE OF EOUIPMENI <br />FEE <br />WATERCLOScTITOILET) <br />_ <br />AIR COND. UIJITS — H.P. EA. <br />_ <br />j <br />BATHTUB <br />2REFRIGERATION <br />UNITS — H.P. EA. <br />j <br />LAVATORY WASH BASIN) <br />r, <br />An <br />BOILERS — H.P. EA. <br />2 <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINK 6 DISP. <br />_00_ <br />j <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />j <br />DISHWASHER <br />2 <br />An <br />WALL HEATERS — B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />1 <br />CLOTHESWASHER <br />An <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />A A <br />1 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />4 <br />40— <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />a <br />00 <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL t <br />SUB TOTAL S <br />18 <br />An <br />PERMIT 1 <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />18 <br />00 <br />SIDE YARD SETBACK <br />51 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />85/15426 <br />PLAN <br />FEE Basic <br />CHECK FEE <br />RECEIPT NO. <br />15426 <br />USE ZONE <br />R-3 <br />LOT AREA <br />VACANT SITE <br />YES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />���� <br />OCCUVANCY GROUP <br />R-3 & M-1 <br />N . OF DWELLING UNITS <br />1 <br />BUILDING <br />f53, 800.00 <br />295 <br />00 <br />SIZE OF BLDG <br />201:1 R-3 <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />PLUMBING <br />26 <br />00 <br />FIHBN� 1- <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRFD <br />YES NO <br />MECHANICAL <br />18 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C. <br />SEC. 303 (a) <br />00 <br />Y. BUILDING PLANS , <br />TOTAL <br />339 <br />3. TIRE HYDRANT C> <br />4. DIRE PROTECTION SYST <br />PERMIT VALIDATION <br />CI T <br />WHEN PROPERLY VALIDATED ON THIS ;Se Fj THIS YppFtPEIl <br />U 6 L 7 J C—VJ <br />T� Lo <br />�, `� I I E 1 TK..�.� <br />^, v !: Y O U <br />B.'IRADING <br />B.ORAINAGE <br />a <br />I.ENVIgON MJ=NTALIMPA iATEMENT <br />f,HEALTH ST ICT ,v <br />PLICATION A BY <br />s eb C) <br />M <br />o-0LANS CHECKED BY <br />o jef <br />APPR. FOR ISSUANCE BY <br />lc <br />2 0 sir 8 5 <br />W ADDRESS FILE <br />