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the E1' CN <br /> CITY GF CO* ST R U CT I O N <br /> CITY <br /> AverettPERMIT PERMIT NO. 07850 <br /> CITY HALL 259.8745 <br /> EVERETT,WA 98201 Ej COMBINATION BUILDING I MECHANICAL Q PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Sherstad and Williams, Inc. P.O. Box 419 Kirkland 98033 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS LILY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE, <br /> Same SH ER SW 24613 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS OTY ZIP PHONE LICEN5E P <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> CLASS OF WORK <br /> IRLLEW ❑ADDITION []ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 67,000.00 - <br /> DESCRIBE WORK <br /> construct single family residence Plan S-868 <br /> PROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOURCORESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 22 Cedar Ride Estates ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOCK_OF gTYPE 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 /> R-1282894 CO TRUCTI OR THE PERFORMANCE OF CONSTRUCTION. <br /> SI AT PE OF RACE TH I AOENi DAT, <br /> JOB ADDRESS <br /> 18 76th Street S.E. X17 <br /> PLUMBING HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEENO. TYPE OF EQUIPMENT FEE <br /> 1 WATER CLOSET(TOILET) 2 00 AIR CONE).UNITS—H.P.EA. _ <br /> BATHTUB 2 00 REFRIGERATION UNITS-—H.P EA <br /> 1 LAVATORY ASH BASIN BOILERS—H P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINK 6 DISP. 1 FORCED AIR SYSTEMS—B T.0 M EA. <br /> 1 DISHWASHER WALL HEATERS—BT.U. M <br /> LAUI. )RY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER 9 EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS 3 00 <br /> URINAL 1 VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— CFM <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS 1 METAL FIREPLACE A CHIMNEY <br /> SINK SERVICE—BAR.ETC <br /> BUB TOTAL BUB TOTAL 8 <br /> 16 <br /> PERMIT { PERMIT 8 <br /> TOTAL FEE 8 14 0 10 = <br /> TOTAL FEE 8 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6 201 201 80/7850 FEE 110.5 RECEIPT NO <br /> 49279 <br /> VSE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING S 67000. 221 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX OCC LOAD <br /> PLUMBING 14 00 <br /> 24 'x36' 2 <br /> FIRE ZONE BASEMENT REQUIRED SPRINKLERS MECHANICAL 16 00 <br /> 3 none RYES WHO <br /> APPROVALS BY DATE OTHER <br /> 1, ENVIRONMENTAL CHECK LIST PENALTY 6tac <br /> EC.303(x) <br /> 2. BUILDING PLANS u' TOTAL 251 00 <br /> 3. FIRE HYDRANT va ppE�pp y� <br /> 4. FIRE PROTECTION SYSTINA pJLt N10 �y1 I A (IN THIVP,(10E`THIS IS�YQUF�PER�TO �— <br /> S. GRADING // 33 <br /> DRAINAGE <br /> . ENVIRONMENTAL IMPAG&ST TEMENT ILO R RECEIPT RECEIPT 001HEALTF1 IS LCT Y(-)U _ O <br /> PPLICAT BY NS CHECKED BY APPR.FOR ISSUANCE BY I 1/k NK YQ U <br /> J rn I V.C. <br /> C <br /> _ Ilauca0 <br />