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the EvCg OF ^.ONSTRUCTION <br /> everett PERMIT {II }- <br /> CITY HALL 2590745 PERMIT fYO. O n 5 <br /> EVERETT,WA 99201 ® COMBINATION ® BUILDING CY] MECHANICAL i-] PLUMBING <br /> OWNERMAq ADDRESS CiTv tis' <br /> BraFo' Hanson 940 North 91st '-" PMONE <br /> Seattle 9 <br /> ARCHITECT OR 8103 52x1-1588 <br /> DESIGNER MAIL ADDRESS -� <br /> Cm ZIP HONE ' <br /> tV <br /> OENERALOOgTACTOR <br /> gMAIL ADDRESS CITY <br /> SS fla 111111 ZIP Fye PEKJNC IK.ENSE 1 <br /> M, <br /> MECHANICAL CONTRACTOR MAIL y ADDRESS CIP, <br /> ZIP PHONE LICENSE/ <br /> PLUMBING CONTRACTOR MAIL ADDRE68 CITY ZIP <br /> PIgNE LICENSE 1 <br /> CLASS OF WORK .Aµv�.� <br /> 1EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION OFENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> s 45,000. 00 <br /> DESCRIBE WORK <br /> Construct Sir gle Family residence <br /> PROPOSED USE OF BUILDING <br /> sin le faDlil residence IHEREBY CERTIFY THAT IHAVE READ AND EXAMINED THIS AP. <br /> LEGAL DESCRtPTIONOF P PERTYISHOWDELOWOR ATTACNFOURCOPoES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Lor 1 SI.00K_OFBeVerly Home Sites Div. 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 VIOLA OR CANCELTHE PRO. <br /> VISIONS OF ANY OTHER STATE OR LO AL LAW REGULATING <br /> COS UCTIO R T RF ANC[ F CONSTRUCTION. <br /> JOS ADpRESS fiiG "'A LO O i ](iIZ[D iE i DALE <br /> 118 76th Street S.W. X 3/19/81 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUI MENT FEE <br /> 2 WATER CLOSET(TOILET) AIR COND.UNITS-H R EA <br /> Z BATHTUB REFRIGERATION UNITS-H.P.EA <br /> 2 LAVATORY ASH BASIN BOILERS-H P.EA. <br /> 1 SHOWER GAS FIRED A C.UNITS-TONNAGE EA. <br /> 1 KITCHEN SINK A DISP. 1 FORCED AIR SYSTEMS-B T . M EA. <br /> 1 DISHWASHER WALL HEATERS-B T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER 1 CLOTHES DRYERS <br /> URINAL 2 VENTILATION FAN _ <br /> DRINKING FOUNTAIN I RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- CFM <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE A CHIMNEY <br /> SINK(SERVICE-BAR.ETC. <br /> SUBTOTAL 2 SUBTOTAL f 2 <br /> TOTAL <br /> FEE TAi PERMIT f <br /> Tf TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHMNuMBERPLAN CHECK FEE <br /> 1 <br /> USE ZONE LOT AREA 01 VACANT SITE DI E 169. 33 RE3LOb7 <br /> R- lO'500 Sq. I }Ij(�ES ONO VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITSV-NR-3 SIZE OF SLOG. NO.OF STORIES MAX.OCC.LOAD BUILDIN5,000. 260 50PLUMBIN20 00 <br /> FIRE ZONE BASEMENT FIRE SRP6RqIN,KLERS <br /> None REYOUIF TND MECHANICAL 2$ 50 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> PENALTY US <br /> 2. BUILDING PLANS BEC.309U) <br /> 3. FIRE HYDRANT �,I TOTAL 306 00 <br /> 4. FIRE PROTECTION 6Y M PERMIT VALIDATION <br /> 5. GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> Tv B. DRAINAGE �.� 5 C' i S $ 2 6 D. 0 <br /> 7. ENVIRONMENTAL IMPAW STATEMENT <br /> Lv B. HEALTy GBTRICTOID <br /> 00 APPLICATION ACC. BY ,_ PLANS CHECKED BY APPA FOR ISSUANCE BY �.- I L-pIT <br /> C:) <br /> t . <br /> l r' V.C. 1 U <br /> C- <br />