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` CITYOF ( "ASTRUCTIGN <br /> everett PERMIT <br /> CITY HALL 259.8745 PERMIT NO. 08807 <br /> EVERETT.WA 98201 ® COMBINATION ® BUILDINGGt7 MECHANICAL PLUMBING <br /> OWNER IJMLADORE6S Crtr <br /> Sherstad & Williams , inc. P.O. Box 419 Kirkland 98033 827-0494 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS <br /> CITYGINIMAL <br /> ZIP PHONE <br /> Same CONTR7Y ACTO MAIL ADDRESS ZIP <br /> C PHONE <br /> LICENSE/ <br /> MECHANICAL CONTRACTOR MAIL ADORE CITY <br /> ZIP PHONE 11LEN6E 1 <br /> PW MBING CONTRACTOR MAIL ADDRESS <br /> CITY ZIP <br /> PHONE IN:EN6E/ <br /> CLASS OF WORK <br /> Mw ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 65,500. <br /> DESCRIBE WORK <br /> Construct ILDSingle Family Residence <br /> PROPOSED USE OF BUING — --- <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OiPROPERTY ISNOWBELOW OR ATTACH FOUR COM ESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, <br /> LOT 5 BLOCK.—OF Cedar Ridge Estates 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 VIOLATE OR CANCEL THE PRO. <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> Q 12 2 8 47 CONSTRUC ON OR E PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRE66 SRiI RL g111Ay10 RAU IHORIZED AGEN I DATE <br /> 102 77th Place S.W. X <br /> PLUILM31N0filfCHANIC4/' <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET OIL AIN COND.UNITS—H.P.EA <br /> BATHTUB REFRIGERATION UNITS—M.P.EA <br /> 1 AMATORY ASH BASIN BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN BINK 8 DISP. 1 FORCED AIR SYSTEMS—B.T.U. MEA. <br /> DISHWASHER 6 Inn <br /> WALL HEATERS—B.T,LC M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> 1 CLOTHES WASHER 2 00 EVAPORATIVE COOLERS <br /> 1 WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— <br /> VACUUM PREAKERS <br /> STOVE <br /> ROOF DRAINS—RAINLEADERS 1 METAL FIREPI ACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC. <br /> SUB TOTAL 14 00 SUB TOTAL $ <br /> PERMIT f <br /> TOTAL FEE 6 _ — PERMIT 6 <br /> SIDE YARD SETBACKJu STREET SETBACK REAR YARD SETF`"e PLAN L IECK N'1MBEE TOTAL FEE { <br /> 60 PLAN CHECK FEE <br /> 201 201 FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITZ 8807 215. 15 <br /> R-1 BYES ONO FEES VALUATION E <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNITS <br /> V-N R-3 1 BUILDING <br /> SIZE OF BLDG NO.OF STORIES MAX.OCC.LOAD 6 65 ,500. 331 00 <br /> 42 1x5 5 1 1 PLUMBING <br /> FINE ZONE BASEMENT FIRE SPRINKLERS — 14 00 <br /> none REOUIREpp MECHANICAL <br /> f7YES 17W0 22 50 <br /> APPROVALS BY DATE OT4ER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> 2. BUILDING LLB C. <br /> PLANS SEC,303(e) <br /> 3. FIREHYDRINT TOTAL 367 50 <br /> 4. FIRE PROTECTION 8 PERMITT VALIDATION <br /> �1d. DRAINAGE NG W�1ET4 11-R-RLY VALI TED TIN THIS ISPACE)�H1615YOUR 3PERMITo -- <br /> 7. ENVIRONMENTAL IMPADT.£TATEMENT I l� U U O <br /> IT,C� CQ <br /> ' B. HEALTH DISTRICT � '1 I L i I I? IS'1=C E I PT 00--APPLICATION ICC.BY QLANS CHECKED BY APPR,FOR ISSUANCE BY r I O <br /> V.C. A al . YC U <br /> _ I I <br /> ADDRESS FILE <br />