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the Evergreen <br /> CITY OF CO N ST R U CT I O N <br /> everett PERMIT PERMIT N0. 10935 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 ❑ COMBINATION ki BUILDING L MECHANICAL L PLUMBING <br /> OWNER MAIL APURLS, UTY <br /> Dorothy R. Miller 102 77th Place S .W. Everett 98203_ 355-26_22 <br /> F ARCHITECT OR DESIGNER MAR ADDRESS CITY Zu' Iv1ONE-HON - <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ITP PHONE LICE NSLA <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br /> PLUMBING CDNIRACTOR MAIL ADDRESS CITY ZIP PHONE IK:ENSEF <br /> CUSS OF WORK <br /> ❑NEW jtkDDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN LIGARAGE <br /> VALUATION OF WORK <br /> L 15,000. 00 <br /> DESCRIBE WORK <br /> Construct rec room and sun space <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 ISHOW BELOW OR ATTACH FOURCOPIE51 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 /> S; TION OR THE PERFORMANCE OF CONSTRUCTION. <br /> !00 ADDRESS - - - -- SIGNAL E OF NFL: TOR R AUTHORI D AGENT DATE <br /> 102 77th Place S .W. X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FF.E NO. PM <br /> TYPE OF EGUIENT FEE <br /> WATER CLOSET(TOILET) AIR COND. UNITS-H.P.EA. <br /> BATHTUB REFRIGERATION UNITS-H.P,EA <br /> LAVATORY ASH BASIN BOILERS-H.P.EA, <br /> SHOWER GAS FIRED AO UNITS-TONNAGE EA. _ <br /> KITCHEN SINK 6 DISP, FORCED AIR SYS(EMS-ELT U M EA <br /> DISHWASHER WALL HEATERS-8.TD. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.0 M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE-BAR,ETC. <br /> SUB TOTAL SUB TOTAL f 3 00 <br /> PERMIT f PERMIT f <br /> TOTALFEE i TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD 6ETBACKPLAN CHECK NUMBER PUN CHECK FEE <br /> 6' 201 20' 82/10935 71.83 FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 YES x,)ro FEES VALUATION FEE <br /> TYPE OF CONST I OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N Add'n R-3 1 <br /> SIZE OF BLDG. NO.OF STORIES MAX DCC. LOAD BUILDING S15,000. 110 50 <br /> Add' n 150 SQ. Ft. PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRF8.0 MECHANICAL <br /> S 3 00 <br /> APPROVALS BY 4 DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.BC. <br /> 2. BUILDING PUNS SEC.903(a) <br /> 3. FIRE YYDRANT TOTAL 113 50 <br /> 4. FIR'PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> I 5. 'TRADING <br /> S. ORAINAOE F Lr) <br /> LI' 7. ENVIRONMEF L IMPAC~7ATEMENT I I O. O —^ <br /> HEALTH T 1 7 2 6 ) <br /> { ffPLICATK)� AC;;BY @MWS CHECKED BY APPR.FOR ISSUANCE BY <br /> MC w IIWM LC YOUR RECEIPT <br /> 0 m— e s THANK YOU <br /> ' • <br /> C 'R ADDRESS FILE <br />