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rlu'(:'1'CITY OF <br /> ITYOF � CONSTRUCTIC �V <br /> C <br /> everett PERMIT I''r-:RMITNO. 14930 <br /> CITY HALL 259.8745 <br /> EVERETT•WA 98201 ® COMBINATION 4 BUILDING x MECHANICAL x PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Firstline 9K0 Construction 8 East Marilyn Everett 98204 353-1177 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRA-CT-OR- MAIL ADDRESS CITY ZIP PHONE LICENSE R <br /> Same Same <br /> - <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSER <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE R <br /> CLASS OF WORK <br /> XZ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> % 47,000.00 _ <br /> DESCRIBE WORK <br /> Construct Single Family Residence <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPFflTY IBNOW BELOW ON ATTACH FOUR COPIES( CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 17 Cedar Ridge Estates GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT-BLOCK-Of <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 STATE OR <br /> Q 12 28 4 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF GWRT TF <br /> 103 77th Place S.W. X 7 ?l 4 <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS- H.P.EA. <br /> 2 BATHTUB 4 00 REFRIGEFIATION UNITS-H.P.EA. <br /> 2 LAVATORY(WASH BASIN) 4 00 BOILERS - H.P. EA. <br /> I SHOWER OAS FIRED A.C.UNITS-TONNAGE EA. <br /> P 1 KITCHEN SINK A DISP. 2 00 FORCED AIR SYSTEMS-B.T.U. M EA. <br /> 1 DISHWASHER 2 00 WALL HEATERS-B.T.U. M <br /> LAUNDRYTRAY I UNIT HEATERa-B.T.U. M <br /> CLOTHES WASHEREVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 11CLOTHES DRYERS <br /> URINA, 2 VENTILATION FAN <br /> 6 SM— <br /> DRINKING FOUNTAIN 1 RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&C:IIMNEY <br /> SINK(SERVICE—BAR.ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUBTOTAL i 20 00 SUBTOTAL { 15 00 <br /> PERMIT { PERMIT { <br /> TOTAL FEE { 20 100 TOTAL FEE { 15 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 201 201 61 85/14930 FEE 175.18 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 76902 <br /> R-1 10,117 SQ. Ft. XXES nNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING {47,000. 269 50 <br /> SIZE OF BLDG NO.OF STORIES MAK.OCC.LOAD <br /> 10 S . Ft. R- PLUMBING 20 00 <br /> FIRE ZONEBASEMENT FIRE SPRINKLERS MECHANICAL 1S 00 <br /> REQUIRED <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> _ SEC.303[a) <br /> 2.BUILDING PLANS 304 50 <br /> 3.FIRE HYDRANT TOTAL <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT O <br /> B.DRAINAGE <br /> 7.ENVIRONMENTAL IMPACTSTATEMENT Aq' <br /> S.HEALTH DISTRICT ."I <br /> APPLICATION ACC.BY PLANS CHECKED BY <br /> JAPPR.FOR ISSUANCE BY ' <br /> EE JEF LC J`. <br /> ADDRESS FILE <br />