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The L'vTOF O <br /> CIF <br /> TY ("'INSTRUCTION <br /> CI <br /> everett PERMIT PERMIT NO. 08806 <br /> CITY HALL 259.8745 <br /> EVERETT.WA 98201 ® COMBINATION ® BUILDING Q MEC4ANICAL PLUMBING <br /> OWNER MAIL AUURLSS uUr ZIP PHONE <br /> Sherstad and Williams, Inc. P.O. Box 419 Kirkland 98033 827-0494 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZI+ PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP FHONF LICENSE F <br /> ,IMBING CONTRACTOR MAIL ADD4F;S CRY ZIP PHONE LICENSE IT <br /> DLASSOF WORK <br /> RMEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f 67 , 500.00 <br /> DESCRIBE WORK <br /> Construct Single Family Residence R-1285 <br /> PROPOSED USE OF BUILDING <br /> Single Family REsidence I OEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROPERTY ISH TW BELOW OR ATTACH FOU LOT IES) — POCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 4 Cedar Ridge Eetatl+e <br /> LOT BLOCK—OF _ 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 /> CON RUCTI ORT PERFORMANCE OF CONSTRUCTION. <br /> SI AT IE OF MCT AUTHORIZED AG 1 DATE <br /> JOB ADDRESS <br /> 104 77th Place S.W. X <br /> PLUMBING CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) AIR CONIC UNITS_HP EA <br /> BATHTUB REFRIGERATION UNITS-H .EA <br /> 2 LAVATORY ASH BASIN BOILERS-H.P.E.A. <br /> SHOWER GAS FIRED AC.UNITS-TONNAGE EA. <br /> 1 KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS-8 U M EA. <br /> DISHWASHER WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 CLOTHES DRYERS <br /> URINAL 1 VENTILATION FIAN 3 00 <br /> DRINKING FOUNTAIN RANGE HOOD <br /> NIT- C.F.M <br /> FLOOR DRAIN AIR HANOlINO U <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY <br /> SINK SERVICE-BAR.ETC.) <br /> SUBTOTAL SUB TOTAL f -(- <br /> PERMIT f PERMIT f <br /> TOTAL FEE f20 00 TOTAL FEE f .22 <br /> SIDE YARD SETBACK STREET SETBACK HEAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6 201 201 8806 FEE -_- RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VA.UATION FEE <br /> R-1JJ'ES ONO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING $67 ,500. 337 00 <br /> SIZE OF BLDG NO.OF STORIES MAX OCC.LOAD --- <br /> PLUMBING 2 <br /> OAD2 O 00 <br /> 381 X60 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 22 50 <br /> None AYES XXIO <br /> APPROVALS BY DATE OTHER <br /> 1, ENVIRONMENTAL CHECKLIST PENALTY UAC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS r- <br /> TOTAL 379 50 <br /> 3, FIRE HYDRANT -� <br /> 4. FIRE PROTECTION SYSTEM PERM T VALIDATION r. <br /> _ 1 WHFPROPERLY VALIDPT ED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5, GMDING O <br /> 6. ORMNAGE - I' / 3 $ 3 31. 0 0 - CD <br /> 7. E RONMENTAL IMPACT STATEMENT , ; I <br /> e. H TH DI6TIT T O <br /> APPLICATION AOC.BY71 PLANS CIIECKED BY APPR.FOR ISSUANCE BY <br /> V.C. <br /> YCI U <br /> I' <br /> ADDRESS FILE <br />