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the EvergreenCn N ST R U CT I O N <br /> (rtv of <br /> PERMIT PERMIT NO. <br /> evE',xett <br /> CITY HALL 2590745 <br /> EVERETT.WA 98 <br /> t0 <br /> 1 R COMWNATION Q BUILDTJG x MECHANICAL % PLUMBING <br /> rHDlh <br /> OWNED MAIL ADDRESS <br /> Sherstad & Williams , Inc. P.O. Dux 41 � Kirkla,Td 98033 827-0494 <br /> ZIF MIOME <br /> ARCHITECT OR DEE,ONEl <br /> MAIL ADDRESS <br /> PIK)NE LICENSE <br /> GENERAL CONIRAETOR <br /> WIL ADDRESS CITY ZIP <br /> Snme <br /> MECHANIGLCON'RACTOR <br /> MAIL ADDRESS CRY ZIP PNONE LK:EN6E 1 <br /> W G0 <br /> AUIL AODRE55 CITY <br /> NZIP $HONE IK;ENSE 1 <br /> CLASS OF WORK <br /> ANEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN C1GARAGE <br /> VALUATION OF WORK <br /> % 65 ,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 /> LEGAL GE6CRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 3 Cedar Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Lor BIOCK_�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 /> Q 12 2 8 4 CO RUCTI N OR TH PERFORMANCE OF CONSTRUCTION. <br /> ._ SIG ATU EOF ACTOR AUTHORIZED AGENT DATE J <br /> OR ADDRESS X <br /> 106 77th Place S .W. <br /> kMNICAL PLUMBINU FEE <br /> TYPE OF FIXTURE OR ITEM FEE TYPE OF EQUIPMENTWATER CLOSET OILET 00CONOUNITS NI H.P.EA <br /> TION UNITE—HPEP <br /> BATHTUB H P EAA.C.UNITS—TONNAGE EA. <br /> SHOWER R SYSTEMS—B.T.U. MEA. <br /> 1 KITCHEN SINK f DISP. <br /> WALL HEATERS—B,T.U. M <br /> 1 DISHWASHER UNIT HEATERS—B.T.U. M <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> 1 MLOI"EIWAHIASHER 1 CLOTHES DRYERS -511 <br /> 1 ATER <br /> 1 VENTILATION FAN <br /> RANGE HOOD <br /> FOUNTAIN AIR HANDLING UNIT— CFM <br /> AIN STOVREAKERSINS—RAINLEADERS METAL FIREPLACE A CHIMNEYVICE—BAR,ETC. <br /> PE <br /> BUB TOTAL $ <br /> SUR TOTAL PERMIT $ <br /> PERMIT f f <br /> TOTAL FEE f TOTALFEE <br /> PLAN CHECK <br /> 7IDE FEE <br /> SARD SETBACI. STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER RECEIPT N0. <br /> 61 251 25' 8805 F413.20 51952 <br /> LOT AREA VACANT SITE VALUATION FEE <br /> USEZONE <br /> R-1 *)'ES ONO FEES <br /> TYPE OF CONST. OCCUPANCY GROUP 170.OFD 1 LLINO UNITS <br /> V-N R-3 BUILDING $65 ,000. 328 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX DCC.LOAD <br /> 26'x60' PLUMBING 14 00 <br /> 1 <br /> FIRE ZONE BASEMENT REGEUS ELIDNKLER6 MECHANICAL 2 2 50 <br /> Nolte []YES igo <br /> APPROVALS BY DATE OTHER _ <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SECG031e1 <br /> 2. BUILDING PLANS TOTAL 364 50 <br /> S. FIFE HYDRANT _ <br /> PERMIT VALIDATION <br /> 4. FIRL'PROTECTION SYS-YM WHEN PROPERLY VALIDATED SN THIS SPACE f 516 16 Yfl fEVA)h O <br /> r $ U 14. 00 — 3 I a <br /> 5. ORAOINO ,,. O <br /> 6. DRAINAGE 00 <br /> ENVIIIONMENTAL IMPAr,k6TATEAIENT CO <br /> U .I <br /> HEALTH DISTRICT ,: I'i I� 1UT 7 , ((r ., O <br /> �:,AAPPLIGJION AGG, Y 7CHE.CKEDBV APPR.FOR ISSUANCE BY <br /> c <br />