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the Evergreen -- rION ST R U CTI O N <br /> CITY OF <br /> everett PERMIT PERMIT NO. 08804 <br /> CITY HALL 259.8745COMBINATION ®XBUILDING 259-8745E] MECHANICAL ❑ PLUMBING <br /> EVERETT,WA 98201 <br /> Ir Zlp PHONE <br /> MAIL ADDRESS <br /> OWNER <br /> Sherstad 6 Williams , inc. P.O. Box 419 Kirkland 98033 827PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS <br /> MAIL ADDRESS <br /> GTY ZIP MIONE LICENSE 1 <br /> GENERAL CONTRACTOR <br /> Same CITY ZIP PHONE LK.ENSEI <br /> MECHANKaL CONTRACTOR MAIL ADDRESS <br /> PLUMBING CONTRACTOR <br /> MAIL ADDRE59 GTY ZIP PHONE LICENSE/ <br /> CLASS OF WORK <br /> VAEW ❑ADDITION ❑ALTEMTION ❑REPAIR []DEMOLITION ❑FENCE ❑SIGN DGARAGE <br /> VALUATION OF WORK <br /> T 67 ,500• <br /> DESCRIBE WORK R-1285 _— <br /> Construct Single Family Residence <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> Single Family Residence PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DESCRIPTION l)F PROPERTY(SHOW BEIOW OR ATTACH FOUR CORES( ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 2 Cedar Ridge Estates TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> LOT RLDFK-OF 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 12-28-4 CONS RUCTI OR THE P FORMANCE OF CONSTRUCTION. <br /> SIG U E OF ACTOR O AU DATE <br /> 400 ADDRESS X ti <br /> 108 77th Place S.W. <br /> HANICAL <br /> PLUMBING TYPE OF EQUIPMENT FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. <br /> AIR COND.UNITS-H EP <br /> 2 WATER CLOSET(TOILET) REFRIGERATION UNITS-H .EA <br /> BATHTUB 4 0 BOILERS-H P.EA. -- <br /> LAVATORY ASH BASIN - GAS FIRED AC.UNITS-TONNAG-EA. <br /> SHOWER 2 OO FORCED AIR SYSTEMS-B?.II M EA. <br /> KITCHEN SINK 6 DIS'. WALL HEATERS-B 7.U. M <br /> DISHWASHER UNIT HEATERS-BT.U, M <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> 1 CLOTHES WASHER CLOTHES DRYERS <br /> i WATFq HEATER VENTILATION CAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT- C F M <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS ], METAL FIREPLACE 8 CHIMNEY <br /> ROOF DRAINS-RAINLFADERS <br /> SINK(SERVICE-BAR,ETC) <br /> SUBTOTAL $ <br /> SUBTOTAL PERMIT : <br /> PERMIT = TOTAL FEE = 2 <br /> TOTAL FEEf PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YAR Z E BACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> 6' 20 8804 219.0 <br /> LOT AREA VACANT S1TE FEES VALUATION FEE <br /> USE ZONE R-1 HyfS ONO <br /> TYPE OF CONST, OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N BUILDING L 67 ,500. 337 01 <br /> 512E OF BLDG. NO OF STORIES MAX.OOC.LOAD PLUMBING 20 00 <br /> 38' x60 ' 1 <br /> FIRE ZONE BASEMENT FIRE <br /> SPRINKLERS MECHANICAL 22 50 <br /> None REOUIREL7YES <br /> BY DATE OTHER <br /> APPROVALS Jac. <br /> 1. ENVIRONMENTAL CHECK LIST __ PENALTY SEC.303(a) <br /> 2, BUILDING PLANS I TOTAL 379 50 <br /> � 1 <br /> 3. FIRE HYDRANT PERMIT Vf.LIDAII N <br /> A. FIRE PROTECTION SYSTEM WHEN PROPERLY 1LIDATED ON THIS SPACE)THIS IS YOUR PERMIT <br /> 4zi2 <br /> S. GRADING 8331. 00 - 3, <br /> O <br /> I 00 <br /> 8. ORA'NAGE <br /> 63 7. ENYIRONMENTALI STATEMENT 00 <br /> B. NEALT DISTRICT ,T - I FT C:) <br /> APPLICATION ACC.By' PLANS CHECKED BY APPS.FOR ISSUANCE DY <br /> IrT U <br /> _.I V.C. <br /> g L U iL iso <br /> ADDRESS �L2 <br />