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T - <br /> the Evergreen ;O N ST R U CT I O!"II' <br /> C1I Y U' <br /> everett PERMIT PERMIT N0. 14931 <br /> CITY HALL 2598745 <br /> EVERETT,WA 98201 N COMBINATION ® BUILDING �j MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Firstline Construction 8 E. Marilyn Everett 98204 353-1177 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL OONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE III <br /> Same FIRSTC164CM <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE a <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE a <br /> CLASS OF WORK <br /> QLMEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> a 63,000.00 <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 PROPERTY(SHOW BELOW OR ATTAC:4 FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 20 Cedar Ridge Estates GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF 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 /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF RALTOR�ITE <br /> R AUTHORIZED AGENT GA <br /> 109 77th Place S.W. X !� 6/19/85 <br /> PLUMBING MECH ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 3 WATER CLOSET(TOILET) -- 6 00 AIR COND. UNITS — H.P. EA. <br /> 2 BATHTUB 4 00 REFRIGERATION UNITS— H.P.EA. <br /> 3 LAVATORY(WASH BASIN) 6 00 BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNA GE EA. <br /> 1 KITCHEN SINK A DISP. 2 00 FORCED AIR SYSTEMS— H.T.U. M EA. <br /> 1 DISHWASHER 2 00 WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B T.U. M <br /> 1 CLOTHES WASHER 2 00 EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 1 CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN I I RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F.M. <br /> VACUUM BREA\ERS STOVE--WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICL -- BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S __ 24 00 SUB TOTAL S 18 00 <br /> PERMIT f PERMIT S <br /> TOTAL FEE S 241 00 TOTAL FEE S 18 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 201 85/14931 FEE 163.38 RECEIPT NO. <br /> 76 USE ZONE LOT AREA VACANT SITE Oi <br /> R-1 8500 Sq. Ft. XXES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF')WELLING UNITS <br /> V-N R-3 1 BUILDING S 63,000. 322 00 <br /> SIZE OF BLDG, NO.OF STORIES MAX.OCC.LOAD — <br /> 1590 Sq. Ft. 1 2 PLUMBING _.4 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 18 00 <br /> REQUIRED <br /> YES XX NO <br /> APPROVALS BY DATE OTHER <br /> I.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIRE HYDRANT TOTAL 364 00 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT _ <br /> M <br /> S.DRAINAGE <br /> T <br /> 7.ENVIRONMENTAL IMPACT STATEMENT ql:t <br /> B.HEALTH DISTRICT T-4 <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> EB JEF LC <br /> ADDRESS FILE <br />