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1 <br /> the Evergreen r CO""ISTRUCTION <br /> CITY OF <br /> everett PERMIT PERMIT N0. 07869 <br /> CITY HALL A 98201 COMBINATION ® BUILDING GLS MECHANICAL fl PLUMBING <br /> CITY HAL 2 BB20t <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Sherstad and Williams , Inc. P.O. Box 419 . .rkland 98033 827-0494 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP RHONE LICENSEE <br /> Same SH ER SW 24613 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> CUSS OF WORK <br /> CMW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN 03ARAOE <br /> VALUATION OF WORK <br /> f 65,000.00 <br /> DESCRIBE WORK <br /> Construct single family rElsidence Plan R-961 DG <br /> PROPOSED USE OF BUILDING <br /> Single Family residence HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE ANC CORRECT. <br /> 11 Cedar Ridge Estates ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOCK—OF 9 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 THF PRO. <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> Q 12 28 4 CONST IUCTION OR TH ERFORMANCE OF CONSTRUCTION. <br /> SIGNAI OF CO TO OR THORRED AGENT DATE <br /> JOB ADDRESS <br /> 1 77th Place S .W. X <br /> PLUMBING M ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE O. TYPE OF EQUIPMENT FEE <br /> L WATER CLOSET(TOILET) AIR COND.UNITS—H P.EA <br /> 1 BATHTUB 2 REFRIGERATION UNITS—H P.EA <br /> 1 LAVATORY ASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA <br /> 1 KITCHEN SINK A DISP. 1 FORCED AIR SYSTEMS—B.T.U. M EA <br /> 1 DISHWASHER WALL HEATERS—8.T.0 M <br /> LAUNDRY TRAY UNIT HEATERS—8 T U M <br /> 1 CLOTHES WASHER 2 EVAPORATIVE COOLERS <br /> WATER HEATER 2 00CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> _ DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS 1 METAL FIREPLACE 5 CHIMNEY 3 00 <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL 14 00 SUB TOTAL f 14 00 <br /> _ PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f 14 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMDER PLAN CHECK FEE <br /> 6 ' 201 201 7869 FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 AXES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING $ 65000. 217 00 <br /> SIZE OF BLDG. NO OF STORIES MAX.OCC.LOAD <br /> 26 'x60 ' 1 PLUMBING 14 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3 none REQUIRED MECHANICAL 14 00 <br /> IYES Rev <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY t BC <br /> SEC 303(a) <br /> 2. BUILDING PUNS — <br /> 3. FIRE HYDRANT TOTAL yy^lE``{q�f,, 245 0 0 <br /> a. FIRE PROTECTION SYSTBIR WIddlPIli1061TY VAL�DATE THIS SPACE)THIS IS YOUR PERMIT <br /> 55.. GRADING <br /> DRAINAGE J 5 7 4 7 <br /> B. = Z 17. 00 <br /> T�Q <br /> ENVIRON E _ IMPAL1 fTEMENT )U R RECEIPT 00 <br /> [AL <br /> HTHD19,TRICT T � 'I n,r.IK Y 0 U .YOUR RECEIPT <br /> LIGATION O EQY PtgNS CHECKED BY APPR.FOR ISSUANCE BY THANK YOU <br /> U <br /> 0 < n a V.C. <br /> 20 <br />