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1 <br /> the Evergreen OFF <br /> CITY C` "ISTRUCTION <br /> C <br /> everett PERMIT PERMIT NO. 07869 <br /> CITY HALL 2598745 �E, <br /> EVERETT.WA 98201 DCOMBINATION (KI BUILDING ® MECHANICAL PLUMBING <br /> Dum ,In .--- MORE <br /> WNERMrste,d and Williams, Inc. P .O. Box 419 Kirkland 98033 827-0494 <br /> ARCHITECT OR DESIGNER MMI AUDRI Sf CITY ZIP MZONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE VEENST A <br /> Same SH ER SW 24613 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> PLUMBING CONTRACT09 MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> CLASS OF WORK <br /> Emw OADMIIUN ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f 65 ,000. 00 <br /> DESCRIBL WOPK <br /> Construct Bingle family residence Plan R-961 (DG) <br /> PRO°OSEO USE OF BUILDING <br /> Single Family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIMI04Of PROPERTYISHOW BELOW OR ATTACH IOUR COPIES/ PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LCAT 11 RLOCK._Oi Cedar Ridge Estates ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 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 12 281— CONST UCTION OR TH ERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIONAT i CO ALTO OR THORIZED AGENT DATE <br /> 1 77th Place S .W. X <br /> PLUMBING M ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE AO. TYPE OF EQUIPMENT FEE <br /> _L WATER CLOSET OIL AIR COND.UNITS-H.P.EA. <br /> 1 BATHTUB REFRIGERATION UNITS-H.P.EA _ <br /> 1 LAVATORY ASH BASIN BOILERS-H EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> 1 KITCHEN SINK 8 DISP. 7 nn FORCED AIR SYSTEMS-B T U. MEA. <br /> 1 DISHWASHER 7 WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.0 M <br /> 1 CLOTHES WASHER 2 EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS 1 Pin <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- CFM <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY 3 00 <br /> SINK SERVICE-BAR,ETC. <br /> SUB TOTAL 14 SUB TOTAL f 14 00 <br /> PERMIT f PERMIT f <br /> TOTAL FEE $1 14 TOTAL FEE f 14 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 201 7869 FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT S1TE <br /> R-1 JeXES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UP ITS <br /> V-!, R-3 1 BUILDING $ 65000. 217 00 <br /> SIZE OF BLDG. NO,OF STORIES MAX.OOC.LOAD <br /> 261x6OI 1 PLUMBING 14 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3 none REOUIRED MECHANICAL 14 00 <br /> AYES <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMFNTAL CHECK LIST PENALTY U.B.0 <br /> 2. BUILDING PLANS SEC.303(B) <br /> 3. FIRE HYDRANT TOTAL 245 00 <br /> A. FIRE PROTECTION 6YSTBIR PE <br /> DATVal 1 <br /> Ea THIS SPACE)THIS IS YOUR PERMIT <br /> 5, GRADING 5 7 4 7 $ 1 I T O o —' <br /> 8. DRAINAGE '.i <br /> . ENVIRON E _ IMPACM TEMENT )U R RECEIPT OO <br /> HEALTH G*TRICT r, tYI r Y�0 U <br /> KATION T*Y PVNS CHECKED BY APPR.FOR ISSUANCE BY YOUR RECL'IPT O <br /> °o _< nv.c. <br /> T11/,P!K YOU <br /> " <br /> O ':T <br /> ADDRESS FILE <br />