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the Evergreen ,�,,,I C.;)N ST R U CT I O N <br /> CITY OF <br /> everett PERMIT PERMIT NO. 08102 <br /> CITY HALL 2598745 <br /> EVERETT•WA 98201 ❑ COMBINATION BUILDING L7 MECHANICAL LJ PLUMBING <br /> OWNER MAIL AVURL66 CITY ZIP 776-7413 <br /> ONE <br /> Dolphin Homes Inc. 18506 52nd West Apt. 10 Lynnwood, <br /> ARCHITECT OR DESIGNER MAILADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE# <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE# <br /> CLASS OF WORIt <br /> ❑NEW ❑ADDITION OALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE El SIGN I_1GARAGE <br /> VALUATION OF WORK <br /> $ 45 ,000.00 <br /> DESCRIBE WORK <br /> construct Bingle family residence <br /> PROPOSED USE OF BUILOINU <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDHIPTIO,.OFPROPFRTYrHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDIN_MdS GOVERNING THIS <br /> LOT 7 ..BLoo`_OF Be is Plat #3 TYPE OF WORK WILL BE COMPLIE H WHETHER SPECIFIEC <br /> HEREIN OR OT. THE GRA G OF A PERMIT DOES NOT <br /> PRESUME TO IVEAUTH TOVIOLATEORCANCEL THE PRO- <br /> VISIONS OF AT4YQjMn STATE OR LOCAL LAW REGULATING <br /> Q 12-26-4 CONSTRUCTIO THE PERFORMANCE OF CONSTRUCTION. <br /> _ SIGNATURE OF 00 AUTHORIZED AGENT DATk <br /> JOB AD''JRESS X 8/12/80 <br /> ACIT <br /> PLUMBING ANI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO.i T PE EO ENT FEE <br /> WATER CLOSET(TOILET) AIR GOND. UNITS—H P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) 'JOILERS—I I P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK B DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—8T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER F':APORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> _ DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F.A1. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE A CHIMNEY <br /> SINK JSERVICE• BAR.ETC. <br /> SUBTOTAL SUR TOTAL f <br /> PERMIT ! PERMIT = _ <br /> TOTAL FEE 1 TOTALFEE f <br /> 'SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> l]YES ONO FEES VALUATION FEE <br /> TYPE OF CONST. CCCUPANCY GROUP N0.OF DWELLING UNITS _ <br /> BUILDING $ 86 00 <br /> SIZE OF BLDG, NO,OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ##YES []NO <br /> APPROVALS <br /> BY DATE OTHER 1 <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY UB C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS TOTAL 86 100 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PE%'IT VAUDATION <br /> WHEN PROPERLY VALIDATED DN THIS SPACE#THIS I6 YOUR PERMIT <br /> 5. GRADING permit expires . g1gprjfeej � �igir[�. <br /> S. DRAINAGE Building Permit of 1172 . C� <br /> 7. ENVI,—.ONMENTAL IMPACT STATEMENT <br /> 00 <br /> B. HEA17H DISTRICT ', R R C C f I PT O <br /> APPLICATION ACC.BYj PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> ��LIU <br />