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) <br /> the Evergreen "N S(T R U CT I O N <br /> CITY OF <br /> everett PERMIT prRMIT NO. 08102 <br /> CITY HALL 2598745 <br /> EVERETT,WA 98201 ❑ COMBINATION kA BUILDING U MECHANICAL PLUMBING <br /> MAIL AOUHLSS uiL rll` IMIDNE <br /> owNLR 776-7413 <br /> Dolphin Homes 111c. 18506 52nd West Apt. 10 Lynnwood, <br /> CITY Zip PHONE <br /> ARCHITECT OR DESIGNER <br /> MAI)AGGRESS <br /> GENERAL CONTRACTOR <br /> MAIL ADDRE66 CITT 11P PHONE _ICENSEI <br /> Same <br /> MECHANICAL CONTRACTOR <br /> MAIL ADDRESS CITY 21P P110NE LICENSE <br /> On, ZIP PHONE LICENSE 1 <br /> PLUMBING CONTRACTOR MAIL ApORE65 <br /> CLASS OF VlORI( <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN 0GAAAGE <br /> VALUATION OF WORN <br /> f 45, 000. 00 <br /> DESCRIBE WORN <br /> construct single family residence <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL Of PROPERTY(SHOW BELOW OR ATTACH FGUR COPIES) ALL <br /> AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ESCRIPTM40 <br /> ALL PROVISIONS OF LAWS AND ORDIN% SWHGOVERNING THIS <br /> LOT 7 BLOCK 1 pF Beais Plat #3 TYPE OF WORK WILL BE COMPLIE H ETHER SPECIFIED <br /> HEREIN OR OT. THE GRA G OF A PERMIT DOES NOT <br /> PRESUME TO IVE AUTH TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF STATE OR LOCAL LAW REGULATING <br /> Q 12-28-4 CONSTRUCTIO THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CTOR AUTHORIZED AGENT 81DATE <br /> JOB ADDRESS y <br /> 12/80 <br /> ale 77th ace S .W. <br /> EC�NI <br /> PLUMBINGFEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. AIR GOND.UNITSE—H FOA, ENT <br /> WATER CLOSET OILET <br /> REFRIGERATION UNITS—H.P.EA <br /> BATHTUB BOILERS—H F.EA, <br /> LAVATORY(WASH BASIN) GAS FIRED A C UNITS—TONNAGE FA. <br /> SHOWER FORCED AIR SYSTEMS—B.TO M EA <br /> KITCHEN SINK B DISP. M <br /> WALL HEATERS—B.T.U. <br /> DISHWASHER UNIT HEATERS—B T.U. M <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— _CFM <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 6 CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAR.ETC) <br /> I <br /> SUBTOTAL s <br /> SUB TOTAL PERMIT <br /> PERMIT = <br /> TOTAL FEE f TOTAL FEE S <br /> REAR YARD SETRACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> SIDE YARD SETBACK STREET SETBACK FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT 617E FEES VALUATION FEE <br /> ❑YES ONO <br /> TYPE OF CONST OCCUPANCY­­GROUPNO.OF DWELLING UNITS <br /> BUILDING $ 86 00 <br /> 612E OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SpgINKLER9 MECHANICAL <br /> REOUIRED <br /> OYES ❑NO <br /> APPROVALS <br /> BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY Us C. <br /> Us C. <br /> (el _ <br /> 2. BUILDING PLANS TOTAL 86 00 <br /> 3. FIRE HYDRANT <br /> PERMIT VALIDATION <br /> A. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERM)T <br /> S. GRADING Permit expires. pp,Ifeetp " "igi2f <br /> e. DRAINAGE Building Permit of 172 . raj d� <br /> 7. ENVIRONMENTAL IMPACT STATEMENT4 00 <br /> 8. HEALTH DISTRICT I'3 U R RECEIPT o <br /> APPLICATION ACC.BY PLANS CHECKED BY APPS.FOR ISSUANCE BY 1 i_I`^ A 1 V ' O U <br /> 13 AM 80 <br /> ADDRESS FILE <br />