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the E%^rgrerrl ,- O N ST►� U CT 10 N <br /> everett PERMIT T PERMIT NO. 08811 <br /> CITY HALL 25981-15 <br /> EVERETT.WA 68201 ® COMBINATION IX BUILDING MECHANICAL X PLUMBING <br /> FIAIL A11U111.55 I.Ih 211' PHONL <br /> OWNLn <br /> 494 <br /> Sherstad and Williams , Inc. P.O. Box 419, Kirkland Ka. 95033 827 0 <br /> HONE <br /> ARCHOLCT OR OLSIGNEN <br /> MAIL ADDRESS CITY ZIP P <br /> GENERAL CONTRACTOR MAIL ADDRESS GTY ZIP SB EA SW •24613EI <br /> Same ZIP PHONE LICENSE IF <br /> MECHANICAL CONTRACTOR <br /> MAIL ADORESS COY <br /> PLUMBING CONTRACTOR <br /> MAIADDRESS CITY by PNONE LK:EHSEF <br /> CLASS OF WORK <br /> 1211IIIEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN DGARArE <br /> VALUATION OF WORK <br /> $ 63,000. <br /> DESCRIBE WORK <br /> Construct Single Family Residence <br /> PROPOSEDUSEFamily <br /> Residence <br /> Single Family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PROPERTY <br /> LEWLDESCOIPTIONOFISHOWBELOW01ATTACHFOUROOPIESI PLICATION AND KNOW THE SAf'° TOBETRUE AND CORRECT. <br /> Cedar Ridge Estates ALL PROVISIONS OF LAWS AND ,TDINANCESGOVERNING THIS <br /> Lor 13 BLocK__oF HEREIN TYPE FWORK OR NOT. LL THEECOMI-L ED WITH GRANTING OF A PERMITRDOESIFIED <br /> 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 28 4 CON RUCTIQN OR THE P•RFORMANCE OF CONST RUCTION. <br /> SI AT RE OF C RACTOR 0 ORIZED AO <br /> JOB ADDRESS <br /> 7 77th Place S .W. <br /> CHANICAL <br /> PLUMBINGFEE <br /> NO. TYPEC FIXTURE OR ITEM FEE N0. AIR GOND. NI8EGH0OAIPMENT <br /> WATER CLOSET OIL 2 00 REFRIGERATION UNITS—H P.EA <br /> 1 BATHTUB BOILERS—H .EA. <br /> 2 IAVATORY ASM BASINI GAS FIRED AC.UNITS—TONNAGE EA. <br /> SHOWER AM 1 FORCED AIR SYSTEMS—B.T.U. MEA. 6 00 <br /> KITCHEN SINK 8 DISP2 _AQ. 2 00 WALL HEATERS—B.T.U. M <br /> DISHWASHER UNIT HEATERS—8T.U. M <br /> LAUNDRY TRAY 0 EVAPORATIVE COOLERS <br /> CLOTHES WASHER 4 50 <br /> WATER HEATER 2 00 CLOTHES DRYERS 3 00 <br /> VENTILATION FAN 50 <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE d CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK SERVICE—BAR.ETC. <br /> SUBTOTAL S <br /> SUB TOTAL PERMIT S <br /> PERMITS TOTAL FEE S 2 2 5 0 <br /> TOTAL FEE 20 00 PLAN CHECK FEE <br /> SIDE YARDSETBACK STREET SETBACK 20 L REAR YARD SETBACK PLAN CHECK <br /> 1UMBER FEE 209. 30 RECEIPT NO. <br /> 51956 <br /> USE ZONE LOT AREA VACANT SITE FEES <br /> R-] VALUATION FEE <br /> X�VES l]NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNITb 3 63,000. 3 2 00 <br /> V-N R—3 BUILDING <br /> SRE OF 6'DG, NO.OF STORIES MAX OCC'LOAD PLUMBING 2 00 <br /> 29 ' x57 ' 1 <br /> FIRE ZONE <br /> �BAfSEME�NTRRDESPRINKLERS MECHANIGL 2 S0 <br /> I7YESR'F1%O <br /> APPROVALS <br /> BY DATE OTHER <br /> U.B.C. <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SEC.803(r) <br /> Z. BUILDING PLANS TOTAL E364 50 <br /> 8. FIRE HYDRANT ^' <br /> PERMIT VALIDATION <br /> A. FIRE PROTECTION SYSTEM ! ./ j WHEN I�QREN.y1VALIDATEN TH166PACC�T11I616 YOEI�EjM2t, O <br /> Imo. GRADING , UU I I III �q1 LL JJ (,•���E <br /> -L=S. DRAINAGE _� �,i 'I W <br /> 1. ENVIRONMENTAL IMPAICTJSTATEMENT I�• 00 <br /> �F <br /> F: ;1 <br /> . HEALTH DISTRICT 1 <br /> APPLICATION ACC PY c,GLANS CHECKED BY APPR.FOR ISSUANCE BY l <br /> V.C. � ikJ gl <br /> ADDRESS FILE <br />