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the Evergreen <br /> CITYofF CC ISTRUCTION <br /> lrr <br /> everett PERMIT PERMIT NO. 07859 <br /> CITY HALL 2598745 <br /> EVERETT,WA 90201 U COMBINATION ® BUILDING ® MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS C,TY ZIP PHONE <br /> Sherstad & Williams P.O. Box 419 Kirkland 98033 827-0494 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS OITY ZIP RHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP RHONE LICENSE, <br /> Saae SH ER SW 24613 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P RHONE LICENSE/ <br /> CLASS OF WON1c <br /> ®KEW ❑ADDITION ❑ALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAfUGE <br /> VALUATION OF WORK <br /> $ 72 , 500. 00 <br /> DESCRIBE WORK <br /> Construct single family residence Plan S-1075 <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I 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 AND CORRECT. <br /> 28 Cedar Ridge Estates ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOGK_OF 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 /> R-12-28-4 CONSTqUCTI0A OR THE PERFORMANCE OF CONSTRUCTION. <br /> .OB ADU,IESS SIGNAT OF T TOR R GTHOT ZED GENT GATE <br /> 10 77th Street S.E. X <br /> s <br /> PLUMBING TMANICA1 <br /> NO. TYPE OF FIXTURE OR ITEM FEE TYPE OF EQUIPMENT FEE <br /> 1 WATER CLOSET(TOILET) 6 nn IAIR COND.UNITS—H P EA. <br /> 1 BATHTUB 2 OO 7 REFRIGERATION UNITS—H P.EA <br /> 3 LAVATORY ASH BASIN 6 OO BO"ERS—H P EA <br /> 1 SHOWER 2 OO GAS FIRED AC UNITS—TONNAGE EA <br /> 1 KITCHEN BINK 8 DISP. 2 OO FORCED AIR SYSTEMS—B.T.U. M EA. $ OO <br /> 1 DISHWASHER 2 00 WALL HEATERS—B,T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> 1 CLOTHES WASHER 2 00 EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS 3 00 <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—RAINLFADERS 1 METAL FIREPLACE&CHIMNEY 3 OO <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL 2 0 SUB TOTAL f 14 00 <br /> PERMIT { PERMIT f <br /> TOTAL FEE 241QQ TOTAL FEE 111 14 00 <br /> SIDE YARD SETBACK STRFET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 20, 20 807859 FEE RECEIPT NO <br /> USE ZONE LOT AREA KIS VACANT <br /> SITE <br /> R-1 ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS _ <br /> V—N R-3 1 BUILDING $ 72 ,500. 233 00 <br /> SIZE OF BLDG, NO.OF STORIES MAX.OOO LOAD <br /> PLUMBING 24 00 <br /> 231x441 <br /> FIRE LONE BASEMENT FIRE SPRINKLERS <br /> REQUIRED MECHANICAL 14 00 <br /> 3 Y e8 AYES ❑{{K <br /> APPROVALS BY I DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B C <br /> SEC.303(a) <br /> 2. BUILDING PLANS AJ1 <br /> TOTAL 271 00 <br /> 3. FIRE HYDRANT <br /> A FIRE PROTECTION SYSRRI PERMIT VALIDATION <br /> �'.lil rT�rROPCHLY VALUATED TIN THIS SPACE)87HIS IS YOUR <br /> 13 3.PERMIT U -�- 1" <br /> 1 5 GRADING I 1 )III �:LA l e <br /> X_B DRAINAGE HY/► <br /> Ift 7 ENVIRONMENT AL IMPABISTATEMENT CD <br /> all ,,, CEIPT YL, , ~o <br /> 8 HEAL Ibl ICT —+ <br /> p/RPLICA N BY LANS CHECKED BY APPA FOR ISSUANCC HY i I,:U r ,.I,;A N Y Y U U <br /> UR RECEIPT <br /> C m <br /> V.C. F: <br /> - AUG 8 0 <br /> A <br />