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he Evergreen <br /> CITY OF CC, <br /> everett PERMIT PERMIT NO. 07859 <br /> CITY HALL 259 874S <br /> EVERETT.WA 98201 Lx COMBINATION ® BUILDING Lx MECHANICAL ® PLUMBING <br /> OWNIR MAIL ADDREM IIP PHONE <br /> Sherstad s Williams P.O. BOX 41.9 Kirkland 98033 827-0494 <br /> ARCHITECT OR DESIGNLP MAR ADDRESS CITY IP' PHONE <br /> GENERAL CONTRACTOR MAN.ADDRESS CITY ZIP PHONE LICENIE 0 <br /> Same SH BR SW 24613 <br /> MECHANICAL ODNTFVCTOR MAIL ADDRESS CITY ZIP PHDNE LICENbEF <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORK <br /> ®KEW 0ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f 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 RLocK_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 CONST UO OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS 0RIHO <br /> SIGNAL OF T 1ZED LENT DATE <br /> 10 77th Street S.E. x <br /> PLUMBING M ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE O. TYPE OF EQUIPMENT FEE <br /> 1 WATER CLOSET(TOILET) AIR COND.UNITS—H P.EA. <br /> 1 BATHTUB 2 00 REFRIGERATION UNITS—H.P.EA <br /> 3 LAVATORY ASH BASIN 6 00 BOILERS—H P EA <br /> I SHOWER 2 00 GAS FIRED A C UNITS—TONNAGE EA <br /> - <br /> 1 KI'CHEN SINK 8 DISP. 2 00 FORCED AM SYSTEMS—0T.U. MEA 5 OO <br /> 1 DISHWASHER 2 00 WALLHEA,ERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B U. M <br /> 1 CLOTHES WASHER 2 00 EVAPORATIVE COOLERS <br /> WATER HEATER 2 00 1CLOTHES DRYERS k <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD 3 00 <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY 3 00 <br /> SINN SERVICE—BAR,ETC.) <br /> SUBTOTAL 2T O( SUBTOTAL f 14 00 <br /> PERMIT S PERMIT III I <br /> TOTAL FEE i 24 TOTAL FEE i 14 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SgBACK PLAN CHECK NUMBER PUN CHECK FEE <br /> 6, 20' 20 80/7859 FEE RECEIPT NO <br /> USE ZONELOT ARRA )MS T SITE <br /> R-1 <br /> LINO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY ORD IP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING S 72 ,500. 233 00 <br /> SIZE OF BLDG. NO,OF STORIES MAY.,OCC,LOAD <br /> 231x441 PLUMBING 24 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS M'ul: d <br /> REQUIRED 14 00 <br /> 3 yes DYES USX <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECKLISTPENALTY U.BC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS %A <br /> TOTAL 271 00 <br /> 3. FIRE HYDRANT <br /> 4, FIRE PROTECTION SYSYPA PERMIT VALIDATION <br /> NLMU PERLY VWATED(IN THIS SPACE)THIS I6OURPERMIT <br /> ) Z OSGRADING �Z3OO <br /> .WG DRAINAGE <br /> 7. ENVIRONMENTAL IMPAUXTATEMENT 00 <br /> B. HEAL bI ICT `. RECi=1PT Y(-)+,1R REC[IFT CD <br /> `APPLICA{ N L�.BY CANS C -CKED BY AF4R.FOR ISSUANCE BY (1` Y U r ; HANK Y U U <br /> rn V.C. <br /> C � <br /> - 1, r1UG d U - q Ai' 8 0 <br /> ADDRESS FILE <br />