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The Evergreen <br /> CITU OF Co~ I ST R U CT I O N <br /> everett PERMIT <br /> CITY HALL 2598745 -� <br /> PERMIT N0. 07854 (_ \ <br /> [ <br /> EVERETT,WA 98201 © COMBINATIO14 10 . 'HILDING I i PPECHANICAL ULj PLUMBING <br /> nv.NII1 MAIL ADUAFSS 1 n ZIP PI1ONL <br /> Sherstad & Williams , Inc. P.O. Box 419 Kirkland 98093 8270494 <br /> APCNITECT OR DESIGNER NAIL ADDRESS ------- CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS --- CITYZIP PHONE LICF`ISE0 <br /> Same SH ER SW 24613 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE/ <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE 1 <br /> CLASS OF WORK — <br /> CRJtEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLRION ❑FENX )SIGN CIGARAGE <br /> VALUATION OF WORK --- - —"-- <br /> 63 ,000.00 <br /> DESCRIBE WORK <br /> construct single family residence Plan R-864 <br /> PROPOSED USE OF BUILDING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br /> LEGAL DESCRIPTIONOF PROPERTY(611OW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Lor 30BLaY�CIF ar Ridge Estates ALL PE�OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 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 CONSTRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATF ACTOR AUT IZED AGENT DA'E <br /> 18 77th Street S.W. X <br /> PLUMBING MANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE 0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET DILE AIR COND.UNITS—H P.EA _ <br /> BATHTUB 2 00 REFR,_ERATION UNITS—H.P.EA <br /> LAVATORY ASH BASIN 2 00 BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA _ <br /> KITCHEN SINK 9 DISK 2 00 1 FORC'J AIR SYSTEMS—B T.U. M EA <br /> 1 DISHWASHER 2 00 WALL HEATERS—BT.0 M <br /> LAUNDRY TRAY UNIT HEATERS—0 U M <br /> CLOTHES WASHER 7 Q Q I EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 1 00 1 CLOTHES DRYERS 3 00 <br /> URINAL 1 VENTILATION FAN <br /> DRINKING FOUNTAIN 1RANGE HOOD 300 <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. _ <br /> VACUUM BREAKERS STOVE _ <br /> ROOF DRAINS—RAINLEADERS I METAL FIREPLACE&CHIMNEY IIl <br /> SINK SERVICE—BAR,ETC. <br /> BUB TOTAL 14 1 00 SUB TOTAL f_ 16 00 <br /> PERMIT fI PERMIT f <br /> TOTAL FEE 4 1 00 TOTAL FEE f <br /> SIDE YARD ISETBACK STREET SETBACK 2 REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 201 807855 FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 K-WS ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE Of'BLDG. NO. STORIES MAX.OCC.LOAD BUILDING 6 63 ,000. 2 11 00 <br /> 2318"x551 <br /> PLUMBING 14 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3 none REQUIRED MECHANICAL 16 00 <br /> OYES Oblo <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> 2. BUILDING PLANS v PENALTY SEC 307 EBI <br /> f. FIRE HYDRANT N TOTAL 243 00 <br /> 4. FIRE PRATECTION SYSTEM PERfAIT VA IDTIRN <br /> 1 5 GRADING WHVOI L p la'�AUDAiED©THIS SPACE)THIS IS YOUR PERMIT <br /> iT <br /> 6. DRAINAGE O <br /> T. 04IRMMENTAt ACT STATEMENT 5 71 1 s 1 13. 0 U <br /> 1>o S HsALAIDISTRICf. R FEC E I PT <br /> APITLON ACC 9P PLANS CHECKED BY APPR.FOR ISSUANCE BY I'I! 0 U C)OLITA <br /> c (:I U R RECEIPT <br /> I V.C. L v,t>1K <br /> 4 AUG ,yo u <br /> - 8 0 <br /> ADDRESS FILE ). uu 0n <br />