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rhe Evergreen <br /> CITYOFF CO� PSTRUCTICN <br /> CITU <br /> everett PERMIT PERMIT NO. 07862 <br /> CITY HALL 259.8745 <br /> EVERETT.WA 98201 (]X COMBINATION ® BUILDING MECHANICAL ;; i PLUMBING <br /> OWNERMAIL ADDRESS ISI` PHONE <br /> Sherstad 6 Williams , Inc. P.O. Box 419 Kirkland 98033 827-0494 _ <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENEA®L CO 'R/,CTOR MAIL ADDRESS CITY ZIP $({ ON $W 24613 <br /> MECHANICALMECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PIKAIE LICENSE# <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE# <br /> CLASS OF WORK <br /> vEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 03, 500.00 <br /> DESCRIBE WORK <br /> Construct single family <br /> PROPOSEU USE OF BUILDING <br /> Single family residence IHEREBY CERTIFY THAT IHAVE 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 /> 27 Cedar Ridge Estates ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT-BLOCK-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 /> Q/R 12-28-4 CONSTRUCTIO14 OR THE PERFORMANCE OF CONSTRUCTION. <br /> AB ADDRESS - SIGNATURE OF R OR AUTHORIZED AGENT DATE <br /> 6 77th street S . E. X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 3 WATER CLOSET OIL AIR COND.UNITS-H.P.EA. <br /> BATHTUB REFRIGERATION. 'F EA <br /> 3 LAVATORY ASH BASIN BOILERS-H.P.E. <br /> SHOWER GAS FIRED A.C.UfHI JNAGE EA, <br /> 1 KITCHEN SINK S DISP. 2 FORCED AIR SYSTEMS 0. M EA <br /> 1 DISHWASHER 2 WALL HEATERS—B T U M <br /> LAUNDRY TRAY UNIT HEATERS—B T U M <br /> 1 CLOTHES WASHER 2 EVAPORATIVE COOLERS <br /> WATER HEATER 2 001 CLOTHES DRYERS I nn <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN 1 RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SER ICE—BAR,ETC. <br /> SUB TOTAL 2 4 1 On SUB TOTAL f <br /> PERMIT $I I PERMIT f <br /> TOTALFEE $1 11 A nn TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6' 20' 20' 80/7862 FEE 116.50 RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 ❑VES XV FEES VALUATION F <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. `40.OF STORIES MAX.OCC.LOAD BUILDING S73, 500. 2 35 0 0 <br /> 34 'x52 ' 1 1 PLUMBING 24 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3 yes RYESIR O MECHANICAL 16 00 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.BC. <br /> . <br /> 2. BUILDING PLANS SEC303(a) <br /> 3. FIRE HYDRANT TOTAL 275 00 <br /> 4, FIRE PROTECTION SYSTEM: PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING 5 7 5 6 S 13 5.0 0 --T,1 <br /> B DRAINAGE. r.+ 4. 0 0 -- 3 to <br /> $ENVIRONMQNW IMPACT TEMENT 001 <br /> EALTHU -TMG a. -,. ,_)l,7 Y,*)UR RECEIPb` <br /> �LICATIONY PONS CHECKED BY APPR FOR ISSUANCE BY <br /> ^ <br /> b o <br /> V. C. IlJ _ ;) l!'.NK YOU <br /> _ to <br /> C =o <br />