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the Evergreen <br /> CITU OF CO P'ST R U CT I O N <br /> everett PERMIT P[RMiT NO. L7 7862 <br /> CITY HALL 259.8745 <br /> EVERETT,WA 98201 COMBINATION BUILDING C'i MECHANICAL k PLUMB114G <br /> ... MAIL AODRLSS <br /> Sherstad 5 Williams , Inc . P.O. Box 419 Kirkland 98033 827-0494 <br /> ARCHITECT OR DESIGNER - _ IAAIL ADDRESS CITY ---- <br /> jIP PIIONf <br /> GENE/ULCONTRACIOR - --- MAILADDRESS CITY <br /> bb 8a ARll Ell ZIP PHONE LICENSE) <br /> SH ER SW 24613 <br /> MECHANICAL CONTRACTOR MAIL ADORE SS CITY ZIP PHONE LICENSE/ <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> CLASS OF WORK <br /> j(4EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATKIN OF WORK <br /> 03,500.00 <br /> DESCRIBE WORK <br /> COr.etrOct singleQ-InnIK <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 SAMF 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 REGULAT114G <br /> Q/R 12-28-4 CONSTRUCTION OR THE PERFORMANCE OFCONSTRUCTI% <br /> JOB ADDRESS <br /> SIGNATURE OF I 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(TOILET) AIR GOND.UNITF,-HP.EA. <br /> BATHTUB n,FRIGERATION UNITS-N.P.EA <br /> 3 LAVATORY ASH SASIFy BOILERS-H.P.EA, <br /> SHOWER 2 oni GAS FIRED A.C.UNITS-TONNAGE EA, <br /> 1 KITCHEN SINK 6 DISP. 1 FJRCED AIR SYSTEMS-B.T.U. M EA <br /> 1 DISHWASHER WALL HEATERS-8T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-BJ U M <br /> 1 CLOTHES WAST ER 2 n n EVAPORATIVE COOLERS <br /> WATER HEATE 2 001 CLOTHES DRYERS <br /> URINAL VENTILATION FAN 2 00 <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 3 M <br /> SINK SERVICE-BAR.ETC. <br /> SUB TOTAL 24 1 0 L SUB TOTAL f r1 <br /> PERMIT f PERMIT f _ <br /> TOTAL FEE 2 a n n I I AL FEE f 1 )Q <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 201 807862 FEE116.50 RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 DYES X1J(0 FEES VALUATION F <br /> TYPE OF CONST. OCCUPANCY GROUP NO OF DWELLING UNITS <br /> V-N R-3 1 <br /> BUILDING <br /> SIZE OF BLDG NO.OF STORIES MAX.OCC,LOAD $ 73, 500. 2 3$ G 0 <br /> 341x521 1 PLUMBING 24 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3 yes RYESRI!AIO MECHANICAL 16 00 <br /> APPROVALS BY DATE OTHER <br /> 1, ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2. BUILDING PUNS SEC.903(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 - S 2 3 50 0 -N1 <br /> e DRAINAGE_ G ... 4. 00 , 575 6 . <br /> 3 ca <br /> fENVIRONA, 1410IMPACT TEMENT 00 <br /> EALTH 6 A TRW o- „ ' _ 17pT y;) U R R E C E I Pt <br /> ))CATION MMS CHECKED BV API'R FUR ISSUANCE Y I L 1 , <br /> _L " IK YOU <br /> C=1 C rn c V.C. Ynu - �- <br /> C -v <br /> A /p� g p <br /> AD6R5R LE <br />