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1I7r Evergreen11',YOF YONSTRI,jCTION <br /> n <br /> everett PERMIT PERMIT NO. 09228 <br /> CITY HALL 2598745f--, <br /> EVERETT,WA 98201 kj COMBINATION BUILDING IXJ MECHANICAL N PLUMBING <br /> . �M ADD SS CRY IIP — IONL <br /> OWNER ,,ff <br /> Dolphin Homes Inc. .6n' <br /> ARCHITECT OR DESIGN', <br /> MAIL AODRt SS CITY <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY IIP FHONE LICENSE <br /> Same <br /> NSE I <br /> MECHANICAL CONTRACTOR <br /> MAR ADDRESS CRY IIP PNd1E LM:E ^� <br /> NSE <br /> PLUMBING CONTRACTOR MAI(ADDRESS <br /> CITY 21P PHONE LICE1 <br /> CLASS OF WORK <br /> MW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑S...N LIGAnAGE <br /> VALUATION OF WORK <br /> E 30,000.00 <br /> DESCRIBE WORK <br /> Construct single family residence <br /> PROPOSED USE OF BUILOING <br /> Single family residence 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGA'. DESCRIPTION d 11011111(SHOW BELOW dT ATTACH FOUR CO PLICATION /,,14D KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> OF A PERMIT DOES NOT <br /> LnT 13 BLOCK_OF Evergreen Ridge TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> PRESUMHEREIN �OG EAUTH GRA TOV10LATEORCANCELLTHEPRO <br /> VISIONS OF AN R STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTI T ORMANCE OF CONSTRUCTION. <br /> SKLNATURE AUTHORIZED NT DATE <br /> ' 116199th Place S .E. X 5/8/81 <br /> MECHANICAL <br /> PLUMBING FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. MHEATERS <br /> UNIT'—H p LA <br /> IPMENT <br /> ]• WATER CLOSET(TOILET) TION UNITS-H.P.EA <br /> 1 BATHTUB H P EA <br /> LAVATORY WASH BASIN( <br /> FIREDA C LINI15--TONNAGE EA. <br /> SHOWER R SYSTEMS-B.T U M EA <br /> 1 KITCHEN SINK S DISP ERS-B T U M <br /> 1 DISHWASHER ERS-B T U. M <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> 1 CLOTHES WASHER <br /> 1 CLOTHES DRYERS <br /> 1 WATER HEATER VENTILATION FAN <br /> URINAL RANGE HOOD <br /> iDRINKING FOUNTAIN AIR HANDLING UNIT- C F M <br /> FLOOR GRAIN STOVE <br /> VACUUM BREAKERS <br /> 1 METAL FIREPLACE 6 CHIMNEY <br /> ROCv DRAINS-RAINLFADERS <br /> SINK(SERVICE-BAR,ETC.) <br /> SUB TOTAL PERMIT =TOTAL FEE i SIDE YARD SETBACK ,,STREET SETBACK REAR YARD SETBACK PLAN C4*4k <br /> T NO <br /> 61 201 201 81/9228 BasicVACAN _ <br /> USE ZONE,-I LOT AREA XNfES T SINO FEES VAWATION FEE <br /> TYPE OF CONST ._VXUPANCY GROUP NO.OF DWELLING UNITS _ <br /> V-N R-3 I BUILDING '30,000. 193 00 <br /> Egg%%Ifhcr; ANO OF STORT MAX OCC.LOAD <br /> 1. x9 _-;I +I PLUMBING 14 00 <br /> FIRE ZONE..: -n BASEMENT FIRE SPRINKLERS MECHANICAL 16 50 <br /> none REQUIRED <br /> 1 AYES O <br /> APP ALS <br /> BY DATE OTHER <br /> T. ENVIRONMENTAL CHECK LIST PENALTY UBC <br /> SEC 303181 <br /> 2. BUILDING PLANS TOTAL ]2EO <br /> 3. FIRE HYDRANT , <br /> PERMIT VALIDATION <br /> 4, FIRE PROTECTION SYSTEM ! 1 WHEN PFIOREFAY VALIDATEQ(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING 4 TIM; "f ^ j 24, 19 i. 0 U ---N001 I <br /> I G. ^RAINAGE (V <br /> -T. ENVIRONMENTAL IMPACTSTATEMENiEE�_ <br /> I F <br /> -121 <br /> 8. HEALTH DISTRICT 1' 111 <br /> APPLICATION ACC.BY P.,LANS CHECKED BY APP,.FOR ISSUANCE BY J <br /> c.: <br /> V.C. <br /> - 0 <br /> ,[,j ADDRESS FILE <br />