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t <br /> the EYO <br /> CITY F C INSTRUCTION <br /> CITY OF <br /> everett PERMIT PERMIT NO. 08611 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 0 COMBINATION BUILDING ) MECHANICAL L PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Dolphin Homes Inc. 607 South Broadway Everett 98204 355-5030 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR o% . -I c5 CRY, ZIP PHONE LICENSE# <br /> Same DO LP HI 231NQ <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE P <br /> CLASS OF WORK <br /> ]($NEW ❑ADDITION LJALTERATION ❑REPAIR []DEMOLITION 11 FENCE ❑SIGN El GARAGE <br /> VALUATION OF WORK <br /> f 30,000.00 <br /> DESCRIBE WORK <br /> construct single family residence <br /> PROPOSED USE OF BUILDIN <br /> single family residence I HEREBY CERTIFY',.)AF I HAV= 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 /> 14 Evergreen Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LST eLocK_oF TYPE OF WORK WILL BE COMPLIED WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANT F A PERMIT DOES NOT <br /> PRESUME TOGIVF. TTHO 0 VIOLATE OR CANCEL THE PRO. <br /> VISIONS 0 ¢ OT STATE OR LOCAL LAW REGULATING <br /> CONSTRUC HE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRFSS SIGNATURE 0 AGENT /A6/8J` <br /> 104 79th Place S .E. X 1� 3/8e <br /> PLUMBING CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. T PE OF IPMENT FEE <br /> WATER CLOSET fTOILET AIR COND.UNITS—H P.EA <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> 1 LAVATORY ASH BASIV 2 OO BOILERS—H.P.EA <br /> SHOWER GAS FIRED A C UNITS—TONNAGE EA <br /> 1 KITCHEN SINK 6 DISK 2 00 FORCED AIR SYSTEMS—B T U. M,A <br /> 1 DISHWASHER 2 001 WALL HEATERS—B T.U, M <br /> LAUNDRY TRAY I UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER nn I I EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 1 1 CLOTHES DRYERS 4 1 S <br /> URINAL 1 1 VENTILATION FAN 3 0 <br /> DRINKING FOUNTAIN I RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS Z METAL FIREPLACES CHIMNEY <br /> SINK JSERVICE—BAR,ETC. <br /> BUB TOTAL 1 00 SUBTOTAL f <br /> PERMIT i PERMIT f <br /> TOTAL FEE TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CFE:K FEE <br /> _ 6' 201 201 80/8611 FEE125.45 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 51162 <br /> R-1 WKES LINO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG NO,OF STORIES MAX.OCC.LOAD BUILDING f 30,000. 193 00 <br /> 251X44 ' 1 1 PLUMBING 14 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> None REQUIRED MECHANICAL 16 50 <br /> "YES <br /> APPROVALS BY DATE OTHER <br /> I. ENVIRONMENTAL CHECK LISTPENALTY U.BC <br /> 2. BUILDING PLANS .� SEC.303(a) <br /> 3, FIRE HYDRANT TOTAL 223 50 <br /> L� <br /> 4. FIRE PROTECTION SYSTEM" PERMIT VALIDATION <br /> 6. GRADINGp11Q�F�LY VALID/fT{D LIN THIS 2I � � <br /> SPACE)THIS IS O <br /> DRAINAGE ''1 L] <br /> ENVIRONMENTAL IMPACTJ�JjTEMENT CD <br /> &iHEALTH DISTF061 �- ^ ':' I PT ^, R'�C M PT 00 <br /> M9LICATION ACC`BY PILQNS CHECKED BY APPR.FOR ISSUANCE BY <br /> U <br /> V.C. <br /> A - 6Jim 81 - 6 �Mual <br /> ADDRESS FILE <br />