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the Evergreen f INSTRUCTION <br /> CITY OF PERMIT <br /> everett PERMIT NO. 08569 <br /> CITY HALL 259 8745 ® COMBINATION Q BUILDING �[� MECHANICAL A _I PLUMBING <br /> EVERETT.WA 90201 711, 1'HDNE <br /> MAIL AUDRE55 <br /> GWNER <br /> Steven T. Iufer 13410 128th Place N .E. Kirkland 9ZIP <br /> 8033 82�N540 <br /> MALI AUDRE55 CITY <br /> ARCHITECT OR DESIGNER <br /> ZIP PHONE LICENSE 1 <br /> MAIL ADDRESS CITY FE RC C234M2 <br /> .1 ML mNTMCTOR <br /> Same LICENSE <br /> ZIP ATONE <br /> MAR ADOREss c1ly <br /> MECHANICAL CONTRACTOR LICENSE <br /> 21P ATONE <br /> MAIL ADDRESS CITY <br /> PLUMBING CONTRACTOR <br /> CLASS OF WORK <br /> ' KIL4Eyy []ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION C.FENCE []SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> L 65,000.00 <br /> DESCRIBE WORK --�� <br /> Construct single family residence <br /> PROPQSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> single family resider. PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR A.�:011 iOURCC^IESI ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 15Evergreen Ridge TYPE OF WORK WILL BE COMPLIED WITH WHETI' R SPECIFIED <br /> Lor RLOE"-OF 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 /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, <br /> S 12 28 4 SIGNATURE OF Cot III TOR OR AUTHOR�0 AGENj <br /> JOB ADDRESS X (,��-� E <br /> 106th 79th Place S .E. MECHANICAL <br /> PLUMBING FEE NO. TYPE OF EQUIPMENT FEE <br /> NO. TYPE OF FIXTURE OR ITEM AIR COND.UNITS—H .EA <br /> WATER CLOSET OILED REFRIGERATION UNITS—H P.EA <br /> BATHTUB BOILERS—H FA. <br /> LAVATORY ASH BASIN O GAS FIRED A C UNITS—TONNAGE EA. E <br /> SHOWER FORCED AIR SYSTEMS—B.T.U. M t^ <br /> KITCHEN SINK&DISP. 2 O WALL HEATERS <br /> DISHWASHER UNIT HEATERS—BTU M <br /> LAUNDRY TRAY EVAPORATIVE COOLERS 4 50 <br /> CLOTHES WASHER 2 00 1 CLOTHES DRYERS 6 00 <br /> 1 WATER HEATER 2 VENTILATION FAN 4 50 <br /> URINAL 1 RANGE HOOD C.F.M. <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— <br /> FLOOR DRAIN STOVE 4 O <br /> VACUUM BREAKERS METAL FIREPI ACE 6 CHIMNEY <br /> ROOF DRAINS—RAINLFADERS <br /> SINK(SERVICE—BAR,ETC. <br /> SUBTOTAL S 25 50 <br /> SUBTOTAL PERMIT S <br /> PERMIT S TOTAL FEE S 25 50 <br /> TOTAL FEEPLAN CHECK FEE <br /> REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> SIDE YARD SE6TBACK STREET SETBACK 201 80/8569 213 .5 <br /> VACANT SITEVALUATION FEE <br /> USE ZONE LOT AREA MISS ❑NO FEES <br /> R-1 <br /> I TYPE OF CONST. OCCUPANCY GROUP No,or DWELLING UNITS S 65000. 328 00 <br /> V-N R-3BUILDING <br /> NO.OF STORIES MAX.OCC LOAD 2 4 00 <br /> SIZE OF BLDG. l PLUMBING <br /> 441X24 ' 25 SPRINKLERS 50 <br /> BASEMENT FIRE SPMECHANICAL <br /> FIRE ZONE REQUIRED <br /> yes (IYES <br /> 11 II OTH <br /> APPROVALS BY DATE <br /> ER <br /> UBC. <br /> I. ENVIRONMENTAL CHECKLIST PENALTY SEC.303(a) 377 $0 <br /> 2. BUILDING PUNS TOTAL <br /> 3, FIRE HYDRANT N PERMIT VALIDATION <br /> HIS IS OUR PERMIT <br /> A. FIRE PROTECTION SYSTEM WHENWOPERLY VALIDATED IN THIS SPACE)5 — <br /> 5. GRADING J L - 3 <br /> CD <br /> B. DRAINAGE OD <br /> O <br /> T ENVIRONMENTAL IM �TATEMENT �I' ' '; \ R f I PT o <br /> IY,A HEA—LTH PAGTDISTRICT N ' ' I PT ' A. ! ;✓ YOU U <br /> BY 4PPR.FOR ISSUANCE By I <br /> PPLICATIbt1 AQQLBY PLANS CHECKED J� 1 <br /> V.C. V.C. <br /> .. 2 ZS I <br /> - � Jll3 $ I <br /> A ADDRESS FILE <br />