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the Ev <br /> CITYOF� Cr NSTRUCTION <br /> CITU OF <br /> everett PERMIT PERMIT N0. 07518 <br /> CITY HALL 2598745 <br /> EVERETT,WA 98101 ® COMBINATION ® BUILDING 0 MECHANICAL ® PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Carter Const. Inc. 615 75th St. S.E. Apt. 42 Everett 98203 355-7712 <br /> ARCHITECT OR DESIONLA MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL AN KESS CITY ZIP PHONE LICENSE# <br /> Same CA RT FT *206DM <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br /> CLASS OF WORK <br /> OMEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 47,124.00 <br /> DESCPIBE WORK <br /> Construct single family residence <br /> PROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND E M NED THIS AP. <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TF05E D CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANC S G9fVERNING THIS <br /> LOT 9 eLOCK—OF Evergreen Ride TYPE OF WORK WILL BE COMPLIED WIT H HER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING MIT DOES NOT <br /> PRESUMETeOTATE <br /> TYTO LA CANCEL THE PRO. <br /> VISIONS OFR L L LAW REGULATING <br /> CONSTRU TFOF CONSTRUCTION. <br /> JOB ADDRESS SIGNATORIZ A N DATE <br /> 107 79th Place S.E. X 5/29/80 <br /> PLUMBING MECH CAL / <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0TYPEOFEJWPMENT FEE <br /> WATER CLOSET OIL AIR COND.UNITS-H P.EA <br /> 1 BATHTUB REFRIGERATION UNITS-H.P.EA <br /> LAVATORY ASH BASIN 4 00 BOILERS-H P.EA <br /> SHOWER GAS FIRED AC UNITS-TONNAGE EA. <br /> 1 KITCHEN SINK 8 DIS#. 2 00l FORCED AIR SYSTEMS-B T U M EA, 5 00 <br /> 1 DISHWASHER 2WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B T.U. M <br /> 1 CLOTHES WASHER 200 1 EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 1001 CLOTHES DRYERS <br /> URINAL 2 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 I METAL FIREPLACE 6 CHIMNEY <br /> SINK ISERVICE-BAR,ETC <br /> SUBTOTAL SUBTOTAL f LB <br /> PERMIT f PERMIT f <br /> TOTAL FEE ! 20 TOTAL FEE f 18 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 201 FEE RECEIPT NO <br /> 80/7518 90.50 47818- <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 9290 SQ. Ft. TJMS LINO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNITS <br /> V—N R-3 1 <br /> SIZE OF BLDG. N0.OF STORIES MAX OCC,LOAD BUILDING $47,124.00 181 00 <br /> 421X211 1 PLUMBING 20 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3yes REOUIREp. MECHANICAL 18 00 <br /> nYES C O <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY <br /> 2. BUILDING PLANS ^I SEC.303(a) <br /> TOTAL 219 00 <br /> 3. FIRE HYDRANT o0 <br /> 4. FIRE PROT )%ION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> r5. GRADING NG <br /> %C ` <br /> n 11 .1 p <br /> S DRAINAGE 0 E `l O 7 E 1 <br /> 7 ENV) M IAL IMPACrSTATEMENT p F- �• Ln <br /> B. HEALTH DISTRICT ` I R RECEIPT ~ <br /> � 1APPLICA N BY , y'LANS CHECKED BY APPA.FOR ISSUANCE BY rl "J R RECEIPT 0 <br /> c -o <br /> V.C. YOU ' 1 ;ANK YOU <br /> _I <br /> A 2 9 AY 80 <br />