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the Evergreen <br /> CITYOfCONSTRUCTION <br /> CITY O' <br /> everett PERMIT PERMIT NO. 08113 <br /> CITY HAL,2590745 <br /> EVERCTT.WA 98201 U COMBINATION ii BUILDING k.i 'MECHANICAL "PLUMBING <br /> OWNER PAIL AD(KGSS --y— CITY ZIP PHONE <br /> Skye View Homes 4821 LrUth S .W. I201 Lynnwood, Wa. 745-3661 <br /> ARCHITECT C-I DES'jNER MAIL ADDPEW CITY ZIP PHONE <br /> DEN ALCONTRACIOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> �ame SK YE 217CH <br /> MECHANICAL CONTRACTOR 1AAILADDRESB CITY ZIP PHONE LICENSE/ <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORN <br /> ANEW ❑ADDITION 0ALTEI4lTI0f! ❑REPAIR ❑DEMOLITION ❑FENCE 0610N ❑GARAGE <br /> VALUATIO'1 OF WORK <br /> ! 48,000.00 <br /> DESCRIBE WORK <br /> Construct single family residence <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 SAME TO BE TRUE AND CORRECT. <br /> Evergreen Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 8 <br /> LOT eLOCK_OF g 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 REGULATING <br /> S 12-28-4 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF CONTRACT OR AUTHORIZED AGENT DAJE 2280 <br /> 109 79th Place S.E. X �/I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) 4 00 AIR GOND,UNITS—F.P.EA. <br /> 1 BATHTUB REFRIGERATION UNITS-H.P.EA <br /> 2 LAVATORY(lV r•5`i BASIN) d BOILERS-H.P.EA. <br /> 1 SHOWER GAS FIRED A.0 UNITS•-TONNAGE EA. <br /> KITCHEN SINK 4 DISP. 1 FORCED AIR SYSTEMS-B.T.U. M EA. <br /> 1 DISHWASHER WALL HEATERS-B.T U. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.U. M <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER 1 CLOTHES DRYERS 3 00 <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 METAL FIREPLACE 6 CHIMNEY _ <br /> i <br /> 3 SILO— <br /> SINK EERVICE-BAR.ETC. -- <br /> I <br /> I <br /> BUB TOTAL 20 00 BUB TOTAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE 2 20 00 TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 201 80/8113 FEE basic RECEIPT NO. <br /> USEZpNE LQT gREp VACANT SITE - <br /> R-1 7950 SQ. Ft. XRS ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNI i, <br /> V-N R-3 1 ._ BUILDING <br /> _ $48,000. 181 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX OCC LOAD <br /> 261x401 1 PLUMBING 20 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 18 00 <br /> 3 yes REOUIIRED.. <br /> EIYEB <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY Us <br /> SEC 303(B) <br /> 2. BUILDING PLANS <br /> TOTAL <br /> 3. FIRE HYDRANT V 219 00 <br /> 4. rIAE PROTECTION SYSTEM PERMIT VALIDATION <br /> _ WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> w GRADIN.,. 0. 0 0 -- 3 977 20 0 <br /> t o , <br /> DFWN'L,E ;cJ o • I o I• '''�= <br /> N'AROI }ENOL)MPA a -1E 00 <br /> MENT <br /> CO <br /> HEALTH 51--tI • i_ '" RECEIPT YOUR RECEIPT o <br /> t7FpLICATIM BY 1 NECKED BY APPR FOR ISSUANCE BY <br /> V.C. K YOU TI•IANI, YOU <br /> � �nuc 8 0 2 5 AUG8 t) . <br /> D KESS FILE <br />