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the Evergreen "O N ST R U CTI O N <br /> CITY OF <br /> eCITY HALL 259-8745 veref PERMIT PERMIT NO. O911II <br /> EVERETT.WA 98201 (XI COMBINATION IgI BUILDING I MECHANICAL k ) PLUMBING <br /> OWNER MAIL ADDRESS <br /> L°` zR' rraru <br /> Eugene Brown 10979th Place S.E. Everett <br /> ARCHITECT OR DESIGNER MAIL ADORE. city <br /> ZIR PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS _ <br /> E <br /> Skyeview Homes 19907 Dawson Road Lynnwood, We. 98036 SK EE217CHsE1 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS <br /> C1ry ZIP PHONE IICEN6E <br /> PLUMBING CONTRACTOR MAIL ADDRESS <br /> CITY ZIP PNONE <br /> LICENSE 1 <br /> CLASS OF WOAK L� <br /> ❑ E�,f. <br /> NEW OADDITION ,L. LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> s 1,000.00 <br /> DESCA18E WORK <br /> finish baaement area <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(5NGW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LOT 8 BLOCI-01 Evergreen Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 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 /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> Z8ADDRI -- SIGNAT OF CONTRACTOR OR AU RIZED AGENT DATE <br /> 109 79th Place S.E . y <br /> X l 4/13/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> WATER CLOSET OILET FEE <br /> AIR GOND.UNITS—H.P.EA <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ASM BASIN BOILERS—H.P.EA, <br /> I SHOWER GAS FIRED AC.UNITS—TONNAGE FA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS <br /> DISHWASHER <br /> LAUNDRY TRAY WALL HEATERS—B.T.U. M <br /> UNIT HEATERS—B.i.U. L1 <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER <br /> URINAL CLOTHES DRYERS <br /> VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK SERVICE—BAR,ETC.) <br /> I <br /> SUBTOTAL 6 00 SUBTOTAL S 3 00 <br /> PERMIT i PERMIT f <br /> TOTAL FEE t 6 TOTAL FEE t <br /> I Din <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PUN CNECK FEE <br /> USE ZONE LOT AREA VACANT SITE FEE RECEIPT NO. <br /> :JYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG, NO,OF STORIES MAX OCC LOAD BUILDING f 17 50 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS 6 00 <br /> REOUIRED MECHANICAL <br /> [LYES ❑NO _ 3 00 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> 2. BUILDING PLANS PENALTY U 8 C <br /> SEC.303(a) <br /> G. FIRE HYDRANT TOTAL 50 <br /> A. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S. GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOU TRMIj <br /> 6 DRAINAGE �' U, �i 3 U I . ) <br /> 7, ENVIRONMENTAL IMPACT STATEMfW r_4 <br /> A� <br />