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(he``�TYPor - ''ONSTRUCTION _ <br /> everett PERMIT PERMIT N0. 09113 <br /> CITY HALL 759-0145 <br /> EVERETT WA 96201 Q COMBINATION Q BUILDING ❑ MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS OTY ZIP PHONE. <br /> Eugene Brown 10979th Place S.E. Everett <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE a <br /> Skyeview Homes 19907 Dawson Road Lynnwood, Wa. 98036 SK YE E217CH <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE A <br /> CLASS OF WORK <br /> ❑ jE� <br /> ANEW ❑ADDITION ANpLTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 1,000.00 <br /> DESCRIBE WORK <br /> finish basement 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 ISHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> B Evergreen Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLocK__oF 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 /> ME ADDRESS SIGNAT OF CONTRACTOR OR AUTII PIZED AGENT DATE <br /> 109 79th Place S .E. X 7 4/13/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.EA <br /> LAVATORY(WASH BASIN BOILERS—H .EA. <br /> 1 SHOWER 2 00 GAS FIRED A UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. I'7RCED AIR SYSTEMS—B T U. M EA <br /> DISHWASHER WALL HEATERS— BT.0 M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL I 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 /> SINN SERVICE—BAR.ETC.) <br /> BUB TOTAL 1 6 00 SUBTOTAL S 3 00 <br /> PERMIT III PERMIT f <br /> TOTAL FEE 111 6 TOTAL FEE t i inn <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> )]YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING S 17 SO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING 6 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REQUIRED MECHANICAL 3 00 <br /> I]YFS I]NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY UBC <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL SO <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED PN THIS SPACE)THIS IS YOUg PERrj F <br /> 5. GRADING I I <br /> 6. DRAINAGE <br /> 7. ENVIR MENTAL IMPACT STATEMENT r'I <br /> B. HEALTH DISTRICT - <br /> I <br /> APPLICATION ACC.BY PLANS CHECKED BY APPA FOR ISSUANCE BY <br /> V.C. <br /> ADDRESS FILE <br />