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the Evergreen <br /> CITY OF CC *VST R U CTI O N <br /> everett PERMIT PERMIS N0. 08093 <br /> CITY HALL 2598145 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS IEY IIP PHONE <br /> Jade Development--i;,12 1310 Pacific # 3 Everett, WA. 98201 258-4695 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS OITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br /> PLUMBING CONTRACTOR MAILALJRESS CITY 21P PHONE LICENSE <br /> CLASS Of WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION [I FENCE ❑BION ❑GARAGE <br /> VALUATION OF WORK <br /> ( 421000. 00 <br /> DESCRIBE WORK <br /> Construct New Residence <br /> PROPOSED USE OF BUILDING <br /> Single Family 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 /> 17 Plat of Evergreen ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOCN_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> Ridge 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 /> JOB ADDRESS BIG NA HO 0 "Ni DATE <br /> 110- 79th Place S.E. X 9-15-80 <br /> PLUMBINGICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE 3F EOUIPMENT FEE <br /> WATER CLOSET OIL AIR COND UNITS--H' EA <br /> BATHTUB 4 00 REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ASH BASIN 4 00 BOILERS—H P.FA. <br /> SHOWER GAS FIRED A C.UNITS -TONNAGE EA <br /> KITCHEN SINK f DISP. 1 FORCED AIR SYSTEMS—B T U. M EA. 5 00 <br /> DISHWASHER 7 WALL HEATERS—B T U. M <br /> LAUNDRY TRAY UNIT))EATERS—B T U M <br /> CLOTHEb :'4SHER 7 nnI EVAPORATIVE COOLERS <br /> WATER HEATER 2 1 nn I CLOTHES DRYERS <br /> URINAL 2 VENTILATION FAN <br /> 4 04- <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- CFM <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE f CHIMNEY <br /> SINK(SERVICE-BAR.ETC <br /> SUB TOTAL 20 00 SUB TOTAL If <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6 Feet 20 Feet 7n roAf. 8093 FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 750OSq.Ft. <br /> KYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING s 42 ,000. 0 163 00 <br /> SIZE OF BLDG NO.OF STORIES MAX,OCC.LOAD <br /> 24X39 1 PLUMBING 20 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3 Yes REOUIREO MECHANICAL 1$ 00 <br /> OYES 0 <br /> APPROVALS BY DATE OTHER <br /> I. ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br /> SEC,303(a) <br /> 2. BUILDING PLANS N TOTAL 198 0 <br /> 3. FIRE HYDRANT vT <br /> 4. FIRE PROTECTION SY M PERMIT VALIDA ON <br /> WBER POIOPEIo-`�VA4DATE&THIS SPACE)THIS IS YOUR PERMIT <br /> _S. GRADING i TI 1111 LL UU <br /> VE. DRAINAGE 77 53 f l b 3. P <br /> 12 <br /> ENVIRONMENTAL IMPABfbTATEMENT ^;• ; '. I PT <br /> CID <br /> B. HEALTH D18TR1CT <br /> GIPPLICATIONU BYrLANS CHECKED BY APPR FOR ISSUANCE BY � i IR R::CEIPT o <br /> c -n <br /> V.C. <br /> i:K YC. U <br /> �' n 5 so d 0 <br />