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The EvergreenC0 y ST RU CTIO N <br /> CITY OF PERMIT <br /> everett PEnMIT NO. 08094 <br /> CITY HALL 259.5745 COMBINATION El BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERE'T.WA 98201 <br /> MAIL AUDIKSS LILY <br /> ZIP PNCIIIC <br /> OWNER 258-4695 <br /> JADE DEV}i+Ll1PMFNT_ TMC CITY 21P HONE <br /> ARCRITEC'OR DESIGNER MAIL ADDRESS <br /> MAIL ADDRESS <br /> CITY ZIP PHONE IK:ENSE/ <br /> GENERAL CONTRACTOR <br /> Same CIS ZIP PHONE LCENSE/ <br /> MECHANICAL CONTM IDR MAIL ADDRESS <br /> MML AOOIIE55 <br /> CITY 21P PHONE LK:ENSE/ <br /> %UMBINO CONTRACTOR <br /> CLASS OF WORK <br /> [NEW []ADDITION LT ALTEM110N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN OGARAGE <br /> VALE QQ 000 <br /> 0K <br /> OESCRISE WORK <br /> Construct new residence <br /> MOPOS D USF OF BUMWN�i I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> S family PLICATION AND KNOW THE SAME Ti BE TRUE AND CORRECT. <br /> LEGAL DtKRII ZION OF%gPERTY(SHOW BELOW OR ATTACH FOURCONESI ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNI'IG THIS <br /> 18 DLaK_OF Plat of Eve TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> LOT <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 /> CONSTR ON OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGN OF CONT- E <br /> 11 Alffl _ 79th Pl. SE, Everett %AIIEFRIGERATION <br /> 9/15/80 <br /> l L AL <br /> PLUMBING NFEE <br /> TYPE OF EQUIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM FEZ OND UNITS—H.P EA. <br /> WATER CLOSET OILET UNITS—H.P.EA <br /> BATHTUB RS—H P.EA. <br /> LAVATORY ASH BASIN IRED A C.UNITS-TONNAGE EA.SHOWER ED AIR SYSTEMS-B.T.U. M EA.KITCHEN SINK 6 DISP. HEATERS-R.T.U. M <br /> DISHWASHER I UNIT HEATERS-B.T.U. M <br /> LAUNDRY TRAY O EVAPORATIVE COOLERS <br /> CLOTHES WASHER 2 CLOTHES DRYERS <br /> WATER HEATER I VENTILATION FAN <br /> URINAL RANGE HOOD 0- <br /> DRINKING FOUNTAIN AIR HANDLING UNIT- CFM <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEY <br /> ROOF DRAINS-RAIN[FADERS <br /> SINK ERVICE-BAR.ETC.) <br /> BUB TOTAL S 16 0 <br /> SUB TOTAL PERMIT $ <br /> PERMIT 3t <br /> TOTAL FEE <br /> TOTAL FEE 3 PLAN CHECK FEE <br /> LIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER F UE RECEIPT NO. <br /> 6 ft 20 ft 20 ft 8094 _ 78.50 49877 <br /> USEZONE <br /> LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 LIAES ONO <br /> TYPE OFCONSTOCCUPANNCy GROUP NO.OF DWELLING UNITS <br /> V-N BUILDING 340,000 . 157 00 <br /> 612E OF BLDG N0.OF STORIES MAX.OCC.LOAD <br /> 26'x48' 1 PLUV .NG 14 00 <br /> FIRE ZONE BASEMFNT FIRE SPRINKLERS MECHANICAL 16 OO <br /> 3 RED MECHANICAL No DYE6 I MIO <br /> APPROVALS <br /> BY DATE OTHER <br /> U.B C. <br /> t ENVIRONMENTAL CHECKLIST PENALTY SEC.3031e1 <br /> 2. BUILDING PLANS TOTAL 1B7 OO <br /> 3. FIRE HYDRANT a' <br /> PERMIT VALIDATION <br /> 4. FIRE PROTECTION SYSTEM 19 OP <br /> VTINfRYHLY VAUDSD LIN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADIII 0 �br ll 4 ll U J 4 9 5 7. 0 0 — � <br /> S. DRAMAGE -;T n n <br /> 7. ENV NMENTAL IMP STATEMINT I :C E I PT <br /> YOUR R E C E I PZ' ° <br /> B. HEA DISTRICT I+� U <br /> APPLIC T IN ACC_PY) f I PLANS ehjCKED By APPR.FOR ISiUANCE DV ' , �i� THANK Y Q U <br /> c IVC <br /> A 1 5 sEP 8 U 1 5 SEP 8 0 <br /> ADDRESS FILE <br />