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A <br /> the Evergreen CO N PT RU CTI O N <br /> CITY OF P CRM IT <br /> everett PERMIT NO. 08092 <br /> CITY HALL 2598745 El COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVEHETT,WA 98201 ZIP PHONE <br /> uTY <br /> AUIL AUURE56 <br /> OWNER <br /> Jade Development Inc. 1310 Pacific #3 Everett WA. 90201 258-46 E <br /> MAII AODRE65 GTY <br /> ARCHITECT OR DESIGNER <br /> MAIL ADDRE69 CITY <br /> ZIP PIWNE LK:EN6E <br /> GENERAL CONTRA "I <br /> Same MAIL ADDRESS CITY <br /> ZI�NONE LICENSE/ <br /> MECHA141CAL CONTRACTOR <br /> MAII ADDRE65 CITY <br /> ZIP PNONE LICENSE� <br /> PLUMBING CONTRACTOR <br /> CLASS OF WORK <br /> LTSNEW ❑ADDITION L]AITERATION []REPAIR ❑DEMOLITION ❑FENCE ❑610N GARAGE <br /> VALUATION OF WORK <br /> S 42,000.00 <br /> P:.SCRIBE WORK <br /> construct new residence <br /> •pROPO6E0 USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> 8ingle Family PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> i LEGAL DE6GRIPLIONOF'EIOPERTY(SNOW BELOW OR ATTACH FOUR COPIES) ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Plat of Evergreen TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> LOT 19 8LGE•L OF HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> Ridge VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAPNG <br /> CONSTRU TION OR THE PERFORMANCE OF CONSTRUCT ION. <br /> SIG RE OF I� NO DAGENT ATE <br /> — — <br /> an <br /> JOB ADDRESS X <br /> 114- 79th Place S.E . HANICAL <br /> PLUMBING TYPE OF EQUIPMENT FEE <br /> E N0. <br /> NO. TYPE OF FIXTURE OR ITEM FE4 0 AIR COND.UNITS—H .EA. <br /> 2 WATER CLOSET OILE REFRIGERATION UNITS—H.P EA <br /> 2 BATHTUB BOILERS—H,P.EA. <br /> LAVATORY ASHBASINI GAS FIRED A.C.UNITE—TONNAGE EA. 5 00 <br /> SHOWER 00 1 FORCED AIR SYSTEMS—B.T.U. M EA <br /> KITCHEN SINK 6 D16P. 2 00 WALL HEATERS—B.T.U. M - <br /> DISHWASHER UNIT HEATERS—B.T.U. FL <br /> LAUNDRY TRAY EVAPORATIVE COOLERS 3 00 <br /> CLOTHES WASHER CLOTHES DRYER% 4 00 <br /> WATER HEATER VENTILATION FAN <br /> URINAL 1 RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— C F M <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 6 CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK SERVICE—BAR.ETC.) — <br /> F'VBTOTAL $ <br /> SUB TOTAL PERMIT $ <br /> PERMIT f TOTAL FEE f 15 00 <br /> TOTAL FEE $ PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARU SETBACK PIAN CHECK NUMBER FEE RECEIPT NO. <br /> 6 Feet <br /> 20 Feet 20 Feet 80`✓2 <br /> FEE <br /> LOT AREA VACANT SITE FEES VALUATION <br /> USE Z k7YE6 LINO <br /> R-1 <br /> TYPE OF CONST. OCCUPANCY OdOUp NO.OFD DWELLING UNITS BUILDING $ 42 ,000 .0 163 00 <br /> V-N R-1 <br /> SIZE OF BLDG. NO,OF STORIES MAX,DOC.LOAD 10 00 <br /> k PLUMBING <br /> 24x39 15 00 <br /> BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FIRE ZONE REOUIRED <br /> 3 Yes DYES RANO <br /> APPROVALS <br /> By DATE <br /> OTHER <br /> U B.0 <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SEC.303(0) <br /> 2. BUILDING PLANS I TOT40 2 .0 198 00 <br /> 3. FIRE HYDRANT r PERMIT VALIDATION <br /> 4. FIRE PRO ION SYST WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> . n <br /> 5. GRADING RECEIPT 7747 S 1 63. 00 -m1 <br /> _ ' <br /> V.J18 DRAINAGE .. — Y C.,U E00 <br /> 7, ENVIRONMENTAL IMPA04 STATEMENT 1 1 [1 R I C E I P I— <br /> B. HEALT'H' DISTRICT <br /> =APPLICAIAN{�. I n_BY 'TANS CHECKED BY APPR.FOR ISSUANCE 0Y 5 SEP 8 O J I"I A N K Y O U <br /> lC —1 V.0 <br /> A15 SEP 8 0 <br /> ADDRESS -TLE <br />