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the Evergreen <br /> CITY OFF Cr N ST R U CTI O N <br /> CITY <br /> everett PERMIT PERMIT NO. 07943 <br /> CITY HALL 2590745 <br /> EVERETT.WA 98201 LA COMBINATION BUILDING ® MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS .itv qP PHC VE <br /> Thomas & Haugen Const 8614 53rd Place West 98204 355-0423 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CRY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE F <br /> Same TH OM All C243IR <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CT ZIP PHONE LICENCE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP .HONE LICENSE <br /> CLASS OF WORN <br /> Ek%W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION [I FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 66,000.00 <br /> DESCRIBE WORK <br /> Construct single family residence <br /> FROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES1 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 3 Evergreen Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT RLOCK-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 /> JOB ADDRESS SIGNATURE OF NTRACTOR OR AUTHOR ED AGENT nA'E <br /> 119 79th Place S.E. X <br /> PLUMBING iA CHANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) 00 AIR COND.UNITS—H .EA. <br /> BATHTUB 2 00REFRIGERATION UNITS—H .EA <br /> 2 LAVATORY ASH BASIN BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A C.UNITS—TONNAGE EA <br /> 1 KITCHEN SINK 8 DISP. 2 00 1 FORCED AIR SYSTEMS—B T U. M EA, 5 00 <br /> DISHWASHER 0 WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—8.7.0 M <br /> CLOTHES WASHER EVAPORATIVE COOLEf.S <br /> WATER HEATER 21 CLOTHES DRYERS 3 00 <br /> URINAL 1 VENTILATION FAN 2 O <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— CFM <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE A CHIMNEY 3 00 <br /> SINK SERVICE—BAR,ETC. <br /> SUB TOTAL 18 00 SUS TOTAL $ IS 00 <br /> PERMIT S PERMIT S <br /> TOTALFEE 5 18 00 TOTAL FEE S 16 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> I 80/7943 FEE 109. 0 RECEIVING <br /> USE ZONE LOT AREA VACANT SITE 5 <br /> R-1 (J"S ONO FEES VALUATION FEE <br /> TYPE OF CONST, OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING $66 ,000. 219 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.DOC.LOAD <br /> 24 I X26 I PLUMBING 18 00 <br /> FIRE ZONEY BASEMENTe B FIRE SPRINKLERS <br /> S MECHANICAL 16 OO <br /> AYES X7N0 <br /> APPROVALS BY DATE OTHER <br /> L ENVIRONMENTA 1ECK LIST PENALTY UBC <br /> SEC 303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 253 00 <br /> 3. FIRE H DF _ <br /> 4 FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIE6 ygEYMIS I�IEIUI�f�R1AlT� _• <br /> n 5 GRADING c::06 3 6 0 8. 0 ,_ 3 7 7 <br /> FS <br /> 6 OQAINAS E V' <br /> ENVIF) ITIMENTA APAGi STATEMENTCT)DISTRICT= I �Yi.) UR R� C C 1 PT I` <br /> S NEA- <br /> R'_CF1pT „r o <br /> APRLI ATBN ADC B'I PLANS CHECKED BY APPR FOR ISSUANCE BY, . I`� v Y(.. 0 I l U <br /> V.C. 1 <br />