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the Evergreen C C N ST R V CT I O N <br /> CITY OF <br /> everett PERMIT PERMIT NO. 07773 <br /> CITY HALL 2590745 <br /> EVERETT.WA 98201 I .I COMBINATION ❑ BUILDING 1 MECHANICAL ] PLUMBING <br /> T ZIP PIgNE <br /> MAIL ADDRESS <br /> OWNER 771 7 <br /> Car t4�S4IIarrnrtion 6T5 75th St BE 142 Everett 98203 355- <br /> ARCH'" n DESIGNER MAIL ADDRE6S <br /> CITY 21P PNONE <br /> .Ci_0 MAIL ADDRESS CITY ZIP PHONE IIOENSE1 <br /> aE"ERA`r0"TRACT°" CA—RT—ET-2060M <br /> Same MAILAOORESS CITY IIP PHONE LICENSE. <br /> MEC"ANIGLCONTRACTOR <br /> Associated Heating 11839 STater Ave NE Kirkland land 98033 ZP 823-5000ONE LICENSE <br /> PI UMBING CONTRACTOR <br /> MAIL ADOREss GITv <br /> CLASS OF WORK <br /> NEW ❑ADDITION []ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE []SIGN OGARAGE <br /> VALUATION OF WORK <br /> $ 48,840.00 <br /> DESCRIBE WORK <br /> Conatruct single family residence <br /> PROPOSED USE OF RDILDING <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A <br /> ResidencePLICATION AND KNOW THE SAME TO BE-TR E AND CORRECT. <br /> LEGAL DESCRIPTION OF PnoPERTr ISHow eElow oR ATTACH Fo�R COPIES' ALL PROVISIONS OF LAW ND ORDINANC GOVERNING THIS <br /> LDT 1 BEaK_OF -Y rCtr P�^Ragg TYPE OF WORK WILL B MPLIEO WITH NETHER SPECIFIED <br /> HEREIN OR NOT. T GRANTING OF ERMIT DOES N01 <br /> PRESUMETOGIVE TO VIO R CANCEL THE PRO- <br /> VISIONS OF ER STAT A OF CONSLAW T UCT GULATING ON. <br /> CONST" DATE <br /> _ SIGNATUR F CONT �A ENT <br /> JOR API1PI S5 X <br /> MECHA C <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. IR D TYPE <br /> P.EA WATER CLOSET(TOILET) <br /> REFRIGERATION UNITS-M.P.EA <br /> BATHTUB BOILERS-N.P.EA. <br /> LAVATORY ASH BASIN GAS FIRED A C UNITS-TONNAGE EA. <br /> _ SHOWER FORCED AIR SY. -EMS-B T . M EA - <br /> KITCHEN SINK 6 DISP. M <br /> WALL HEATERS -BTU. <br /> DISHWASHER UNIT HEATERS-B.T.U. AT <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER VENTILATION FAN 6 00- <br /> URINAL RANGE HOOD <br /> 3 GO- <br /> DRINKING FOUNTAIN AIR HANDLING UNIT- CFM <br /> FLOOR DRAIN STOVE -- <br /> VACUUM BREAKERS METAL FIREPLACE 6 CHIMNEY 3 A34- <br /> ROOFMAINS-RAINLEADERS _ <br /> SINK(SERVICE-BAR.ETC.) <br /> SUB TOTAL f <br /> SUBTOTAL _ PERMIT f <br /> PERMIT f 7n nn <br /> TOTAL FEE f TOTAL FEE <br /> rl AN CHECK FEE <br /> SIDE YARD SETRACK STREW SETBACK "FAR VAR TRA PLAN CHECK NUMBER RECEIPT NO <br /> 6 ft 20 ft 20 ft 7773 FEE 92.00 49097 <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FF.E <br /> R-1 RYES LINO <br /> TYPE OF CONST, OCCUPANCY GROUP NO,OF DWELLING UNITS <br /> V-N R-3 1 BUILDING %8,840. 184 00 <br /> BIZE OF BLDG_ NO.OF STORIES MAX.OCC.LOAD <br /> 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRC SPRINKLERS MECHANICAL <br /> REOUIR <br /> 3 es [;YES O <br /> APPROVALS <br /> BY DATE OTHER <br /> Us C <br /> 1. ENVIRONMENTAL CHECKLIST PENALTY SEC. <br /> SEC.303(E) <br /> 2. BUILDING PLANS o� TOTAL 230 nn <br /> 3. FIRE HYDRANT '� <br /> C FIRE PROTEdhON SYSTEM PERMIT VALIDATION <br /> O 2 3 WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS I6 YOUR PERMIT <br /> 15. GRADING O2640 6023 <br /> Mb. DRAINAGE i,n o <br /> 7. ENVIRONM TAL IMPAbPSTATEMENT <br /> "B. HEALTH DISTRICT I RECEIPT YOUR RECEIPT ~o <br /> �APPLICA,TIQN C.BY PLANS CHECKED BY APP".FOR ISSUANCE BY �I 1` YOU THANK YOU <br /> C -O <br /> V.c. <br /> _) ml <br />