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the Evergreen "O N ST R U CT I O N <br /> CITY OF If <br /> everett PERMIT PERMIT NO. C8868 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 R1 COMBINATION ] BUILDING [XI MECHANICAL * I PLUMBING <br /> ov,nl P MAIL ADDRESS 7, ' ,. <br /> Valley View Associates 9502 19th Avenue S .E. Ste C 98204 337-7608 <br /> ARCHITECT OR DESIGNER MAR ADDRESS CITY ZIP PHONE <br /> GENE CONTRACT MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> Va��ay V ew Associates VA LL EV A 19483 <br /> MECHANICAL C014TRACTOR MAIL ADDRESS CITY ZIP PHONE '.ICENSEI <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSS F <br /> CLASS OF W'OR1f <br /> MEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION 0-WORK <br /> 6 45,000. 00 <br /> UESCRIBE WORT( <br /> Construct Single Family Residence <br /> PROPOSED USE OF BUILDING <br /> Si*jgle Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROPERTY ISnIW BELOW OR ATTACH FOUR COPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, <br /> 7 Valle View Div. #2 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT eLa<_GF y 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 TdE PRO. <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> U R 28 5 CO TRUCTION OR THE PERFO VMONCE OF CONSTRUCTION. <br /> 61G ATU OF CONTRACTOR OR AVTH ZE T DATE <br /> .IDR AI IDP!55 <br /> 2411 80th Place S .E. X v <br /> PLUMBING M ANICAL V <br /> NO. TYPE OF FIXTURE OR ITEM FEE irb.I TYPE OF EQUIPMENT FEE <br /> _ WATER CLOSET(TOILET) AIR COND.UNITS—H.F.EA. _ <br /> 1 BATHTUB 2REFRIGERATION UNITS—H P.EA <br /> 3 LAVATORY ASH BASIN) 6 BOILERS—H .EA <br /> SHOWER OAS FIRED AC UNITS—TONNAGE EA <br /> KITCHEN SINK S DISP. 1 FORCED AIR SwdEMS—B T.U. M EA <br /> DISHWASHERWALL HEATcRS—BLU. M <br /> _ LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> _ CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER _ 2 CLOTHES DRYERS <br /> URINAL 1 VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F _ <br /> VACUUM BREAKERS 1 ISTOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK SERVICE—BAR,ETC.) <br /> BUB TOTAL 24 nnSUB TOTAL f <br /> PERMIT f PERMIT f- 21400 <br /> TOTAL FEE 111 7 4 TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 2411 818868 FEE Basic RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 kyES LINO FEES _ VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0,OF DWELLING UNITS <br /> V-N R-3 1 BUILDING s 45 ,000. 260 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.CCC.LOAD <br /> 1 PLUMBING 24 00 <br /> FIRE ZONE BASEMENT FIRE <br /> OU SPRINKLERS MECHANICAL <br /> None AYES 21 00 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LISTPENALTY UBC <br /> SEC.503(M <br /> 2. BUILDING PUNS <br /> 3 FIRE HYDRANT TOTAL 305 5Q <br /> 4 FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WM v RIOP.FUux VALUATED DN THIS SPACE)THIS IS YOUR PERMIT <br /> GRADING v 5 C 5 � 8 2 6 0. 5 0 —od <br /> B. DRAINAGE T..> <br /> t ENVIRONMENTAL IMPACT-01TATEMENT ' - i' 00 <br /> - - — I, r rIPTo <br /> -I,Ap HEALTH DISTRICT __ ' •, <br />