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the Evergreen "3"O 1\STI ■U CT I O N <br /> CITY OF <br /> everett PERMIT PERMIT NO. 08867 <br /> CITV HALL 159.8745COMBINATION (� BUILDING MECHANICAL ® PLUMBING <br /> EVERETT.WA 98201 <br /> MAILAOORLSS LIIY ZIP PHONE <br /> O'MR II <br /> Valley View Associates 9502 19th Avenue S .E. S+'e. C 98204 337-7608 <br /> CITY 21P PHONE— <br /> ARCHITECT OR 0E5'ON ER MAIL ADDRESS <br /> MAIL ADDPESS CITY ZIP PHONE lIL'ENSE <br /> GENERAL CONTRACTOR VA LL EV A 19483 <br /> Valley View Associates ZIP PONE CEN5E1 <br /> MECHANICAL CONTRACTOR <br /> MAIL ADDRESS CITY <br /> PLUMBING CONTRACT011 MAIL ADDRESS <br /> CITY ZIP IF�NE LK;ENSEI <br /> CLASS OF'MORK <br /> WXEW DADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGTI ❑GARAGE <br /> VALUAT*N OF WORK <br /> T 40,000.00 <br /> DESCRIBE WORK <br /> Construct single family residence <br /> PROPOSED USE OF BUILDING T <br /> I HEREBY D THAT I HAVE READ AND EXAMINED THIS AP. <br /> Single Family Residence AND <br /> LEGAL DEfiCRIPRONOF PROPERTY(SHOW BELOW OR ATTACH FOUR COMES) <br /> q Valley View #2 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LGT__BLocK_oF TYPE OF WORK WILL BE COMPLIED WITH WH'_THER 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 /> U B 28 5 CONSTRUCTION OR THE PERFORM NCE OF CONST DATE N. <br /> SIG RE OF CONTRACTO R AUT RI T _ <br /> JOB ADDRESS y <br /> 2429 80th Place S.E. A <br /> ANICAL <br /> PLUMBINGFEE <br /> p, TYPE OF EQUIP NT <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR COND UNITS—H.P.EA. <br /> WATER CLOSET OILET REFRIGERATION UNITE—H.P.EA <br /> BATHTUB BOILERS—H.P.EA. <br /> 2 LAVATORY WASH BASIN GAS FIRED A C.UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN SINK 6 DOSP. 2 00 1 FORCED AIR SYSTEMS—B T U. M EA. <br /> WALL HEATERS—B.T.U. M <br /> 1 DISHWASHER UNITHEATERB—B.T.U. M <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> 1 CLOTHES WASHER CLOTHES DRYERS 4 50 <br /> WATER HEATER 2 VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— C F.M _ <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEY <br /> ROOF DRAHj—RAINLEAOER6 <br /> SINK SERVICE—BAR.ETC <br /> SUB TOTAL — __2O 00 SUB TOTAL $ <br /> PERMIT f <br /> PERMIT S TOTAL FEE _ <br /> OTAL FEE I PLAN CHECK FEE <br /> 610E YARD SETBACK STREET SETBACK AFAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> 6+ 201 201 8867 <br /> USE ZONE LOT AREA VACANT 61TE FEES VALUATION FEE <br /> R-I ()IY§S DNO <br /> TYPE OF CONST. 013 UP NO.OF DWELLING UNITS <br /> V-N BUILDING $40 ,000 . 238 00 <br /> SIZE OF BLDG. NO.OF STOF MAX.OCC.LOAD 20 00 <br /> 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 21 00 <br /> none REQUIRED <br /> 1-IVES ( <br /> BY DATE OTHER <br /> APPROVALSC. <br /> -- <br /> U 0. <br /> 1. ENVIRONMENTAL CHECK LI67 PENALTY SEC..303(a)) <br /> 2. BInLDINO PLANS TOTAL 279 00 <br /> FIRF HYDRANT ' ' q� 11TT yVAAyLIDD ��]] <br /> 4. FIRE PROTECTION SYSTEM WIHFLNjRPPBA ALAUDATBDS,IN THIS SPACE)THIS ISYOURPERMITO -- <br /> 15. GRADING 1 22 8 <br /> S.S. DRAINAGE I o QO <br /> .J. ENVIROf1MENTfLIMPACT'aTATEMENT I �• Ib <br /> HEALTH DISTRICT I •• -.�.is I F l c::)_ 1 y L. <br /> +APPLICATION ACG BY - AN6 CHECKED By APPR.FOR ISSUANCE BY • J U <br /> V.C. <br /> A 5 <br /> ADDRESS FILE <br />