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1 <br /> The (:lI n•(R CONST RUCTIO ' <br /> everett PERMIT PERMIT NO. J2449 <br /> CITY HALL 25911i43 <br /> EVERETT,WA 93201 fl COMBINATION 1W BULGING k , MECHANICAL PLUMBING <br /> OWNERMAIL ADDREz , �'.rtr ZIP PHONE <br /> Duane Berc, 2704 138 tIL Street S.W. Everett 93204 353-6229 <br /> ARCHITECT OR DESIGNER MAIL ADORESS CITY ZIP PHONE <br /> GENE,.AL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br /> Same DUAM2240A <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONILICENSE I <br /> 1 . <br /> CLASS OF WORK <br /> lI$NEW ❑ AOCITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> IF 47,000.00 <br /> DESCRIBE WORK <br /> Construct Single Family REsidence <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTAC4 FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT 37 BLOCK_OF Valley View II GOVERNING THIS 1 YPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR C EL THE PROVISIONS OF ANY OTHER STATE OR <br /> UB 28 5 1 1 W REGULATING CONSTRUCTION OR THE <br /> PI FO NCE OF CONSTRUCTION. <br /> JOB ADDRESS 51�NAJ EO CO NTRACTOROWOTHOWZE ENT DATE <br /> 2430 80th Place S.E. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENi FEE <br /> 2 WATER CLOSET(TOILET) 4 00 AIR COND.UNITS-M.P.EA. <br /> BATHTUB REFRIGERATION UNITS-H.P.EA. <br /> 2 LAVATORY(WASH BASIN) 4 nn BOILERS-H.P.EA, <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> 1 KITCHEN SINKS DISP. 2 nn FORCED AIR SYSTEMS- B.T.U. M EA. <br /> 1 DISHWASHER WALL HEATERS - B.T.U. M <br /> UNI <br /> THEATERS T HEATERS- B.T.U. M <br /> CLOTHES WASHER 2 nn EVAPORATIVE COOLERS <br /> ], WATER HEATER 2 00 1 CLOTHES DRYERS <br /> URINAL 2 VENTILATION FAN 6 nn <br /> DRINKING FOUNTAIN I RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE- UAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL t 1A SUBTOTAL $ <br /> PERMIT S PERMIT S <br /> TOTAL FEE 3 18 00 TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6' 20' ' 83/12449 FEE 154.70 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 Igp I SNO <br /> 'YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING 1117,000. 269 50 <br /> SIZE OF BLDG, NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING 18 00 <br /> 1270 Sq. Ft. 1 <br /> t FIRE ZONE BASEMENT FIRE REOUIgEIppN,,K,LERS MECHANICAL 22 50 <br /> -YES (MO <br /> APPROVALS BY DATE OTHER <br /> 1,ENVIRONMENTAL CHECK LIST PENALTY SEC. <br /> SEC.909181 <br /> 2.BUILDING PLANS TOTAL 310 00 <br /> 3.FIRE HYDRANT v <br /> 4.FIRE <br /> PRTECT N SYSTEAF — PER01 ;tALYEGyN TH1C6 CCE)THIJI�YfJ.P� lT <br /> 5.GRADING I � <br /> &DRAINAGE. L_ M <br /> ENVIRONMENTAL IMPAC4RATEMENT , • : <br /> WkiEALTH OISTRI T RECEIPT 111, RECEIPT <br /> APPLICATION A(1Q BY LAN&CHECKED BY APPR.FOR ISSUANCE BY i ,,.N K Y O U <br /> °o .< n ` 3 THANK YOU <br /> L" (.ABI T1 o F'W:d LC <br /> — C= :; — _ q OCT 83 <br /> - y ca 83 <br /> .ADDRESS NLE <br />