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1 <br /> r <br /> the r]I,•,q.I•fN <br /> everett uONSTRUCT60P <br /> PERMIT PERMIT NO. 11989 <br /> CITY MALL 2598745 <br /> r <br /> EVERETT,WA SIMI � COMBINATION -X, BUILDING �X. MECHANICAL C� PLUMBING <br /> OWNER MAIL ADDRFSS 61TY JP PHONE <br /> Ken Berg 17928 43rd Avenue N.E. Arlington 98223 659-6847 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CON RAC OR MAI.ADDRESS CITY ZIP PHONE LICENSE E <br /> Same KEWBEC187PC <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> r PLUMBING CONTRACTOR MAIL ALORESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORK <br /> ISINEW ❑AODITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> E 581900.00 <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 /> LEGAL Oingle OF PROPERTY IS Residence <br /> nATTACH FOUR COPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT 36 BLOCK—OF Valley View #11 GOVERNING THIS TYPE 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 CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> U 8 28 5 LOCAL LAW REGULATING CONSTRUCTION OR THS <br /> PERFORMANCE OF STRUCTION. <br /> JOB ADDRESS MON TU OF CONTRACTOR 0 A THOM AO N DATE <br /> 2504 80th Place S.E. X <br /> PLUMBING FAECHA ICAC <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) AIR COND UNITS—H. EA. <br /> l BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> 2 LAVATORY(WASH BASIN( BOILERS— H EA <br /> SHOWER i Pin GAS FIRED A.C.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINK S DISK 2 on FORCED AIR SYSTEMS—B.T.U. M EA. <br /> 1 DISHWASHER I In n WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER l CLOTHES DRYERS <br /> URINAL VENTILATION FAN I nn <br /> DRINKING FOUNTAIN 1 RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> BUB TOTAL t SUB TOTAL 3 12 0 <br /> PERMIT t PERMIT t <br /> TOTAL FEE f 20 00 TOTAL FEE t 12 0 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 60 201 20' 83/11989 FEE 50 62 ECEEIPT NO. <br /> 201. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> 7 81 <br /> R-1 JES NO <br /> TYPE OFA CCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING 681900. 310 00 <br /> SIZE OF BLDG. NO.OF STORIES' MAX.OCL.LOAD <br /> 1560 Sq. Ft. 2 PLUMBING _ 20 00 <br /> L FIRE ZONE BASEMENT FIRE REGUSgPERIINKLERS MECHANICAL 12 OO J <br /> _ YES �L MO <br /> APPROVALS BY LFATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY UBC. <br /> 2.BUILDING PLANS ti <br /> 8EC,3031a1 <br /> 3.FIREHYDRANT _ TOTAL 342FOO <br /> 4.FIRE PROTECT(CSYSTEMM PERMIT VALIDATION <br /> S.GRADING— Y? UqqQFqVA <br /> LIDATT <br /> (IN THISP"%THIS lj)�410 —t) <br /> BBRAINAGE,_ r )� <br /> -- DO <br /> "N V I RONMBN%I M PACTLtMTEMENT <br /> EALTH DIBTRI 1118 RECEIPT YOUR RECEIPT <br /> LICATI A BY NS CHECKED BY APPR.FOR ISSUANCE <br /> 00 mo nwN_ NK YOU TIV\NK YOU <br /> 3 1 MAY 8 3 3 1 WAY 8 3 <br /> Jill, ADDRESS FILE <br /> L <br /> J <br />