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the Evergreen Ir7NSTRUCTION -- <br /> C11Y Of <br /> PERMIT PERMIT N0. 087 -0 <br /> everett <br /> CITY HALL <br /> 5 PLUMBING <br /> EVERETT,WA 93201 ® COMBINATION BUILDING <br /> OWNER AX Z H <br /> Dp PHONE <br /> CRY <br /> JH>68yXiC8tlgYfjFX1C$HY111ESUH1'' rXXRBS% 9502 19th Avenue S.E. 98204 337-7608 <br /> VAiTFV V�`T°• r.rLMemottr•m��. CRY ZIP PHONE <br /> ARCHITECT OR DESIGNER MMl AODRCSS <br /> MAIL ADDRESS CRY 11P HONE LICENSE <br /> GENERAL CONTRACTOTI JA ME SG C256QK <br /> MECHANICAL CONTRACTOR MAIL ADDRESS <br /> CRY ZIP PHONE LICENSE E <br /> GT, Z1p PHONE IK:ENSE 1 <br /> PLUM8110 CONTRACTOR MAIL ADDRESS <br /> CLASS OF WORK <br /> ftEW ❑ADDITION []ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE O61GN _GARAGE <br /> VALUATION OF WORN <br /> E 44 , 000. 00 <br /> DESCRIBE WORK <br /> New Construction Single Famil Residence --- <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP. <br /> Single FamilyResidence PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DESCRIPTION of PROPERTY 70, <br /> nELow on A, AOI IouRCOPIESI ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Valley View Div. #2 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> LOT 2 BLDDK_OF 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 /> r U 8-28-5 STRUCTION OR THE P RF RMANCE OF CONSTRUCTION.IN <br />' SIGNA URE OF CONTRACTO 0 UTI , ED T <br /> JOB ADDRESS 2/3/81 <br />/ 2509 80th Place S.E. <br /> M CHANICAL <br /> PLUMBINGFEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EGUIPM T <br /> AIR COND.UNITS—N.P.EA <br /> _7 WATER CLOSET TOILET REFRIGERATION UNITS—H EA _ <br /> 1 BATHTUB 4 00 BOILERS—M.P.F.A. <br /> 2 LAVATORY WASH BASIN GAS FIRED AC.UNITS—TONNAGE EA. <br /> SHOWER 1 FORCED AIR SYSTEMS—RTU. M EA 6 00 <br /> KITCHEN SINK S DISP. WALL HEATERS—B T . M <br /> DISHWASHER UNIT HEATERS—B.T.U. M <br /> LAUNDRY TRAY 2 00 EVAPORATIVE COOLERS <br /> CLOTHES WASHER 1 CLOTHES DRYERS 4 50 <br /> WATER HEATER 2 VENTILATION FAN 6 0 0 <br /> URINAL 1 RANGE HOOD 50 <br /> DRINKING FOUNTAIN - AIR HANDLING UNIT— CFM <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEY <br /> ROOF DRAINS—RAIN[FADERS <br /> SINK(SERVICE—BAP.ETC. <br /> SUBTOTAL f <br /> SUB TOTAL PERMIT f <br /> PERMIT f TOTAL FEE f 21 00 <br /> OTAL FEE f 20 00 PLAN CHECK FEE <br /> SIDE YARD SiTRALK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER RECEIPT NO <br /> 6' 20' 20' 8740 LE154. 70 <br /> LOT AREA VACANT SITE FEES VALUATION <br /> R-1 EEE FEE <br /> USE ZONE ( kS ONO <br /> TYPE OF CONST OCCUPANCY GROUP NO,OF DWELLING UNITE 256 0 0 <br /> V-N R-3 1 BUILDING =44,000. <br /> SIZE OF BLDG. NO.OF STORIES MAK.OCC.LOAD 20 00 <br /> PLUMBING <br /> 26' X44' 1 21 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOWRED <br /> yes ❑YES 0 <br /> APPROVALS <br /> BY DATE OTHER <br /> PENALTY SE C. <br /> I. ENVIRONMENTAL CHECKLIST 6F.C.3031A1 <br /> 2. BUILDING PLANS TOTAL 297 00 <br /> 3. FIRE HYDRANT <br /> PERMIT p pVpApLEIDryA,YT�ION <br /> t. FIRE PROTECTION 6YSTEIA WHEN ( U 11 UV,LIOSTE6�N THIS SPACE)THIS IS YOUR PERMIT <br /> U V O <br /> 5 GRADING 3579 S75L. 00 -- � <br /> IS DRAINAGE <br /> --------------- <br /> DO <br /> 7 I NVIFONMENTAI I,,I'AfT STATFMFNT _ <br />