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I <br /> the GP ' <br /> C17Y OF F ^ON <br /> F - STRUCTION <br /> UlY <br /> everett PERMIT PERMIT N0. 11991 <br /> CITY HALL 2598745 <br /> EVERETT,WA 98201 COMBINATION U BUILDING ® MECHANICAL ® PLUMBING <br /> OWNER MAIL ADDRESSCITY LP PHONE <br /> Duane Berg 2704 128th 5*/Y Everett 98204 353-6229 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR <br /> MAIL ADDRESS CITY 21P PNONE LICENSE <br /> Same DUAMB224DA <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORK <br /> Vp <br /> X1 NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 76,520.00 <br /> DESCRIBE WORK <br /> Construct New $T.giden <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single Family Residence APPLICATION AND KNOW THF SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW RELOWORATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT35 BLOCK OF Valley View #ZI GOVERNING THIS TYPE OF WORK WILL 3E 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 PROVISION-3 OF ANY OTHER STATE OR <br /> U 8 28 5 LOC REGULATING CONSTRUCTION OR THE <br /> PERKO A CE OF CONSTRUCTION <br /> JOB ADDRESS SIGN E OF ONTRACTOR 0 RIZ ENT DATE <br /> 2510 80th Place S.E. 5/25/83 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) 4 00 AIR COND.UNITS- H.P. EA. <br /> BATHTUB 2 00 REFRIGERATION UNITS-M.P.EA, <br /> 2 LAVATORY f.%ASH BASIN) 4 00 BOILERS- H.P. EA. _ <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> j KITCHEN SINK&DISP. 2 0 1 FORCED AIR SYSTEMS- B.T.U. M EA. <br /> j DISHWASHER 2 00 WALL HEATERS- B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS B.T.U. M <br /> j CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 1 CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN j RANGE HOOD <br /> -CF.M <br /> FLOOR DRAIN AIR HANDLING UNIT- <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE B CHIMNEY <br /> SINK(SERVICE - BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f 18 00 SUB TOTAL f <br /> is JLQ- <br /> PERMIT S PERMIT f <br /> TOTAL FEE fin nn TOTAL FEE f 15 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLANCHECK1NUMgB1ER PLAN CHECK FEE <br /> 61 201 201 IMUH T.E236.60 RECEIPT NO. <br /> 62781 <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-j X1ES NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 j BUILDING $76,520.03 364 00 <br /> SIZE OF RLDG. NO.OF STORIES MA[.OCC.LOAD - <br /> 2 8 PLUMBING l8 00 <br /> F12 RlE ONE BASEMENT FIRE SPRINKLERS MECHANICAL j5 00 <br /> None REQUIRED <br /> YES KO <br /> OTHER <br /> APPROVALS BY DATE <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY --di.0 <br /> SEC.303(a) <br /> Z BUILDING PLANS + TOTAL 397 00 <br /> 3.FIRE HYDRANT AT <br /> 4,FIRE PROTEC N SYSTEML PERMIT VALIDATION <br /> 5.13RADING-4 n <br /> WHEN PROPERLY VALIDATED(IN TH ffTSE) .FN <br /> THIjI3YCgfRMIT <br /> 1;B RAINAO - SOI 8. O O 3 0 94 �U1 1U) <br /> NVIRON ha*LIMPAOMWATEMENT <br /> HEALTH T T - YOUR RECEIPT .v-4 <br /> LI=EEOM <br /> .�LANSCHACKEDBY APPR. FORISSUANCE�9P UR RECEIPT THANK YOU <br /> L�^I O HWM LC i -IP•.NK YOU <br /> ue 17 My 8 3 <br /> ADDRA57r#Y 83 <br /> I <br />