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If <br /> „I <br /> The Evergreen <br /> CITY OF C O r > ` . . .;%.p T I10 N <br /> everett PERMIT PERMIT NO. 06350 <br /> CITY HALL 259 8745 <br /> EVERETT,WA 98201 ® COMBINATION BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL AODPLSb FI <br /> Silver Homes, Inc. 221 South Broadway 98204 153-5080 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS GTT 71P PHONE <br /> GENERAL CONTRACTOR MAIL ADDRE£5 OR 71P N"I" LICENSE IF <br /> Same <br /> 11AECIP'NICAL CONTRACTOR MAR ADDRESS GTI i1P PKAE LICENSE# <br /> PLUMBING CONTRACTOR MAIL ADDRESS CIT, ZIP PHONE LICENSE IF <br /> CLASS OF WORK <br /> k*EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE DEIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 771000. 00 <br /> DESCRIBE WORK <br /> Construct single family residence <br /> PROPOSE)USE OF BUILDING <br /> single family residence IHEREBY CERTIFY THAT IHAVE READ AND EXAMINED THIS Ar. <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 2 S .P. 1202-25-79 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> OT BLocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 /> CONSTRUCTION OR PERF R ANCE OF CONSTRUCTION. <br /> .aB161Es�Oth Place S.W. 61G FCONTRACTO OR A . T DATE <br /> PLUMBING MECHANI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 3 WATER CLOSET(EGRET) 6 00 AIR COND UNITS-H.EA. <br /> 1 BATHTUB 2 REFRIGERATION UNITS-H.P.EA <br /> 3 LAVATORY ASH BASIN BOILERS-H .EA. <br /> 2 SHOWER GAS FIRED A C UNITS-TONNAGE EA <br /> 1 KITCHEN SINK S DISK 2 n n1 FORCED AIR SYSTEMS-B T U M EA 5 00 <br /> 1 DISHWASHER 2 WALL HEATERS -B T U M <br /> LAUNDRY TRAY UNIT HEATERS-B.7 U L+ <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER 2 001 CLOTHES DRYERS 3 1 IT,n- <br /> URINAL 1 2 1 VENTILATION FAN <br /> DRINKING FOUNTAIN I I RANGE HOOD 3 00 <br /> FLOOR DRAIN AIR HANDLING UNIT- CFM <br /> VACUUM BREAKERS ISTOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE-BAR,ETC, <br /> BUB TOTAL U, , BUB TOTAL f 1 S <br /> PERMIT f PERMIT f <br /> TOTAL FEE f 26 00 TOTAL FEE f 15 0 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6' 201 201 79/394 FEE Bae C RECEIPT NO <br /> USE ZONE R-1 LOT AREA yPCANT SITE <br /> RYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. NC <br /> OCCUPAY G3ROUP N0.OF OW[LLING UNITS <br /> V T] R <br /> SI4 BUILDING $77 ,000. 241 00 <br /> ZE rJ%gLDQ N0.OF STOAIE6 MAX.OCC.LOAD <br /> .1l 1 PLUMBING 26 00 <br /> FIRE 20NE3 BASf.ME ye a REOUIRFIRE EX7{LERS MECHANICAL 15 00 <br /> DYES LINO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIS' PENALTY UBC <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3, FIRE HYDRANT LII TOTAL 282 00 <br /> A. FI CTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED ON THIS SPACE)THIS IS YOUR F_HMIT <br /> � S.X,AMAI'� Ri Of Way Use _ 7/1d9/779 � <br /> S. DRJUNAM o016 0 0 o s 2 3 s r <br /> 7. ENVIRO (ENTAL I CT STATEMENT -� 3 <br /> 8. H jT STRICT� � <br /> APPL Tfii ACG B PLANS CHECKED BY APPR FOR ISSUAyr6TYj RECEIPT ,YOUR REGI EIPT <br /> L.C.�/ 9/79� V.C. <br /> THQPIK YOU <br /> rE NIL. Y.� II <br />