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the Evergreen - <br /> CITY OF C 01" v i i . j%w T I O N <br /> everett PERMIT PERMIT N0. 06350 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 ® COMBINATION rlx BUILDING MECHANICALS PLUMBING <br /> OWIUR MAIL ADDRESS III, I'll, I,P ?11 <br /> Silver Hones , Inc. 221 South Broadway 98204 3j3-5080 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP MIONE IICENSE E <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> PLUMPING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> CLASS OF WORK <br /> J*EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑EiARAOE <br /> VALUATION OF WORK <br /> f 77, 000. 00 <br /> DESCRIBE WORK <br /> Construct single family residence <br /> PROPOSED USE OF BUILDING <br /> Bingle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 2 S.F . 1202-25-79 ALL PROVISIONS OF LAWS AND ORDINANCES GO':ERNINGTHIS <br /> LOT BLOCK_DI 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 CA14CEL THE PRO. <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> T 12-28-4 CONSTRUCTION OR PERF R ANCE OF CONSTRUCTION. <br /> SIG R F CONTRACTO ON A T DATE <br /> OBJ `�Oth Place S .W. <br /> PLUMBING MECHANI <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO.I TYPE OF EQUIPMENT FEE <br /> 3 WATER CLOSET(TOILET) 6 1 00 1 AIR COND.UNITS—H.EA <br /> 1 BATHTUB no REFRIGERATION UNITS—H.P.EA <br /> 3 LAVATORY ASH BASIN BOILERS—H.P.EA. <br /> 2 SHOWER OAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. 9 n n1 FORCED AIR SYSTEMS-B T U. M EA <br /> 1 DISHWASHER 2 n n WALL HEATERS-8 T U. M <br /> LAUNDRY TRAY UNIT HEATERS-0T.U. M <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> WATER HEATER 2 00 1 CLOTHES DRYERS <br /> URINAL2 VENTILATION FAN <br /> 4 DM- <br /> DRINKING FOUNTAIN RANGE HOOD 3 0 <br /> FLOOR DRAIN AIR HANDLING UNIT- CFM <br /> VACUUM BREAKERS STOVE. <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE-BAR,ETC.) <br /> BUB TOTAL SUBTOTAL S 15 <br /> PERMIT f PERMIT f _ <br /> TOTAL FEE f 00 TOTAL FEE f 0 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 201 79/394 FEE Bab C RECEIPT NO <br /> USE ZONE R-1 LOT AREA VACANT SITE FEES VALUATION FEE <br /> YE6 ❑NO <br /> TYPE OF CON57. OCCUPANR1 <br /> CY GROUP N0.OF OWELLINO UNITS <br /> V N 3 BUILDING 177 ,000. 241 00 <br /> IZE SIX D 1 '. NO.OF STOlRIES MAX.OCC.LOAD <br /> 99 1 � PLUMBING 26 00 <br /> FIRE ZONE 3 BASEME yes RFIRE EOUIIRRESPRINKLERS <br /> EXXMECHANICAL 15 00 <br /> AYES f!NO — <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B C <br /> SEC303(a) <br /> 2. BUILDING PLANS do . <br /> TOTAL 282 00 <br /> 3, FIRE HYDRANT <br /> 4. FI CTION BYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUR PERMIT <br /> 5 Riqkt Of Way Use 7119/79 <br /> 016. pp 0E23 Ilk1.001.M� <br /> 6. 0 NAS 4� <br /> 7. UNWOMENTAL IW#CT STATEMENT <br /> B. EI64T STRICT 40 1 Iti <br /> APP&ATIM ACC.B 1 ISSU Y PLANS CHECKED BY APPR.FOR 'f O U:R RCC,t E Ir f <br /> L. C.G ,S 9/79` V.C. RECEIPT : ` ` THANK YOU <br /> TH),NK YOU <br /> A517%S�,&ILfT . h AU6 79 <br />