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1 <br />. or <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 96201 <br />CONSTRUCTIC A <br />PERMIT <br />PERMIT NO. 13000 <br />ER COMBINATION 8 BUILDING , MECHANICAL ;: PLUMBING <br />OWNER MAiL.n DNESS LIT, P SHONE <br />Jay's Builders P.O. Box 1051 Everett 98206 259-7070 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />MAIL AL EBB <br />CITY <br />ZIP PHONE <br />LICENSE. <br />GEN PAL CONTRACTOR <br />Same <br />JA YS BR 193 RA <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P PHONE <br />LICENSE . <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE 4 <br />,. .. Vf nor♦ <br />SiG1EW ❑ADDITION ❑ALTERATION ❑REPAIR 0 DEMOLITION ❑FENCE G SIGN WOOD 6TOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />IT 45,B70.00 <br />-T .. n.-4T.. o..eJdnnnn <br />-RG{AlSED USE OF BUILDING <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />I <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LlAAL DESCRIPTION Of PPOPEII'Y (SHOW BELOW OR ATTACH FOUR COPIES' <br />13 valley View #II <br />GOVERNING THIS TYPE OF WORK WILL BE COMFLIED WITH <br />LOT —BLOCK —OF <br />Lot <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 />LOCAL LAW RE�+ULATING CONSTRUCTION OR THE <br />U 8 <br />28 5 <br />PER MANCE 3 C(�NTRUCTION. <br />610 TU OF TT`AUt ggkk�n�lAii��i�r��O,,RI2E0 AGENT GATE <br />@ 2/27/I <br />JOB ADDRESS <br />2406 Blsl. Place S.E. <br />X <br />PLUMBING <br />MEC NICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />1 <br />SATHTUR <br />2 <br />REFRIGERATION UNITS - N.P. EA. <br />2 <br />LAVATORY(WASH BASIN) <br />Q <br />__qq <br />BOILERS - H.P. EA. <br />1 <br />SHOWER <br />2 <br />00 <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />KITCHEN SINK a DISP. <br />2 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />00 <br />VJALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />1 <br />CLOTHES DRYERS <br />URINAL <br />2 <br />1 VENTILATION FAN <br />DRINKING FOUNTAIN <br />I <br />RANGE HOOD <br />4 <br />-59- <br />FLOOR DRAIN <br />AIH HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />SINK (SERVICE - BAR.:TC 1 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />f <br />20 <br />00 <br />SUBTOTAL f <br />PERMIT <br />S <br />PERMIT f <br />1 <br />TOTAL FEE <br />f <br />20 <br />00 <br />TOTAL FEE f <br />15 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />6' <br />20' <br />-AREA <br />20' <br />84/13000 <br />FEE 140.08 <br />RECEIPT No <br />67559 <br />USE ZONE <br />LOT <br />VACANT SITE <br />FEES <br />VALDATON <br />FEE <br />R-1 <br />XWES ..NO <br />TYPE OF CONS . <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f35,870.00 <br />265 <br />00 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />20 <br />00 <br />PLUMBING <br />390 sq. Ft. <br />5— <br />15 <br />00 <br />^EZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />IRED <br />YES 0 <br />APPROVALS <br />BY DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. <br />TOTAL <br />300 <br />00 <br />FIRBUIE HYDRANTING <br />3. FIRE HYDRANT ne <br />4. FIRE PROTECTION SYSTIEU1 <br />PERMIT VALIDATION <br />RE <br />WHEN PROPERLY VALIDATED (IN THIS BRACE) iN1j191VOlIP NIT <br />KU <br />S. GRADING �. <br />L hD J J U <br />O <br />$ 25 O Q _� Crl <br />3 I PT .- <br />�1 1 J <br />f. DRAINAGE <br />7 ENVIRONMENTAL IMPACT S ATEMENT <br />B. HEALTH DISTRIC <br />APPLICATION ACC BY <br />.FLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />STG ', <br />n HWN <br />u <br />RCCFIPT <br />4T.T111II1ffi- <br />.j iL`J L4 <br />14 <br />N <br />ADDRESS FILE <br />