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IN <br />Id133ftGNnof CONSTRUCTIC_J <br />everet <br />SPERMIT <br />Ve1T1`H W2+�e <br />EVERETT. <br />COMBINATION Cjj BUILDING g MECHANICAL <br />PERMIT IN-). 12331 <br />y PLUMBING <br />OYAQ I. <br />MAIL ADDRESS <br />LITY <br />ZIP <br />"HONE <br />Ness & Graham <br />& Far NeSt Equities <br />22524 49th S.E. <br />Bothell <br />98011 481-0899 <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE I <br />Same <br />NESSGX*240cD <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />V _ - YPEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />1 79,900.00 <br />L.unBCruCC bmu Le ra <br />PROPOSED USE JF BUILDING <br />Single Family Residepga <br />I HEREBY CERTIFY TH.1T I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE 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 PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF NT .TOR UT AIZED ENT OA E <br />X <br />LEDAL DESCRIPTION OF PROPERTY (SHOW BE LOW OR AI....FOUR COPIES) <br />LOT 45 BLOCK —OF Valley View MI I <br />U B 28 5 <br />JOB ADDRESS <br />2501 Blot Place S.E. <br />PLUMBING <br />MECHA AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />1 <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />2 <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />1 <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINK & OISP. <br />1 <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.7.U. M <br />1 <br />CLOTHESWASHER <br />2 <br />Q 0 <br />EVAPORATIVE COOLERS <br />_ <br />1 <br />WATER HEATER <br />2 <br />1 <br />CLOTHES DRYERS <br />URINAL <br />2 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE B CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />BUD TOTAL <br />/ <br />SUS TOTAL t <br />PERMIT <br />1 <br />PERMIT 1 <br />TOTAL FEE <br />120 <br />0 <br />TOTAL FEE _ t <br />21 <br />00 <br />SIDE YARU SETBACK <br />E <br />STREET SETBACK <br />2n, <br />REAR YARD SETBACK <br />100 <br />PLAN rh.7K NUMBER <br />81 <br />PLAN <br />FEE <br />Basic <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />ES NO <br />FEES <br />FEES <br />VALUATION <br />FEE -- <br />_- <br />TYPE OF CONS . <br />V-N <br />UPANCY GROUP <br />R-3 <br />N0. OF DWELLING UNITE <br />1 <br />BUILDING <br />_ <br />t <br />SIZE OF BLDG. <br />1272 Sq. Ft. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />g <br />PLUMBING <br />_ <br />2 <br />D-9- <br />FIRE ZONE <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />Jb <br />OTHER <br />` <br />wT,^%OVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK : IST <br />_ <br />PENALTY <br />U B C <br />SEC. 9G3 (AI <br />2. BUILDING PLANS N <br />3. FIRE HYDRANT ti <br />TOTAL <br />41410 <br />A. FIRE PAOTK71ON SY M <br />I. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT r{ <br />$ 3 7 3.0 0 ". <br />1275B. <br />(\j <br />RE(- <br />YOUR R E (� E I F'f <br />HANK YOU <br />DRAI M <br />T. ENVIFPNWENTAL IM TSTATEMENT <br />B. 14EALYN D&:RICT <br />I Pp CC BY PLANS CHECKED BY <br />DEBT HWM <br />C ti <br />APPP. FOR ISSUANCE BY <br />LC <br />w <br />ADDRESS FILE <br />-Ilp;i3 <br />