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I hr 1(, r'r, reen <br />everett CONSTRUCT10" <br />PERMIT PERMIT NO. 13066 <br />CITY HALL 259BI45 <br />EVERETT, WA 98201 ® COMBINATION Li BUILDING MECHANICAL PLUML31NG <br />OWNER <br />MAIL AODRESS <br />CITY <br />ZIP PHO"E <br />XXDlQjIGU080�fiG <br />X <br />�fUb`EK�'B� <br />9'BiK?iX 7mae(...nu1D <br />ARCHITECT OR DSSIUNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Ness 6 Graham <br />22524 49th S.E. <br />Bothell <br />98021 481-0809 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE I <br />Same <br />NESSG**169J2 <br />31S067B )M)bB00 W <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE I <br />H- <br />G <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LI.',ENSE I <br />Vim~ 7QNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />1 55,000.00 <br />Construct Single <br />PROP'. iD USE OF BUILDING <br />Family Residence <br />Single Family kLeidence <br />LOT Zr BLOCK_OF <br />Valley View #II <br />U8285 <br />JOB ADDRESS <br />2504 81st Place S.E. <br />I HEREBY CERTIFY THAT I HAVS 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 HEREIV 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 />PERFORMANC F CONSTRUCTION. <br />S-GN UR CON T L AVI IONIZED AGENT DATE <br />x 15 - I? - 814- <br />PLUMBING <br />ME ANICAL <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 />4Q <br />AIR COND. UNITS — H.P. EA. <br />1 <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />00 <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 />FORCED AIR SYSTEMS — B.T.U. M EA, <br />on <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />2 <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />2 <br />CLOTHES DRYERS <br />URINAL <br />3 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <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 A CHIMNEY <br />SINK,aERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />20 <br />00 <br />SUBTOTAL <br />f <br />2 <br />00 <br />PERMIT <br />f <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />TOTAL FEE <br />f <br />2 <br />Q <br />S1DE YARD SETBACK <br />61 <br />STREET SETBACK <br />20' <br />REAR VAR; SETBACK <br />207 <br />PLAN CHECK NUMBER <br />84/13066 <br />PLAN <br />FEs1.93. 70 <br />CHECKKp FEE <br />1676,ILIEIPT NO, <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />Ws NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />IT 55,000. <br />298 <br />00 <br />1W ay.�'Ft <br />�i�.$�QY.�� <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />5 <br />PLL .IBING <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />24 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />342 <br />00 <br />_ <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM^ <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS �PrOp THIS <br />S u 1 O. 1 <br />II U <br />.. I <br />S' 918 P"IL_ <br />J�V CC a <br />LO <br />(17 <br />. C h I FT <br />1 "� I 1 <br />J <br />BIDRAINAGE r..e <br />5 <br />'7-INVIRONMENTALIMPACTBTATEMENT <br />p. HEALTH DISTRICT <br />7PPI ACC. BY <br />EB <br />I - _ <br />P'ANS CHECKED BY <br />- <br />_ I <br />HNM <br />APPR, FOR ISSUANCE BY <br />LC <br />-7•„IYb4 <br />ADDRE$t EIIgE 0 i <br />