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'la j i�'II �YIo: <br />everett <br />CITY HALL 2594745 <br />C'ONSTRUCTIOV <br />PERMIT <br />PERMIT NO. 12667 <br />EVERETT.WA98201 <br />Vg COMBINATION jJ BUILDING x <br />MECHANICAL <br />I PLUMBING <br />OWNER <br />MAIL ADDRESS <br />I-T , <br />ZIP PHONE <br />Ken Berg <br />17928 43rd Avenue N.E. <br />Arlington <br />98223 659-6847 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />CITY <br />ZIP PHONE LICENSE F <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Same <br />KEMEC187RC <br />MECHANICAL COITRACTOR <br />_ <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE F <br />CITY <br />ZIP HONE LICENSE F <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORN <br />MEW ❑ADDITION O ALTERATION ❑REPAIR ❑DEMOLITION O FENCE O SIGN O WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />E 55,000.00 <br />Cnnatrncfe Rinale PAn1i1v Residence <br />PROMISED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT 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 />SIGNVA URE CONTRACTOR A ORIZED AGENT DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR CORES( <br />Lor 47eLocN_oF Valley View #11 <br />— <br />U B 28 5 <br />JOB ADDRESS <br />2505 81st Place S.E. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />2 <br />WATER CLOSET (TOIL" <br />4 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS - H.P, EA <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK a DISP. <br />2 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA <br />1 <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />2CLOTHES <br />DRYERS <br />URINAL <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 f QHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />11 <br />SUB TOTAL f <br />12 <br />00 <br />PERMIT <br />f <br />_� <br />PERMIT f <br />TOTAL FEE <br />f <br />18 <br />00 <br />TOTAL FEE $1 <br />12 <br />100 <br />SIDE YARD SETBACK <br />L0'(W)-6'(E) <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PUN CHECK NUMBER <br />83/12667 <br />PUN <br />FEE 193.70 <br />CHECK FEE <br />RECEIPT NO. <br />65515 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />. <br />)()(ES NO <br />FEEf <br />VALUATION <br />FEE <br />TYPE OF CONS . <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />t 55,000. <br />298 <br />00 <br />SIZE OF BLDG, <br />L897 Sq. Ft. <br />NO. OF STC' ZS <br />1 <br />MAX. OCC. LOAD <br />7 <br />PLUMBING <br />18 <br />00 <br />FIRE ZONE <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REQUIRED <br />YES o <br />MECHANICAL <br />12 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />GATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 30312) <br />2. BUILDING PLANS p <br />TOTAL <br />328 <br />00 <br />3. FIRE HYDRANT a` <br />A. FIRE PROTECTION SYStVIA <br />6.GMDING <br />PERMIT VALIDATION Ln <br />WHEN PROPERLY VALIDATED (IN THIS opt% I TNIjIBIYQI�.P,j1�11T <br />- q 7 UU uE 66 ii %% �0j VV uu � <br />ja C-. Cv <br />.7_'I `"F Il `-)I) R RECEIPT <br />.r O <br />N I I -V4K. YOU <br />Jr� o <br />.B.ORAINA E - M <br />7. ENVIRONMENTAL IMP STATEMENT <br />B. HEALTH0q. *ICT C1,01 <br />oAPPLICAT O C. BY ;-L PUNS CHECKED BY <br />Ill A RWN <br />cb <br />APPR. FOR ISSUANCE BY <br />LC <br />w <br />y <br />ADDRESS FILE <br />- 6 ULC 8 3 <br />