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In <br />CONSTRUCTIO" <br />everett PERMIT <br />CI rY HALL 259 6745 <br />EVERETT. WA 96201 ® COMBINATION M BUILDING .xx MECHANICAL <br />PERMIT NO. 1271.1 <br />0i PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Ness & Graham & Farweat Equities 22524 49th B.S. Bothell 481-0899 481-0899 <br />ARCHITECT CR ESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Ness & Graham NESSG**240CD <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PRONE LICENSE A <br />CLASS OF WORN <br />1CYNEW ❑ ADDITION ❑ALTERATION ❑REPAIR O DEMOLITION ❑FENCE O SIGN ❑ WOOD STOVHFIREPLACE INSERT <br />VALUATION OF WORK <br />It 52,000.00 _ <br />ai nala fAM41V rani Aonna <br />PROPOSED 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 PRESUMETO 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 CO TOO ORIZEO AGENT DATE <br />X <br />LEGAL DESCRIPTION OF PR," RTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT is eLocK_oF Valley View MII <br />JOB ADDRESS <br />2510 slat Place S.E. <br />PLUMBING <br />MECHANICAL <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 />4 1 <br />00 <br />AIR COND. UNITS — M.P. EA. <br />1 <br />BATHTUB <br />2 1 <br />QO <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />4 <br />00 <br />BOILERS — H P. EA. <br />SHOWER <br />2 <br />00 <br />GAS FIRED A . UNITS — TONNAGE EA. <br />KITCHEN SINK It DISP. <br />2 <br />Og <br />I <br />FORCED AIR SYSTEMS — B.T.U. M EA.A <br />On <br />DISHWASHER <br />2 <br />OO <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — T.U. M <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <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 S CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />_ <br />SUB TOTAL <br />S <br />2 <br />SUBTOTAL S <br />PERMIT <br />E <br />PERMIT S <br />TOTAL FEE <br />S <br />20 <br />00 <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />61 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />2 E <br />UP <br />PLAN CHECK NUMBER <br />83/12711 <br />PLAN <br />FEE 154.70 <br />CHECK FEE <br />AtfiT ST NO. <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />XYES i No <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />CV-ANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$52 F ODO.00 <br />289 <br />00 <br />SIZE OF BLDG. <br />1354 sq. Ft. <br />NO, OF STORIES <br />1 <br />MAX. DCC. LOAD <br />5 <br />PLUMBING <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REQUIRED <br />YES VVO <br />MECHANICAL <br />21 <br />QO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 UI <br />2. BUILDING PLANS <br />TOTAL <br />330 <br />00 <br />,�. <br />3. FIRE HYDRANT ­J <br />A FIRE PROTECTION SYSTE <br />S. GRADING •< <br />B. DRAINAGE <br />. NVIRONMENTALIMPAC TEMENT <br />ST EALTHDISTRI <br />APBLICATION (C9.BY JUANS CHECKED HY APPR. FOR ISSUANCE B <br />a.T EB.,; �'j o RNN l.0 <br />l•, i �, fll <br />"G <br />PERMIT VALIDATION — <br />WHEf26FIQPR�YOVALIOATEQjIN TH4S(�P ` EI THI I Y0 PdVIT <br />yy l( �� <br />(�I <br />')UP RECEIPT YOUR RECEIPT <br />,',I,IK YOU .: i!!ANK YOU <br />7 n 1Y11I D Z <br />A <br />ADDRESS FICE"" Y 5 <br />J U IKIE U J <br />