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i <br />the LbCRreen <br />CrTYOF I- CONSTRUCTIO- <br />everett PERMIT PERMIT NO. 12450 <br />CITY HALL 259-8145 <br />EVERETT, WA 98201 5d COMBINATION Gcl BUILDING ® MECHANICAL El PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Ken Berg 17928 43rd Avenue N.E. Arlington 98221 659-6847 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE I <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Same KENBEC187RC <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br />CLASS OF WORK <br />IR NEW ❑ ADDITION 0 ALTERATION F] RFPAIR ❑ DEMOLITION ❑ FENCE 0 SIGN 0 WOOD STOVEIFIREPLACE INSERT <br />f 47,000.00 <br />rnnaYrnnt Rinale FAmily Residence <br />PROPOSED USE OF BUILDING <br />Dingle Family REeidence <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 AUTHORI fY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNA URE F CONTRACTOR OR ORIZED AOENT DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOCK —OF 4Valley View II <br />JOB ADDRESS <br />2517 81et 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 <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 />LAVA. JAY (WASH BASIN) <br />4 <br />00 <br />BOILERS — M.P. EA. <br />1 <br />SHOWER <br />2 <br />00 <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />_ <br />KITCHEN SINKS DISP, <br />2 <br />00 <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />I <br />DISHWASHER <br />2 <br />00 <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 />2 <br />00 <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 - G.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />I <br />METAL FIREPLACE a CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />a2;:5O <br />BUD TOTAL t <br />SUB TOTAL 3 <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />20 <br />TOTAL FEE f <br />27 <br />50 <br />SIDE YARD SETBACK <br />61 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />83/12450 <br />PLAN <br />FEE 154.70 <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />KXYES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPA ,_Y GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />f 47,000. <br />269 <br />50 <br />SIZE OF BLDG. <br />1270 SQ. FT. <br />NO. OF STORIES <br />1 <br />MA)', OCC. LOAD <br />5 <br />PLUMBING <br />--- <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES <br />MECHANICAL <br />22 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303 (al <br />2. BUILDING PUNS N <br />TOTAL <br />' <br />3Ii <br />_ <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEX <br />PERMIT VALIDATION <br />p[WHEN PROPERLY VALIDATEDIIN THffP6AE) THIJISYgj PETIT T <br />+ O 1 O.O O '-- 3 ` •r; <br />; N <br />YOUR RECEIPT %--1 <br />THANK YOU <br />'. NI ; y C) U <br />5.GRADINO <br />P. DRAINAG <br />CI.ENVIRONM,E . LIHPAC ATEMENT <br />DPST I T <br />WPHEALTH <br />L1CAilpR A09. BY <br />00 I'llRECEIPT <br />LIN 61 m <br />JT.NLANS CHECKED BY <br />� <br />o HWM <br />I APPR. FOR ISSUANOFA!T <br />LC T ! <br />-4 ' - 4 OCT 83 <br />�. nODRE�L G�i� 83 <br />