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C©NSTRUCTI0t' <br />everett PERMIT PERMIT NO. 12882 <br />Gil Y HALL 259J1T45 <br />EVERETT. WA 98201 ® COMBINATION IXl BUILDING X MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS ---- ` 21P PHONE <br />Jay's BUilders P.O. Box 1051 Everett 98206 259-7070 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY 21P PHONE <br />MAIL ADDRESS CITY LIP PNONI, LICENSE <br />GENERAL CONTRACTOR JAYSBR193RA <br />Sable <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />PLUMBING CONTRACTOR MAIL ADORCBS CITY ZIP PHONE LICENSE I <br />CUSS OF WORK <br />its NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 DEMOLITION ❑FENCE 0 610N ❑ WOOD STOYEIFIREPLACE INSERT <br />VALUATION OF WORK <br />S 52,972.00 <br />New Single Family Residence _ <br />PROPOSED USE OF BUILDING <br />Rinale Family Residence <br />LOT 20 BLOCK_OF <br />View #11 <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 STA1E OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />..Lft nv nnArerol IrnnM <br />rcnr.Annrnn <br />SIG URE CO A <br />OR AUTHOP12E0 AGENT <br />DATE <br />JOB ADDRESS <br />2522 81st Place S.E. <br />X <br />PLUMBING <br />MECI#NICAL <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 - N.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 />2 <br />00 <br />GAS FIRED A.C. UNITS - TONNAGE EA <br />1 <br />SHOWER <br />2 <br />00 <br />1 <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />1 <br />KITCHEN SINK f DISP. <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS - B T.U. M <br />UNIT HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />_ 2 <br />00 <br />CLOTHES 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 S CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />S. <br />20 <br />SUBTOTAL <br />S <br />21 <br />00 <br />PERMIT <br />f <br />PERMIT <br />f <br />TOTAL FEE <br />SI <br />20 <br />100 <br />TOTAL FEE <br />S <br />2 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />•:EAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />EE <br />CHECK FRECEIPT NO. <br />r <br />2111 <br />64/12882 <br />FEE 140.08 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />R-1 <br />J)MS . NO <br />TYPE OF CONS . <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />BUILDING <br />S52,972.00 <br />292 <br />00 <br />V-N <br />R-" <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />20 <br />00 <br />PLUMBING <br />1394 Sq. Fes_ <br />5 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUI <br />MECHANICAL <br />21 <br />00 <br />None <br />LYES 0 <br />APPROVALS <br />BY DATE <br />OTHER — <br />U.B.C. <br />SEC. 303111 <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />TOTAL <br />2. SOLOING PLANS o <br />333 <br />00 <br />3. FIRE HYDRANT D` <br />4. FIRE PROTECTION SYSTE <br />PERMIT VALIUATION <br />WHEN FROP(�ERLY(VALIDATED ON TH17 rtkCF) THIS$S�'gj PogIT- (� <br />GRADING <br />h ll. 1� <br />nn <br />cc <br />' <br />` <br />DRAINAGE --Eri <br />cc <br />p pr- 1r- nT� <br />U R IY L' C L I 1 1 r- <br />+ATEMENT <br />UiENVIRONMEN'r9LIMPA <br />HEALTH DISTRIOT _ <br />JLANS CHECKED BY <br />FR. FOR ISSUANCE BY <br />p <br />Q _ i ! I I I <br />CA?PLICA�BY <br />�- ST0 O NNN <br />LC <br />.. .y <br />z <br />O <br />m <br />m <br />0 <br />[[ I <br />ADDRESSFFICEjD i4 <br />5 Jim 0 4 <br />