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L <br />N;, f uvL•/rrn <br />r;T <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 9MI <br />CONSTRUCTIO- 1 <br />PERMIT <br />Q COMBINATION Q BUILDING x MECHANICAL. <br />PERMIT NO. 12713 <br />0 PLUMBING <br />OWNER MAIL ADDRESS ZIP -HOME <br />J.C. Sells P.O. Box 1051 Everett 98206 1,9-7070 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Jay's Builders JAYSBR193RA <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY LP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADORERS CITY ZIP PHONE LICENSE E <br />CLASS OF WORK <br />)f, YEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VAIVAiUA11- • F AtIn <br />E 55,000.00 <br />rE8CRIBE N1RI <br />uonBLrucu Single raBuay F.ona... a. — <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOURCOPIESI <br />21 Valley View <br />NII <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT —BLOCK —OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />-- <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />U 8 <br />28 5 <br />PERFORMANCE O CONSTRUCTION. <br />SIONAT OF NTRAC O TMORIZED AGENT / TE <br />108 ADDRESS <br />2602 Rlst Place S.E. <br />X <br />PLUMBING <br />MECHA ICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0, <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />4 <br />00 <br />AIR COND. UNITS — M.P. EA. <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS — <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />OO <br />BOILERS — M.P. EA. <br />1 <br />SHOWER <br />2 <br />00 <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITGHF.N SINK a DIBP. <br />2 <br />86 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />— <br />_ <br />1 <br />DISHWA4NER <br />2 <br />00 <br />WALL HEATERS — B.T.U, M <br />1 <br />LAUNDRY TRAY <br />2 <br />00 <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WARMER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />2 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE MOOD <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 (SERVICE — BAR. ETC 1 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f22 <br />SUB TOTAL ! <br />21 <br />PERMIT <br />! <br />PERMIT f <br />TOTAL FEE <br />! <br />22 <br />00 <br />TOTAL FEE f <br />21 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PUN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />6' <br />20' <br />201 <br />83/12713 <br />FEE 148.85 <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />R-1 <br />[NNS ,INo <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 55,000. <br />298 <br />00 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />22 <br />OO <br />L427 S . Ft. <br />1 <br />5 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRF SPRINKLERS <br />MECHANICAL <br />21 <br />OO <br />REOUIR <br />_ <br />none <br />YES 0 <br />BY DATE <br />OTHER <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 IAI <br />2. BUILDING PLANS 0. <br />TOTAL <br />341 <br />00 <br />3.FIREMYDRANT GO <br />A. FIRE PROTECTION SYSTEW <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI14 QPIVI THIjIfj� Tj P67IT <br />S. GRADING <br />$ 0 2 2. U O - 3 6 ij ij a (7 U <br />CV <br />RECEIPT 1')UR RECEIPT `� <br />R��C1U <br />8. DRAINAGE F.'P <br />ENVIRONMENTAL IMPAC ATEMENT <br />kjHEALTH PIQTR=!" <br />ffLICATION ACC. BY <br />�C AN8 CHECKED BYrAPPR,'L-FCFI <br />ISSUANCE BINci <br />C ITT <br />YC U <br />E� <br />HNN <br />A <br />ADDRESA?EIIOV 83 <br />29Wv 83 <br />