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the Evergreen <br />CITY OF <br />everett <br />^ONSTRUCTIOI`' <br />PERMIT <br />PERMIT NO. 12831 <br />CITY HALL 2596745 <br />EVERETT WA98201 xi <br />COMBINATION BUILDING <br />.x MECHANICAL <br />® PLUMBING <br />Jr. OunaTl Const <br />25222 Meridian Street 8. <br />Graham <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />M90Q*K9Wxx& <br />820 East Cady Road C-201 <br />Everett <br />98203 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />76N118W( Jr. Quaell <br />Construction 25222 <br />Meridian Street S. Graham <br />98338 <br />847-1239 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE LICEN& I <br />JU NI OQ C252PH <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />7Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSERT <br />VALUATION OF WORK <br />a 52,000.00 <br />Construct Sinale Family Residence <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 PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCA t�AW REGULATING CONSTR TION OR THE <br />PERF RNCEOFON�T CTIONJOB <br />SIUNAT EN02EIQ ryL�T+ IZEDAGENT DATE <br />X Z^7— t <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />22 Valley View #2 <br />LC:_eLOCK_OF <br />U 8 28 5 <br />ADDRESS <br />2606 Blst 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 />AIR COND. UNITS - H.P. EA. <br />1 <br />BATHTUB <br />2 <br />REFRIGERATION UNITS _ H.P. CA. <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />BOILERS - H.P. EA. <br />1 <br />SHOWER <br />2 <br />00 <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />j <br />KITCHEN SINK t DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />j <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />1 <br />CLOIHESWASHER <br />2 <br />EVAPORATIVE COOLERS <br />I <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 — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE t CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />1 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />! <br />'+ <br />SUB TOTAL t <br />22 <br />RO <br />PERMIT <br />t <br />PERMIT t <br />TOTAL FEE <br />t <br />20 <br />00 <br />TOTAL FEE t <br />2 <br />SIDE YARD SETBACK <br />61 <br />STREET SETBACK <br />20f <br />REAR YARD SETBACK <br />2n, <br />PLAN CHECK NUMBER <br />83/12831 <br />PLAN <br />FEE 187.85 <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />ES :.:NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />SU10ING <br />$52,000.00 <br />289 <br />00 <br />SIZE OF BLDG, <br />003 Sq. Ft. <br />NO. OF STORIES <br />j <br />MAX. OCC. LOAD <br />PLUMBING <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />NDae <br />FIRE SPRINKLERS <br />REQUIRED <br />YES M3CNO <br />MECHANICAL <br />22 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UA C. <br />SEC. 303 la) <br />_ <br />50 <br />2. BUILDING PLANS .n <br />TOTAL <br />331 <br />3. FIRE HYDRANT <br />4. FIRE PROTEC MN SYSTE <br />P. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT �--{ <br />7579 $289.00-= do <br />(V <br />, <br />f� I i , � J : . a. ;rir'r <br />,I U i:'-��J i. YC U <br />-DRAINAOE <br />-T ENVIRONMENTALIMPAC ATEMENT <br />HEALTH DISTRICT <br />DAPPLICATIgN AC . BY <br />l <br />C � <br />�LAN6 CHECKED BY <br />JF <br />APPR. FOR ISSUANCE BY <br />LC <br />O <br />N <br />ADDRESYPJ 4 <br />(' iiJ fill <br />