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H <br />L G <br />the Even Iwen � CONSTRUCTIO" <br />everett PERMIT PERMIT NO. 13079 <br />CITY HALL 2594745 <br />EVERETT, WA 98201 ® COMBINATION ® BUILDING GI MECHANICAL Ga PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Duane Berg 2704 128th Street S.W. Everett 98204 353-6229 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY 21P PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE F <br />Some DU AN EM 0224DA <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />PLUMBING CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENSE A <br />a" <br />Vr �.. a NEW ❑ ADDITION ❑ ALTERATIUN ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />% 64,000.00 <br />n...........-� e4- 11- ca,.i lar iJnei Annro <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 1ND 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 />LOC REGULATING CONSTRUCTION OR THE <br />P CRMA CE OF C2MSTRUCTION. <br />SI NNdRE OF NTRACTO T ORIZ GENT D TE <br />�O <br />LEGAL DESCRIPTION OF PROPERTY IS.IUW BELOW OR ATTACH FOUR COMESI <br />24 Valley View #11 <br />LOT _ BLOCK —OF <br />U 8 28 5 <br />JOB ADDRESS <br />2609 Blot Place S.E. <br />PLUMBING <br />_ <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 />4AIR <br />COND. UNITS - H.P. EA. <br />1 <br />BATHTUB <br />2 <br />REFRIGERATION UNITS - H.P. EA. <br />2 <br />LAVATORY [WASH BASIN) <br />4 <br />00 <br />BOILERS - H.P. EA. <br />1 <br />SHOWER <br />OAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />I <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS - B.T.0 M <br />1 <br />LAUNDRY TRAY <br />2 <br />00 <br />UNIT HEATERS - B.T.U. M <br />1 <br />CLOTHESWASHER <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 />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE -BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />$1 <br />22 <br />100 <br />SUB TOTAL { <br />15 <br />100 <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />$ <br />22 <br />00 <br />TOTAL FEE i <br />1500 <br />SIDE YARD SETBACK <br />6' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />84 13079 <br />PLAN CHECK FEE <br />-EE RECEIPT NO. <br />193.70 67623 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />XXIES I:NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONS . <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$ 64,000. <br />325 <br />00 <br />ASSIZ OF BIOG <br />Sq. Ft. <br />NO.OF STORIES <br />2 <br />MAX. OCC. LOAD <br />8 <br />PLUMBING <br />22 <br />00 <br />FIRE ZON <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REOUIRER <br />YES NO <br />MECHANICAL <br />15 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 209 (A) <br />2. BUILDING PLANS .O <br />TOTAL <br />362100 <br />3 FIRE HYDRANT , H <br />4. FIRE PROTECTION SYSTEM' <br />5. GRADING <br />�W11HEN <br />PERMIT VALIDATION <br />PROPERLY VALIDATED (IN THIS /MGEI THIJSI YQUe PjLRAIIT Q# <br />UL2.00-- 3 7J74 EJLJ�u co <br />T (Y) <br />RECEIPT <br />I � I� Y c, U <br />. , .; Y C. I' <br />"BDRA� yP <br />�7 I <br />'Y.ENVIRONMENTALIMPAGMATEMENT <br />;f HEALTH DISTRICT <br />APPLICATION ADD. BY <br />C, <br />PLANS CHECKED BY <br />o <br />I=` HWM <br />APPR. FOR ISSUANCE BY <br />LIC <br />A ADDAEOSAE 6 4 <br />5 <br />