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rho Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />""ONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MEL;HANICAL • PLUMBING <br />,,e <br />everetl <br />OWNER MAIL AOOHLSS ZIP PIIUNL <br />Brost Development Co. Inc. n.0. Box 2222. Everett 98203 355-1700 <br />ARCHITECT OR DESIGNS d d rL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONL LICENSE NO. <br />Same BR OS TI *227NT <br />- <br />.D <br />M <br />-1 <br />Z <br />W <br />In <br />�J <br />N <br />CID <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PE,;M IT <br />LOMPINATION <br />M*UILDING OWLUMBING ®MECHANICAL <br />ULF SS Ue WORK <br />YE NEW []ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S 50,000.00 ❑DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Construct single family residence <br />PROPOSED USE <br />Single Family Residence <br />MECHANICAL <br />TYPE OF ENERGY <br />❑OAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />Ptn SW k OF Sec. 7, Tap 28, Rge 5 EWH <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REF RIDE RATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />X7285 <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />5 00 <br />_ <br />I <br />:OB ADDRESS <br />XXEXEiSXXSTXite 707 84th Street S.E. <br />SPACE A WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />1 <br />CLOTHES DRYERS <br />100 <br />- <br />VENTILATION FAN <br />•I <br />RANGEHOOD <br />nn <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S 2Io <br />CLOTHES WASHER <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE A CHIMNEY <br />FOUNTAINS <br />OAS. SYSTEM: NO OP OUTLETSFLOOR <br />DRAINS <br />SUn TOTAL S <br />00 <br />KITCHEN SINKS A DISP. <br />2 <br />nn <br />PERMIT S <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />I 00 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />110N AU'.HORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD Or 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X grTbA'ri�W1? <br />SERVICE SINKS <br />SUMPS -SINKS PUMP <br />URINALS <br />WATERCLOSETS <br />d <br />QO <br />WATER HEATERS -ELECTRIC <br />I <br />1 <br />WASH BASINS <br />LAUNDRY TRAYS <br />I <br />I <br />SUBTOTAL <br />PERMIT S <br />TOTAL E S <br />WATER <br />.RVICE SIZE BLDG. SUPPLY <br />SIZE <br />SI TUBE OF CON ACTOROR AVtN. AGENT GATE <br />SIDEYA.,D SETBACK <br />6' <br />STREETSETBACK <br />20' <br />REARYARDSETBACK <br />20' <br />PLAN CHECK NUMBER <br />79/194 <br />PLAN CHECK FEE <br />FEE RECEIPT NO, <br />98.00 37529 <br />VSE ZONE <br />R-1 <br />LOT AREA <br />13000 Sq. Ft. <br />VACANT SITE <br />OWES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />ROIOS DWELLING <br />1 <br />I <br />BUILUING <br />S 50,000.00 <br />181 00 <br />812E OF BLDO. <br />261x46' <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />PLUMBING <br />2 00 <br />FIRE ZONE <br />3 <br />ASEM NT <br />none <br />IRESPRINKLERS <br />R <br />DYES ED L_7N0 <br />MECHANICAL <br />1 GD <br />SPECIAL CONDITIONS <br />OTHER <br />I <br />I <br />d ' <br />PENALTY <br />SEC. 3031d <br />I <br />A <br />TH.0 0— <br />2221 00 <br />NII NPROPr RI YrVAI. IDAT T D A v1 IAWACIF11fIR.19 U(UIIiT'MMIJ r <br />R RECEIPT <br />ANK YOU: YOUR RECEIPT-i <br />9 Yut 79 <br />I <br />ADDHLSS FILE <br />1 11t NK YpU cD <br />I .a <br />