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the EverArePN <br />werett �:ONSTRUCTIONI <br />PERMIT <br />CITY HAI L 259H745 <br />EVERETT. WA 982O1 NX COMBINATION ❑ BUILDING Li MECHANICAL <br />PERMIT NO. 143 77 <br />1 PLUMBING <br />OWNER MAIL ADDRESS CI" I' PHONE <br />DAVID O'CONNOR 9210 EVERGREEN WAY EVERETT WA 98204 353-7700 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />O'CONNOR & OEHLER SAME <br />MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE I <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />ROBINSON PLUMBING I 607 SE EVERETT MALL WAY EVERETT !+A 98204 355-6171 <br />CLASS OF WORK <br />CRAEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FEIICE ❑ SIG:: ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f 62,000.00 <br />DESCRIBE WORK <br />New single family residence <br />PROPOSED I ISE OF BUILDING <br />Single family reside -ire <br />LEGAL DESCRIPTION OF PROPEPT`(SHOY .I OR ATTACH FOUR CONES( <br />LOT 6 BLOCK_01 Mt, View #6 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. 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 />L CAL LAIN REGULATING CONSTRUCTION OR THE <br />P FOR NCE OF C U�N <br />UNE <br />SIG OR CONTRACTOR UT RI D OE DATE <br />x <br />JOB AGGRESS <br />e 801 - 89 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />6 <br />00 <br />AIR COND. UNITS — H.P. EA. <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS — H.P. EA. <br />3 <br />LAVATORY (WASH BASIN) <br />6 <br />00 <br />BOILERS — H.P. EA. <br />1 <br />SHOWER <br />2 <br />OO <br />OAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINK a DISP. <br />2 <br />00 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS — BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />2 <br />00 <br />"LOTHF.S DRYERS <br />4 <br />tin <br />URINAL <br />VENTILATION FAN <br />_ <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 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />24 <br />00 <br />SUB TOTAL f <br />18 <br />00 <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />24 <br />00 <br />TOTAL FEE f <br />QQ— <br />SIDE YARD SETBACK <br />INX 6' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />8�/14377 <br />� 3 ,/O PLAN <br />FEE 183.95 <br />CHEf,ILf <br />% NO. <br />1 72775 <br />USE ZONE <br />R-1 <br />LOT AREA <br />9706 of <br />VACANT SITE <br />XYES ; 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 />BUILDING <br />f 62 000.00 <br />319 <br />00 <br />SIZE OF BLDG. <br />2388 of <br />NO OF STORIES <br />split level <br />MAX. OCC. LOAD <br />6 <br />PLUMBING <br />24 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREO <br />YES .NO <br />MECHANICAL <br />18 <br />00 <br />OTHER <br />_ APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B.C. <br />SEC. 303 (e) <br />2. BUILDING PI ANS <br />_ <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION OYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS YqP PERMIT U _ <br />_ <br />I I <br />S.OP.ADINO <br />S. DRAINAGE <br />T. ENVIRONMENTAL IMPACTSTATEMENT <br />E. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />stg <br />PLANS CHECKED BY <br />jef <br />APPR, FOR ISSUANCE BY <br />1C <br />ADDRESS FILE <br />