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R- <br />the ET'erFreen <br />L ITY CE <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />� 6ONSTRUCTIOIo Q <br />PERMIT PEAM(T NO. 13273 <br />® COMBINATION Q BUILDING VJJ MECHANICAL 0 PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Van Rossen Const. Co. 3316 107th Street S.E. Everett 98204 a337-2865 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY <br />Same ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITE ZIP PHONE LICENSE l <br />CUSS or <br />-WORK <br />WORK�t�7 — <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WO;ID STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />{ 72,000.00 <br />Construct Single 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 LAMAS 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 />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIONAT E OF CONTRACT R OR AUT ZED AGENT DATE <br />X — _ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT X BLOCK —OF Mountain View N6 <br />8 <br />F 18 28 5 <br />JOB ADDRESS <br />813 a= 89th Street S.E. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />3 <br />WATER CLOSET (TOIL" <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />3 <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />_ <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINK S DISP <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />1 <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />1 <br />CLOTHES WASHER <br />00 <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />3 <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 DRAMAS — RAINLEADERS <br />1 <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL t <br />24 <br />00 <br />SUBTOTAL 9 <br />31 <br />50 <br />PERMIT S <br />PERMIT S <br />TOTAL FEE $ <br />24 <br />00 <br />TOTAL FEE S <br />31 <br />50 <br />SIDE YARD SETBACK <br />60 <br />STREET SETBACK <br />201 <br />HEAR YARD SETBACK <br />2111 <br />PLAN CHECK NUMBER <br />1 84/13273 <br />PLAN <br />FEE226.85 <br />CHECK FEE <br />RECEIPT NO. <br />84 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />ES No <br />FEES <br />VALUATION <br />FEE %E <br />TVPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3, M <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />S 72,000. <br />349 <br />00 <br />512ENdILSq. Ft. <br />dd 119999- q <br />NO, OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />MECHANICAL <br />_ _ <br />U.B.0 <br />SEC. GOJ �I <br />24 <br />31 <br />00 <br />$0 <br />FIRE ZONE <br />BASEMENT <br />yes <br />FIRE SPRINKLERS <br />REQUIRED <br />E <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />404 <br />50 <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />Z. BUILDING PLANS <br />_ <br />—_ _ <br />TOTAL <br />3. FIRE HYDRANT •' <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN �PROPERLY VALIDATED 9N THI$ SPAGF) THI)IIS�YQUfj PPJIT - <br />/ ll ! IJ ] <br />L <br />�? f T : C (.' ( f l ! I•. r .- C I I 1 <br />1 <br />I U <br />I <br />5. GRADING <br />B.DRAINAgE a^ <br />i <br />7. ENVIRONMENTAL IMPACT STATER&N IJ <br />8. HEALTMOSTRICT I <br />APPLICV40N ACC, BY <br />EB <br />PLANS•%FCKED BY <br />1=1,H <br />APPR. FOR ISSUANCE BY <br />LC <br />L <br />ADDRESS FIEW`�" 811 <br />12 U,;r 84 <br />