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2- <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8145 <br />EVERETT, WA 98201 <br />f CONSTRUCTIO'l <br />PERMIT <br />EX COMBINATION ® BUILDING n MECHANICAL <br />PERMIT NO. 15261 <br />tXl PLUI,9BING <br />OWNER MAIL ADDRESS I ., ZIP FIIONE <br />Cronin Homes 713 S.E. Everett Hall Way Everett 98204 353-6500 <br />ARCHITECT ON DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE( <br />Cronin Homes <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LK ENSF I <br />CUSS OF WORK <br />QpJEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE I'ISERT <br />VALUATION OF WORK <br />f 65,000.00 <br />DESCRIBE WORK <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 />APPLICATIuN 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 />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNt ANT CORIRACT OR,UINORIZED AGENT LAIF <br />x <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES( <br />4L 124OLOCK 5 or Mountain View Div. 5 <br />— <br />- % C <br />JOB ADDRESS <br />onni �+A� •1'4BLi.E. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OP 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 />_ <br />1 <br />UATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />2 <br />LAVATORY (WASH BASIN( <br />4 <br />BOILERS - H.P. EA. <br />1 <br />SHOWER <br />OAS FIRED A C. UNITS - TONNAGE EA. <br />1 <br />KITCHEN SIN,({ DISP. <br />_ <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />1 <br />DISHWASHER <br />2WALL <br />HEATERS - B.T.U. M <br />LAUNDRY TRAS <br />I UNIT HEATERS - B.T.U. M <br />CLOTHESWASHER <br />WATER HEATER <br />1 <br />00- <br />1 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />._4 <br />0- <br />URINAL <br />2 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />I <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM 3REAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK ISERVI':E - BAR, ETCJ <br />FIREPLACE INSERT <br />HEAT PUMP <br />- <br />_ SUB TOTAL S. <br />20 <br />SUBTOTAL S <br />-ig <br />00- <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />2n <br />TOTAL FEE { <br />SIDE YARD SETBACK <br />61 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />85/15261 <br />PLAN CHECK FEE <br />FEE 213.20 RECEIPT N0. <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />'xffiS , NO <br />FEES <br />VALUATION <br />— <br />FEE — <br />_ <br />TYPE OF CONS . <br />V-N <br />OCCUPANCY GROUP <br />R-3-M <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$65,000. <br />328 <br />00 <br />SITE F BLDG. <br />3 6 2 Sq. Ft. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />6 <br />PLUMBING <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />'YES V00 <br />MECHANICAL <br />is <br />00 <br />-- -- <br />OTHER <br />PENALTY <br />_____ _ __ <br />TOTAL <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />Us C. <br />SEC. 303 p) <br />3G3 <br />2. BUILDING PLANS <br />00 <br />1 FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />VIIIEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />N <br />p / M <br />�7 /:2 <br />C" <br />5. GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTI' DISTRICT , <br />APPLICATION ACC. BY7PLANSKED <br />BY <br />APPR. FOR 158UANCE BYM <br />Z <br />0 <br />m <br />v <br />vv <br />mo <br />oic <br />r=n <br />O z <br />yC <br />r S <br />O � <br />IT <br />C <br />�r <br />m <br />Z N <br />Z E'1 <br />-H r <br />In <br />D <br />A <br />N <br />S <br />a <br />z <br />--1 <br />S <br />I\ <br />ADDRESS FILE <br />