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01I ! I rn .rr., <br />everett <br />"NPONSTRUCTIOV <br />PERMIT <br />PERMIT NO. 16149 <br />CITY HALL 259.8749 <br />EVERETT. WA98201 IXX COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />- <br />ZIP <br />PHONE <br />Boyden Realty, Inc. <br />1429 Broadway <br />Everett <br />98201 <br />252-1166 <br />ARCHITECT OR DESIGNER <br />_ <br />MAIL ADDRESS <br />CITY <br />_ <br />ZIP <br />PHONE <br />Gary Parkinson <br />527 Medical Dental Bldg <br />Everett <br />98201 <br />252-2153 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 8 <br />J & D Builders <br />1429 Broadway <br />Everett <br />98201 <br />252-1166 JDBUI223JO <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />WHITE Coast Plumbing 119 Avenue A Snohomish 98290 568-6155 <br />CLASS OF WORK <br />® NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />s 41,000 <br />DESCRIBE WORK <br />Construct new sinqle family residence - Basic Plan C <br />PROPOSED USE OF BUILDING <br />SFR <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 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 />PERFORMA E OF CONSTRUCTION. <br />810NATURE NTRACTOR ORA HORIZED Nf` TE <br />X (K (� c <br />/✓ <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 78 OLOCK_OF Sunridge Division III <br />JOB ADDRESS <br />116 - 93rd St., S.C., Everett <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />FEE <br />WATER CLOSET )TOILET) <br />DO <br />BATHTUB <br />2 <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />41 <br />DO <br />I <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />2100. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />_� <br />UNIT HEATERS — 8 T,U. M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />3 <br />00 <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 — RAINLE ,DERS <br />METAL FIREPLACE B CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />BUS TOTAL <br />f <br />PO <br />00 <br />SUB TOTAL f <br />PENMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />$1 <br />207OF <br />TOTAL FEE f <br />SIDE YA%IffTBACK <br />STREETR$ETBACK <br />REAR YORB SETBACK <br />PLA6N/QFifCjtgNUP JER <br />B 1614 <br />FEE e PLAN <br />P <br />0 <br />CHECK FEERECEIPT <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />AYES NO <br />FEES <br />BU! ] LD COd@ SL1YC <br />cod nh <br />614 <br />PE <br />5o <br />Do <br />TYPE OF CONST. <br />V-N <br />CCUP�C ANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />BUILDING <br />0 <br />— <br />gI�EQ g pq, <br />)/D-IJL 506-M-1 <br />NO. OFCjORIES <br />1 <br />MAX OCO.LOAD <br />4 <br />PLUMBING <br />MECHANICAL <br />BL� <br />00 <br />FIRE ZONE <br />APPROVALB <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREDI <br />YES NO <br />BY DATE <br />PLI� <br />mum <br />9. <br />OTHER Driveway Pexmi <br />— <br />11 m <br />00 <br />1. ENVIRONMENTAL CHECK LIST <br />PENAL EY <br />3 lAl <br />2. BUILDING PLANS <br />TOTAL <br />J67 <br />50 <br />3. FIRE HYDRANT <br />- <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATIONUU <br />WHEN PROPERLY VALIDATED DNMIJACEI"I"DUR PERMIT 01 <br />DIIELCK $738.50 <br />Y i <br />qN <br />f. GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />MM <br />PLANS CHECKED BY <br />STG <br />APPR. FOR ISSUANCE BY <br />LC <br />AUDRESt, I <br />