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10 <br />everett <br />CRY HALL 2598745 <br />EVERETT. WA 98201 <br />"'►QNSTRUCTW" <br />PERMIT <br />PERMIT NO. 16150 <br />® COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />PHONE <br />Boyden Realty Inc <br />1429 8readway <br />rvarar+ <br />�g?1— <br />2566 <br />ARCNIiF CT OR DESIGNER <br />MAIL ADORE55 <br />CITY <br />O <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 0 <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 . <br />PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE . <br />White Coast Plumbing 119 Avenue A Snohomish 98290 568-6155 <br />CLASS OF WORK <br />C NEW ❑ ADDITION ❑ ALTLRATION O REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />s41,000 <br />Construct single 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 />GCVERNING 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 />PERFORMANgE OF CONSTRUCTION. <br />SIGNATURE NTRACTOR ORLffRIZED t$QrD F <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CONES) <br />LOT 80 BIOCK__OF Sunrid a Division III <br />JOB ADDRESS <br />124 - 93rd St., S.E. Everett <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET(TOILET) <br />BATHTUB <br />MECHANICAL <br />N0. <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />4 <br />00 <br />AIR COND. UNITS — H.P. EA. <br />X <br />2 <br />2O <br />00 <br />00 <br />OO <br />OO <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAB FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />_ <br />LAVATORY (WASH BASIN) <br />_ <br />SHOWER <br />_ <br />KITCHEN SINK A DISP <br />DISHWASHER _ <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />2 <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />RANGE HOOD <br />4 <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />{ <br />DOOAN0344 <br />�7 <br />BUS TOTAL { <br />20 <br />OO <br />SUB <br />PERMIT f <br />PER <br />TOTAL FEE {200 <br />TOT <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />86/16150 BASIC <br />PL�` P <br />�£W 4i <br />RCK FEE <br />.50 RECEIPT NO. <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />YES NO <br />FEES <br />T 0 <br />' FEE <br />u3l8in—ggZ de urD <br />Ener Code surcha <br />1 <br />0 <br />TYPE OF CONST. <br />V-N <br />CUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />I <br />BUILDING <br />_ _ <br />II <br />.00 <br />SIZE OF BLDG, <br />16-R-3 506-M-1 <br />NO OF STORIES <br />1 <br />MAX. OCC. LOAD <br />4 <br />PLUMBING <br />MECHANICAL <br />OTHER Driveway Peznit <br />WATER <br />DCM <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />RFIRE EOUIRED SPRINKLERS <br />YES NO <br />•50 19 <br />50 <br />APPROVALS <br />BY <br />DATE <br />2 <br />00 <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UA C. <br />SEC, 303 (A) <br />2. BUILDING PLANS <br />TOTAL <br />318.50 <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT CD <br />Ln <br />Y-A <br />1'T� <br />Y <br />B. 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 />ADDRESS FILE <br />