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the E,ergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />':ONSTRUCTIM4' <br />PERMIT <br />PERMIT NO. <br />© COMBINATION ❑ BUILDING MECHANICAL . PLUMBING <br />OWNER <br />MAIL ADDRESS <br />ZIP PHONE <br />Boyden Realty <br />1429 Br, dway Everett <br />ROR 98201 <br />252-1166 <br />ARCHITECT OR DE51UNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Gary Parkinson <br />527 Unimak Medical Dental Bldg <br />Everett 98201 <br />252-2153 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE / <br />J & D Builders <br />1429 Broadway Everett 98201 <br />252-1166 <br />JDBUI223JO <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE I <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />White Coast Plumbing 119 Avenue A Snohomish 98290 568-6155 <br />R] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALUATION OF WORK <br />E45,000.00 <br />Construct Single family residence, Basic plan 'A' <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 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 />PERFORMAN OF CONSTRUCTION. <br />SIGNATURE OF FACTOR OR AUT IZED AGE DATE <br />X-may_ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />60 Sunrid9 a Div III <br />LOT. —BLOCK—OF <br />— <br />JOB ADDRESS <br />217 - 93rd St Sr- <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS - HIP. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />2 <br />WATER CLOSET(TOILET) <br />4 <br />QQ <br />1 <br />BATHTUB <br />LAVATORY IWASH BASIN) <br />2 <br />QQ <br />_2 <br />4 <br />QQ <br />BOILERS -H.P. EA. <br />1 <br />SHOWER <br />2 <br />00 <br />GAS FIRED A.C. UNITS - TONNAGE EA, <br />I <br />KITCHENSINKB DISP. <br />2 <br />0 <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />Q <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHESWASHER <br />2 <br />0 <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />2 <br />00 <br />1 <br />CLOTHES DRYERS <br />URINAL <br />12 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />1 <br />METAL FIREPLACE B CHIMNEY <br />7 <br />0 <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL ! <br />20 <br />0 <br />SUB TOTAL ! <br />22 <br />ED <br />PERMIT ! <br />PERMIT ! <br />TOTAL FEE 61 <br />20 <br />00 <br />TOTAL FEE ! <br />2 <br />SIDE YARD SETBACK <br />PRO <br />STREET SETBACK <br />PAD <br />REAR YARD SETBACK <br />PAD <br />PLAN CHECK NUMBER <br />86/16170 <br />PLAN <br />T'E none <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />%YES .NO <br />FEES <br />VALUATION <br />FEE <br />31d9 • 0 e UI'C 18ry <br />1 <br />SO <br />TYPE OF CONST, <br />V-N <br />OCCUPANCY GROUP <br />A-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDNG <br />t 45,000 <br />260 <br />50 <br />SIf&%F NOY 1052 <br />M 484 <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />4 <br />PLUMBING <br />20 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />YES NO <br />MECHANICAL <br />22 <br />50 <br />_ APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />BY <br />A E <br />410111 Driveway <br />20 <br />00 <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />• <br />t <br />• • • <br />PERMIT VALIDA N <br />POPERLY VAUNTED IIN THIS SPACE) THIS IS YOUR PERMIT <br />E,`�K ,pO LJI p EJI <br />u1 CIp G p <br />Co <br />S. HEALTH DISTRICT <br />APPLICATION ACC711Y7PLANS <br />HECKED BY <br />APPR. FOR ISSUANCE BYM.M. <br />LC <br />ADDRESS FILE "' <br />