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V <br />everett �©N ST R U C'TI U f`' <br />PERMIT <br />CITY HALL 2598745 <br />EVERETT. WA 98201 RP COMBINATION ❑ BUILDING MECHANICAL <br />PERMIT NO. 16166 <br />PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Boyden Realty, Inc <br />1429 Broadway <br />Everett <br />93201 <br />252-1166 <br />ARCHITECT OR DFSIGNER <br />MAIL ADDRESS <br />CITY <br />ZIF <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 />IF <br />PHONE LICENSE E <br />J & D Builders 1429 Broadway Everett _ 98201 252-1166 JDBUI223JO <br />MEChANICAL. CONTRACTOR MML ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />White Coast Plumbing 119 Avenue A Snohomish 98290 568-6155 <br />CLASS OF WORK <br />UNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />E 41,000 <br />DESCRIBE WORK <br />Construct new sinale 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 HE 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 />PERFORMAIgCE OF CONSTRUCTION. <br />EIGNATU9E3_ NTRACTOR OR AUT IZED AO D TE <br />G r <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES' <br />LOT 59_BLOCK_. _OF Sunridge Division III <br />JOB ADDRESS <br />220 - 93rd St., S <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET 'TOILET' <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />q <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY (WAf 'BASIN) <br />A <br />nn <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP, <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />9 <br />nn <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />2 <br />Inn <br />I <br />CLOTHES DRYERS <br />URINAL <br />1 <br />VENTILATION FAN <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 — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />._ <br />BUD TOTAL <br />& <br />2010— <br />SUB <br />PERMIT <br />{ <br />PERMIT { <br />TOTAL FEE <br />{ <br />TOTAL FEE { <br />SIDE YARD SETBACK <br />prd <br />STRE @T ETBACK <br />PR�I <br />REAR YARN SETBACK <br />P�D <br />PLAN CHECK NUMBER <br />86/16166 BASIC <br />PLAN CHECK FEE <br />FEE p I RECEIPT NO. <br />USE ZONE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />LOT AREA <br />OCCUPANCY GROUP <br />VACANT S1TE <br />RYES NO <br />NO. OF DWELLING UNITE <br />1 <br />FEES <br />VALUATION <br />FEE <br />Ener Code Surchar <br />e <br />1 <br />00 <br />BUILDING <br />{ <br />IZE OF BLDG. <br />l�6-R-3 506-M-1 <br />NO. OF STORIES <br />1 <br />MAX. OC LOAD <br />PLUMBING <br />20 <br />OC <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />KLERS <br />YES NO <br />MECHANICALREO <br />{ <br />N Ommlp <br />590 <br />qklMx Driveway Pervit <br />PENALTY <br />TOTAL <br />La) <br />20 <br />.00 <br />DO <br />APPROVALS <br />SY <br />DATE <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />-p—S <br />11.501 <br />B SRCHxam <br />8.50 <br />J. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION - <br />WHEN PPOPERLTV, ODATED IIN=PACE) T WWD%UR PERMIT <br />NECK $19.50 <br />DRVWI' t20.00 <br />ilm <br />WATER W00 <br />SEWER f:i0.00 <br />tCONTINUE <br />S. .ORAINAOE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8 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 />