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`,".`,�`.'F.`."' - CC�NSTRUCTION Q <br />C�1Y �F <br />everett PERMIT PERMIT �. o�s$� <br />CITY HALI 25&d745 q �,/ Q <br />eveaert. wn sezoi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINQ� U%- o0 <br />l:J <br />uwr�ea ua�noor�tss arr nr � v��a�e —.T <br />8304 Beverly Lane Cloyde Hillis Everett 98203 25,3-3278_ �;� <br />FRC�ulccionDtsiGNtn Mn�ULDREss cllr Ilr rMCNE_ "' <br />Ci I � � <br />GENFRAL WNiPACiOR MAII NO�RESS ��TV :IP �y PMONE L�LGISE / <br />Same o <br />.� <br />AICCIIANICAI (:ONiRAC10H AIAq RpOAE55 CIiY IIP Q PIIONE II�fNSE I <br />PWIA�iNGGONIPnCTOR MAIIApDRE55 Giv ZiP PHOYE LICENSEI <br />❑NEW C��f¢1DITION ❑ALTEFATION ❑REPAIR ❑DEMOLITION LJF�IJCE ❑SIGN ❑GARAGE <br />VALUAiION Of WORN <br />S ZrJ�Q�0.00 <br />Addition �f Rer.. Room, Den, and T;,ilet Room <br />vaoroseo usc or emio�Ho — <br />single family residence <br />IEGRL OESCRIPTION OF ppOCERiY ISNOW DEIOW OR ARALH iOUR C0�'iE51 <br />3 less S. �i :osland Half Acre Garden Tra� <br />LOi BIOCn_OF <br />4 <br />8304 Beverly Lane <br />PLUMBING <br />NO. TYPfl OF FI%TURE OR ITEM FEE <br />.1 WATER CLOSEi �TOILET) Z <br />BAtHiUB <br />�. LAVATORV p1'ASH BASIN� 2 <br />1 SHOWFH 2 <br />KITCHEN SINK 8 DISP. <br />DISHWASHFfl <br />LAUNDRY iRAV <br />CLOTHES WASHER <br />Y/ATER HEAIER <br />URINAL _ <br />DflINKING FOUNTAIN <br />�LOOq DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINIEADERS <br />SINK �SERVICE — BAFl, ETCJ <br />SUB TOTAL 6 <br />SIDE YARD SETBFt,K � STRECi SETBACK <br />USE ZONC I LOi AREA <br />TYPE OF CANST. <br />V—N <br />512E OF BLDG. <br />1 <br />FIRE ZONE <br />t. ENVIFiONMENTAL CHECK LIST <br />2. BUILDING PlANS <br />3. FIRE HYDRANT i, <br />4. FIRE PROTEGTION SYSTEIA <br />— o <br />5. GRADING N <br />6. ORAINAG[ ( � <br />Z ENVIRONlAEfIAL IMPABd�fTATEMENT <br />B. HEALTHBIS CT <br />3 <br />REAR YARD SET�ACK <br />VACANT SITE <br />�1YE5 i]� <br />N0. OF DWE�LING UNITS <br />1 <br />MA%.00C.LOAD <br />t'APPLICATION ACC BY NS CNECKED BV I APPR FOR ISSUANCE OY <br />in <br />o �� m v.c. <br />- ---- �. , � <br />I HEREBY CERTIFY THAT I HA'!E READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />�.L PROVISIOIJS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OP WORt WILL BE COMPIIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME i0 GIVE A�THURITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS UF AIJY OTHE:R STATE OR LOCAL LAW REGULATING <br />CCNSiRUCT10lJ OR THE PERFORMANCE OF CONSTRUC710N. <br />S�GNAUPE Jf CCNIRACION OR A 1�IORIIFD AGENI DA1E <br />♦ <br />X��%t:c�7 ...4�:��:� 7/1/fi0 <br />NO. TYPE OF EOUIPMENT <br />AIR COND UNITS — 11 P EA <br />REFRIGCqATION UNITS — HP EA <br />�OIL[NS —� H P EA <br />GAS FIRLD A C UNRS — TONNAGE EA <br />FORCED AIR SY57FMS — B T U M EA <br />WALL HEATERS — BSL. M <br />UNIT HEATERS — D 7 U M <br />EVAPORATNECO�LERS <br />CLOTHESDRVERS <br />1 VENiIIATION FPN <br />RANGEHOOD <br />AIR HANDLING UNIT — C F M <br />STOV[ <br />METAL FlREPLACE 8 CHIMNEY <br />80/7687 <br />FEES <br />BUILDING <br />PLUMBINIi <br />MECHANICAL <br />TY <br />PERMIT <br />PLAN CHECK FEE <br />hLL Nhi:FIP� Ni) <br />36.00 � 48926 <br />$ 15,000. <br />U.0 C <br />SF.C. 303 (a) <br />[:I] 1 � <br />WHEN PROPERLY VALIDATED pN THIS SPACE� THIS IS YOUR PEflMIT <br />4101 ��]2.��— � <br />� <br />ti <br />'�'O`U P, R�CEIPT o <br />�� i�i�.r�iE; �rvu <br />