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8521 HOLLY DR 2016-01-01 MF Import
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8521 HOLLY DR 2016-01-01 MF Import
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Last modified
2/18/2017 11:45:35 AM
Creation date
2/18/2017 11:45:12 AM
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Address Document
Street Name
HOLLY DR
Street Number
8521
Imported From Microfiche
Yes
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theE�rrxreen �Ol�STRU �TIOf� - <br /> cirv OF � <br /> everett �ERMIT PERMIT NO. 1258 j <br /> CITV HALL 259�8745 <br /> EVERETf.'PdN9B201 ❑ COMBINATION � BUILDING C�XI MECHANICAL ❑ PLUMBING <br /> OYMER IAAILAODAE55 CITY 21P GMONE <br /> Paul Yerger 8521 Holly Drive Everett 98204 353-7077 _ <br /> APGMITECi OR�ESIGNEP MAIL A�ORE55 CITY 21P PHONE <br /> f� <br /> GEHEFAL GONTNFCTOR MAIL^�ORE55 CITY ZIP PMONE UCENSE� <br /> Jay' Blders P.O. Box 1051 Everett 98206 259-7070 _ <br /> MEGMANIGAL GONTRACTOP MAIL ADORE55 CITY ZIP GMONE LICENSE x <br /> JAYSBR193.ZA <br /> PLUMBING CONTRAGTOR MAIL AD�RE55 LITY ZIP PHONE LILENSE M <br /> CLA55 OF WORN <br /> ❑NEW �}j[ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOO[7 STOVFJFIREPLACE INSERT <br /> VALUATION OF WORK <br /> _ $i�00.�0 <br /> DESGRIBE Y/ORN <br /> Add 396 Sq. Feet to existing residence <br /> PROPOSEOI/SEOF BUIL�ING 1 HERF.BY CERTIFY TH�T I HAVE READ AND EXAMINED THIS <br /> Sin le Famil Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESf.RIPiIONOFPPOPERTY�SHOWBELOWORAifACHFOVRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOLN_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOE3 NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CA:�CEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW R GULATING CONSTRUCTION OR THE <br /> FE M CE CON TRUCTiON. <br /> JOB ADDRESS SIG ATU - � ITRA OF HORIZEO AGENT / ��E�� <br /> 6521 Holly Drive <br /> PLUMBING MEC NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND.UNITS — H.P. EA <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> �AVATORV(WASH BASIN) BOILEflS— H.P. EA. <br /> SHOWER GAS FIRED A:.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK&�ISP. FORCED AIF SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. _ M <br /> LAUNDRV TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> C/ATER HEATER CLOTNES DRYERS <br /> URINAL V`NTILATION FAN <br /> DRINKING i�OUNTAIN RANGE HOOD <br /> FLOOR DRAIPI AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY '] SO <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT 5 PEflM1T _ S <br /> TOTALFEE S TOTALFEE S � SO <br /> SIDE YARO SETBAq< STREE'. SET�ACK REAR VARD SETBPCK PLAN CMECK NUMBER P�PtJ CHECK FEE <br /> 6� 2�� z�� 83�1z58� FEE QQ,Sj I RECEIPTNO. <br /> USE ZONE I.OT AREA VACANT SITE FEES VALUATION ��-0�EE <br /> R-1 . .YES XXNO <br /> NPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V—N Add'n R-3 1 BUILDING S g�ppp, 68 50 <br /> SIZE OF BLDG. NO.OF STORIES IdA%.OCQ LOAD <br /> PLUMBING <br /> A ' <br /> FIPE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL � SO <br /> None REOUIRED — <br /> YES ' <br /> APPHOVALS BV DATE <br /> OTHER <br /> 1. ENVIRONMENTAL CHECK LISi PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS w TOTA� �( OO <br /> 9.FIRE HYDPANi <br /> A.FIRE PROTECTION SYSTyb4 PERMIT VALIOATION <br /> WHEN PROPERLY VALIDATED QN THLS�nA6E)THI���Yfl�.P�f�.11T � �1 <br /> S.GRAOING � S �� b U • <br /> �S�DRAINAGE � � � <br /> —7rENVINONMENTALIA1PACa§TATEMENT ' � ' <br /> �9.�MEALTHDISTRICT o ', ��� � ! R REC E i rT <br /> "AFPLICATION AC .BY � LANS CHECKED BV APPR.FOR ISSUANCE BY <br /> �, "..NK Yi% U <br /> `� -' C) o HWhI LC <br /> � rn <br /> � t � li�I G:i <br /> � I�DDRESS i��lE <br /> I <br />
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