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(hcEvcrgrren CC ��STR�JCT�ON <br />Ciiv OF <br />evere�t PERMIT pERMIT NO. OH31% <br />CITY H4LL 259�8745 <br />EVERETT. WF 90701 ❑ COMBINATION xl�,[BUILGING ❑ MECHANICAL PLUMBING <br />O'NNER <br />MAILAOOiE"o C ! ZIP PMONE <br />Mark S. Groves 6923 Highlsnd Drive Everett 98203 555-6369 <br />ARCMRECT O:i DESIGNER <br />MAIL ADDF°:S CIT1' ZIP � r10NE <br />GENERAL CANTNACTOR M1',AI� ADORE55 CITY ZIP PNONE UCENSE / <br />Same <br />AIECHANICALCONTPPCTOR MAILADDRES:; QiY ZIP PHONE UCENSE� <br />PLUMBINGCANTPAGTOR MAIL A�DRE55 GIiY 21P PNONE IiCENSE ♦ <br />CI aSi OF WOflN <br />❑NEW �ADOITION ❑ALTERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S i���0�. <br />D[SCRI6E WORK <br />addition to e�:isting re�idence <br />cnorosEu us� ^- --" ^wc <br />single family residence <br />lE G4l DESGRiPiION OF PROPFPiY �SNOW �ELOW OR ATIACH FOUR COFiES <br />ior 16 eia� 1 GF Beverly Hills <br />6923 Highland Drive <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />2 WATEF CLOSET (TOILET) _ <br />DFAIN <br />fi00F <br />SIU[ YARD SETBACK <br />6' <br />USE ZONE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />SIZE OF 9LDG. <br />29'x3S' <br />FIRE ZONE <br />3 <br />0 <br />A <br />STREFT SET�ACK <br />��� <br />�T APEA <br />16000 S <br />:CUPANCY GR( <br />R- 3 <br />1 OP STORIES <br />L <br />none <br />1. ENVIRONMENTAL CHECK LIST <br />2. 6UILDING PlANS CO <br />3. FIRE HV�flANT — <br />4. FIRE PRO7ECT10N SYSTgR1 <br />� 5. GRADING <br />iY <br />—{. DRAINAGE . <br />�] FNVIRONMENiAL 161PAC1�TATEMENT <br />8. HEALTH DISTAi�7 • <br />GApPLICATION ACC. BY j'lANS CHECKED BY <br />� �i I V.C. <br />_� <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION API� KNOW THE SAME TO BE TFUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />Div. I TYPE OF WORK WILL BE COMPLIED WITN WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME . � GIVE AUTHORITY TO VInLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING <br />COVSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />9CNAiURE OF CC'�i�QOR OR AUTHO�17.E0 A[ " DATE <br />X � 10�1�8� <br />MECHANIC <br />FEE <br />FEAR YAf7D SETBAGK <br />20' <br />VACANT SITE <br />UYES 1.11J0 <br />xx <br />NO. OF �WELLING UNITS <br />1 <br />MAX.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIR <br />I lYES ':10 <br />ev onre <br />TYPE OF EOUIPMk <br />). UNITS — H.P. EA. <br />iATION UNITS — HP. EA <br />—HP.EA. <br />D wu. urvi i o—� <br />AIR SYSTEMS — 8 T.U. <br />ATERS — B T.U. <br />�rraC — P T 11 <br />RANGEHOOD <br />FIR NANDLING UNIT — <br />80/8317 <br />BUILDING <br />PLUMBING <br />PENALiY <br />TOTAL <br />8 <br />A1 <br />CPM. <br />f'LAN C <br />FEE 46.00 <br />$ 20�000. <br />u.e c. <br />SEC.303(a) <br />7 <br />ReCE�PO S 7 O <br />UC�� W'�IE�J�qORE�LY_VALIDATED(INTHISS�PCCI��THISIS�OR��MOO � <br />� J I l' i o� o <br />M <br />� �- ��.�:���'�FI �, :'r� t`�:C1-�P1 Q <br />APPR. FOR ISSUANCE BY ' :� i.� . .. i . •, � �i � • ,'. <br />` . i .' . . . f� I '� � U <br />- � CI;I u�1 <br />ADDRESS FILF <br />-���r��7 <br />