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iHe Erergreen <br /> � ��ONSTRUCTIO�(" ' <br /> �'TY°` pERMIT <br /> everett PERMIT N0. 0963 <br /> CITV HALL 259�8745 � COMBINATION � BUILDING ❑ MECIiANICAL ❑ PLUMBING <br /> EVERETT.�VA 98201 Z��, ProNE <br /> MhiL FDDRE55 <br /> ���r 98203 <br /> O\YYEA E ve r e t t <br /> 7203 Olympic Drive Z�P rHON� <br /> paul Noe c'TY <br /> MAII ADDRESS <br /> PRCHiiWiOR0E51GNEP PHONE LICENSLi <br /> dTV ZIP <br /> Mm�nooaess g 8 2 0 3 <br /> GENEFRICONiPACiOR Everett pMONE LICEIISEI <br /> 7514 Juniper Drive �TM nr <br /> Solie Builders Mqiiqonaess <br /> MECHANICALCANTRACTOR pHONE UCENS'c� <br /> CITY ZiP <br /> Mq��ADORESS <br /> PLUMBING CANTRACTOR <br /> GARAGE <br /> ��A55OF WORK <br /> �NEW ❑ADDITION ❑l.LTERA110N ❑A�PF�R �DEMOLITION ❑FENCE SIGN <br /> VAWAt10N�F WOHH �� <br /> S L01 ���.�� - <br /> DESCP�BE WORK ara4e <br /> Construct single family 9 <br /> ppp{q5[D USE OF OUILDING I HEREBY CERTIFY THAT I HAVE READ AND FXAMINED THIS AP� <br /> single family residence pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEW��ESCRiPi�ON OF PROPERTY�SHOW OELOW JR ATTpCN FOUR COAIES) q�� pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Bevesly Hills Div. I 7YPE OF WORK WIL�BE COMPLIED WITH W ERMITRDOESI NOT <br /> �or � eL�'�—oF HEREIN OR NOT. THE GRANTING OF n <br /> PRESUMETOGIVEAUTHORSTATE�OF OC OR�W REGULAT NG <br /> VISIONS OF ANY OT <br /> CONSTRU ION HE P FOPMAN F CONSTRUCTION. <br /> on*E <br /> SIGNATU OF NT 'TO 1 LL2�Z GENi " / <br /> JOB ADDf1ES5 X <br /> 7203 Olympic Drive <br /> MECHANICAL FEE <br /> PLUMBINO FEE NO. TYPE OF EOUIPMeN7 <br /> NO. TYPE OF FIXTURE OR ITEM q�q�pND.UNITS—H P.EA <br /> WATER CLOSET(TOILET) REf FiGERATION UNITS—��'�EA <br /> OATHTUB BOILERS—H P.EA. �— <br /> �AVATORY(W�SM BASIN) G�5 FIRED AC.UNITS —T��NA� �'�— <br /> SHOWER FORCED AIR SVSTEAIS—BT U. M <br /> KITCHLN SINK 8 DISP. WALL HEATEP.S—L T.U. M <br /> O�SFIIVASHER UNII H'tPTERS—B.T U. <br /> LAUNURY TRAY EVAF'ORA_ Ti�RS <br /> CLOIHES WASHEFl CLOTHES DRYERS <br /> yyq7EF7 NEATER VENTILAT�ON FAN <br /> URINAL RANGE HOOD C F�^ <br /> DRWKING FOUNTAIN qIR HANDIING UNIT— <br /> FLOOR D�AIN STOV[ <br /> VACUUM BREAKE.-� METAL FIRGPLACE 8 CHIMNEY <br /> FlOOf DRAINS—RA�NLEADERS <br /> SINK(SERVICE—0AR[TC.) <br /> SUBTOTAL s <br /> PERMIT S "— <br /> SUBT�TAL _ f <br /> PERM!T S TOTAL FEE <br /> TOTAL FEE s PLAN CHECh:PEE , <br /> qEpq;pRD SETOAGK PIAN CHECK NUMBER FEE 5 Z, 3 3 �ECEIPT NO. <br /> SIDEYAFDGSETBACK STREET'ZOACK n gl/9639 54598 <br /> LOT ARE`� VACANT SIiE FEES <br /> VALUATION FEE <br /> USEZONE I)YES X�O <br /> R_I 14000 Sq. Ft <br /> pCCUPANCY GROUP N0.OF DWELLING UNITS 80 S O <br /> TYPE OF CONST. M_i OUILDING $�.O �OOO. <br /> V�N Mq%.OCC.LOA� <br /> SIZE OF BLDG. N0.OF STORIES p�UMBING <br /> 30 ' x34 ' I _ <br /> BASEM��.NT FIRESPRINRLF�S MLGHANICAL <br /> FIRE ZONE qE0U1REi1. <br /> I iYES xa�o <br /> DATE OTHER <br /> qpPR0VAL5 BY U 8 C <br /> PENAU� SEC.303(a) <br /> L [NVIRONMENTALCHECKLIST a� SO <br /> p. BUILDING PLANS . TOTAL <br /> 3. FIRE HYDRANT pERMIT VA�IDATION <br /> q, FIRE PR�T�M WHLN PFOPERL��'A���ATED QN THIS SPACE)THIS IS YOUR PERMI � <br /> I � r � �'. � — (� <br /> 5. G�ADINIi (j� <br /> 6 DRAINAGE � <br /> 7. F.NVIf{ONMENTAL IMPNCf STHIEMENT - �, � O <br /> g, NFALTM D�STRICT � ' <br /> ;.�P�IC�+TION ACC.OY <br /> PV.NS CHEGK[D BY APPR.FOR ISSUANCE BY <br /> C. L .C . <br />