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�� <br />L <br />L <br />r <br />''"�`""�"�`�" rONSTRUCTION <br />CITY Of <br />everett PERMIT PERMIT NO. 11556 <br />CI1Y HALL 259�tl745 <br />[vcrutt �vn ��s:oi [x] COMBINATION � BUILDING p MECHANICAL 7� pLUMBING <br />OAVNtR MAqAUDIIISS 1,11Y lll' I9e�N� <br />Uaniel L. Ruthford 5703 IIroadwav Everett 98203 355-3140 <br />asm-.- on o[sicrun una numas: cirv — <br />Ii� r��pqL <br />(A .iitAlCONiqAC10R MMl �:L�RC55 CIIY ZIP PHONC UCCNSL / <br />Cousins Constr�ction Co. 4004 Nassau Everett 347-a500 <br />A4o�4NiCAL CONIfuQCn MnIL ��DOIIF55 CifY IIP P�IONI �iCENS[ � <br />��i UMpIN � CONIIIACiC�i M;JL AUUN[ SS <br />Ci1Y tlP ���OHE �ICENSE ♦ <br />CIASS Of IYOPK <br />7i]YNE\4 ❑AD�IiION ❑ALTENATIC9 L]PEPNR ❑OEMJLITION ❑FENCE ❑SIGN ❑G/RAGE <br />��watioH Or wonrc <br />S 100,000.00 <br />Construct Sin41e Pamily R <br />rnOroSEo US[ of tlWluMr <br />Single Family Residence <br />ICGAI 0[SLqiPtiON Ot PPO�ERiY �SHOW BCl01Y O� AiiAC�l FOUR <br />,,,, Z ,,,,�, ,,, Nassau Tracts <br />eOP �OD��C55 <br />4002 Nassau atrcet <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OR ITEM <br />3 WATERClOSR�TOILET) <br />Z f3ATMTUB <br />3 IAVATOfiY pYASH E7ASIN1 <br />SH0IYER <br />1 KIiCHEN iINK d DISG. <br />1 DISH\YAFHER <br />6'(S)-10'(N) <br />USE ZONE <br />R-1 <br />G <br />e <br />PERM�T <br />TOTALFEE <br />SiR[ti SETBACK <br />20' <br />IYYt VYOVN51. OCGUPANCY GROUP <br />V-N R-3 <br />SIZE OF BLDG. HO. OF STORIES <br />2958 Sq. Ft. Z <br />FIHE ZONE BASEMEHT <br />yes <br />Rvvnov��s <br />L ENVIPONMENTA�CMECKLIST <br />2. DUILDWGPLANS W <br />3. FIRE MYDRANT N <br />r <br />L d. FIRE PROTLCT]t�N SYSTEM <br />C <br />"SGRADING�_ ;— <br />. DRAINAGE �� O <br />ENVIROt�N7� IhIPACiSTATE6IENT <br />00 <br />�ppp11EALTHD}ST�i (,,, <br />APPLICATIQRpCF�l3V G3lV�lSCHECKEDBY <br />c � <br />� <br />� I xwn� <br />A <br />Y 30 29 5 <br />1 HERF.BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICAIION AND KNOW THE SAME TO BE TR7E AwD CORRECT. <br />ALL PROVISIONS UF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OP WORK WILL BE COMPLIE� WITH WHETHER SPFCIFIED <br />HEREIN OR NOT. THE GRANTIN6 OF A PERMIT DOES NOT <br />PRE TO GIV[ AUTHORITY 70 VIOLATE OR CANCEL THE PRJ� <br />VI NS F ANY OTHER ST�TE OR I LAW qEGULATING <br />C NSTRU TION OR TH P CE OF t'STRUCTION. <br />5;N n[n fo'�iNnCio��On � r�G �lf� 3E1�i n Oni[ <br />MECHANI�AL <br />TYPE OF EOUIPMEtif FEE <br />i UNIT$—NP.EP <br />iATION UN�TS — H P EA <br />—HPE� <br />UNIiS �— TONNAGE [A <br />STEA7S — 0 T.U. A' <br />— F7.T U ht <br />—BTU. AI <br />NG UNI1 — <br />8 CMIAINI Y <br />NhAq YARU SETpAGK PLAN CMLCK 11UAIBER PLAN CH[CK FEL <br />20� 83/11556 �E�zei.as '��iE$�"�° <br />YACAN7 SITE <br />.�YES I.:NU FEES VALUATION FEE <br />NO.OF DWELLING UNITS <br />MN(.IXICLOAD BUILDING 3,Q(1�000. 433 �� <br />g a�uniowc 30 00 <br />FIRE SPR�pIN,K�ER<. <br />f'.66R4iA0 MECHANICAI .LB OO <br />, <br />APPR. i OR ISSUAf�CE-BY <br />LC <br />U.BC <br />SEC 307�a) <br />481 � 00 <br />�i�!�jN RqQP[RlV VALIOATEO pN THiS $PACEI TH1515 VOUR PERMIT � <br />J U U � 3 <br />a32z 5433.00 —�1: <br />RECEIFT r+ <br />�", •;'OU Y0112 RECEIPT`� <br />'r;-��,tve Y;o.0 <br />I 0 ���R 83 <br />ADDRESS FILE <br />I 0 �att $3 <br />� <br />J <br />J <br />