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',"�'��TY`o° ':ONSTRUCTION � <br /> everett PERMIT PERMIT NO. 1O36H <br /> GTV HALL 259�8745 <br /> ever�en,wn �ezoi � COMBINATION �j BUILDING � MECHANICAL ❑ PLUMBING <br /> owr+in una noor�ess urr z�P rHove <br /> Jerry A. Grayson 817.1 Upper Ridge Road Everett 98203 353-5323 <br /> AHCHitCCt GP OESiGNER MAIL ADOPE55 (;IiY ZIP PHONE <br /> GGNCRAL CONTRPCTOR MFq AppR[SS CIiY T�p PHDNF UCENS[1 <br /> Same <br /> MfCHA61CAl fANiRACTOR MAIL AODRE55 QTV TIP PHON[ LICENSE I <br /> PLUTAOINGCONiRAGTOR NAi�A0DRE55 CITV jIP PHONE UCENSEI <br /> C1A550F WORK — ^_I <br /> ❑NEW �iDmDITION ❑ALTERATION ❑PEPAIR ❑DEMOUTION ❑PENCE OSIGN ❑GARAGE � <br /> V/.LUAi�ON OG WORh <br /> F 9, 000. 00 <br /> DESCRIBE WORK <br /> Addition to existing residence <br /> PnorosEo usc or euaort�c <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> ��en�o�scamtiouoFrnorentvis�or+oEio�vonRrtno�voueccai�s� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 23 Beverly Homes Sites ALLPROVISIONSOFLAWSANDORDINANCESGOVERNiNGTHIS <br /> �or, aiocK_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> Div. 1 HERCIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT <br /> _ PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI.THE PRO� <br /> VISIONS OF ANY OTHFR STATE OR LOCAL LAW REGULATIfJG <br /> CONSTRUCTIO OR T E PERFORIdANCE OF CONSTRUCTION. <br /> �oia nooa�ss sicun�u��t ov corvi ,u�r , Nuniorazeo nccui o re <br /> 8111 Upper Aidge Road X c _,� � �— <br /> PLUMBING CHANIC L <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. T1'PE OF EQ MENT FEE <br /> wn�en c�osei Roi�eri nin cor�u.wv is—r+r r� <br /> UATHTUB HEFRIGERATIOV UNITS—H P EA <br /> LAYATORY pWASH BASINI BGIlERS—H.P.EA. <br /> SHOWER GAS FIRED A.0 UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISR FORCED AIR 5\STEMS—B TL M EA. <br /> DISHWASHER WALL HEATEi75—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—BI.U. M <br /> CLO7NE5 WASHER LVAPORATIVECOOLERS <br /> WAiER HEATER CLOTi1E5 DPYE9S <br /> URINAL VENTILATION FnN <br /> DPINKING FOUNTAIN RAfJGE HOOD <br /> FLOOfi DRAIN AIR HANDL�NG JNIT— CF.Id. <br /> VACl1UM�REAkEPS STOVE <br /> ROOF DRAINS—RAINLEADERS 1 MEIAL FIHEPLACE&CHIMNEY <br /> SINK�SEfiVICE—DAR.ETCJ <br /> SUB TOTAL SUB TOTAL f � S O <br /> PERMIT S PEHMIT S <br /> TOTAL FEE S TOTALFEE f <br /> SI�C VARD SETBACK 3iHEE1 SEI'OAGK NEAR VARD SET�ACK PLAN CH[CH HUM�ER PLAq CHECH FEC <br /> 6' 20' 20' 82/10368 ree qg, qg necEiarNo. <br /> vsE zoNE �oT nrEn vncnNr sirE 5 7 2 0 7 _ <br /> R-1 i 1VE5 x�jtNO FEES VALUATION FEE <br /> 11PE OF CONST. OCCUPANCV GRO'JP NO.OF DWELLING UNITS <br /> V—N Addition R-3 1 ouaowc `9,000 . - 74 50 <br /> SIZ[pF�LDG NO OF STORI[5 MAX IX'G LOAO <br /> AC�CI—SOS SQ. F . 1 PLUM�ING <br /> fIR[ZONG OASEMF.Ni FIH[SPRINK�ERS — <br /> PEOUIRE❑ MECHANICAL ] S O <br /> I-IYFS �.XIX) <br /> APPqOVALS BY DATE �T���R — _I <br /> t [NVIRONMENTAL CMECK LIST P[NALTY U.00. <br /> � BUILDING PLANS SEG 303(a) <br /> 3. FIREIIYDRANT T�TA� BZ 0� <br /> a. FIRB PROTECTION SvSTEAI PEPMIi VALIDATION <br /> WHLN PqOPERLY VALID�iEU�IN THIS SPAC[)THIS IS VOUfl PERMIT <br /> ' S. GRADING v O 7 � � (� 0 7 �. [ O �� <br /> .D 1 J <br /> G. Df�AINfj�i- � <br /> �• �7. ENVIROf1MENTAL IMPAQj.�TATEMENT C� <br /> ^� N�^�Tf, '�Ss�T � ' � J R R E C E I PT� <br /> FPLICATIQI(AQq OY ANS CHECKED BY APPR.FOR ISSUANCE�Y � � � <br /> rn T�,I�Nl. 1'O U <br /> �:ro `< <`.�G IdIJM LC • � <br /> "' ( m <br /> c' _° I - % ,.! ,t u( <br /> ^ ,`,� ;;Itt:ss r'�_c <br />