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� � - <br /> drr E��rr,c�erri r 0 N ST R U�T I O f� <br /> citr or <br /> everett PE�MIT pERMIT NO. 1O9OH <br /> QTY HALL 259�87a5 <br /> evEaen.wn eazoi XX�Xi COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> �ov:uen an��nooWess air zu• v��ovi <br /> HILLIS HOMES 826 SE Everett Mall Way Everett IJA 98204 355-4492 <br /> A�CHiiCCiORDESGNLR FIAILNDDRESG Qi'! Z�P P110N[ <br /> :��NfRALCON!RAG10R �P'lA0DRE55 GiY 2iP PIIONE LICCNSL• <br /> Same <br /> � I,�EC��/�N�l 41 LONIP%.CIDS AIAq AppRE55 Cltt ZIP PHONE UCENSE� <br /> B & b Neating 1450 - 19th NW Issaquah 98027 453-8360 <br /> PC11.1PIN4CONiRAGiOR 1AAILODORE55 CIi\' 21P �'��ONE UCENSE� <br /> Rcbinson Plumbing 607 SE Everett Mall Way 98204 355-6171 <br /> C1�55OF WONK <br /> ��iNEW LIADDITION CALTERATION ❑REAAIq ❑DEMOLITION ❑FFNCE ❑SIGN ❑GARAGE <br /> VAIUAiION OF\VORM <br /> 5 49000 <br /> oEscAiu[woeK <br /> New single family residence <br /> r��ovos�_o use oF oo._oiHc <br /> $FR I HER[BY CERTIFY THAT I HAVE READ AND EXl�.MINED THIS AP� <br /> ic�,nioescaivnor+ov or.oa�arv�s�owbew�:�onnnnairouncor�es� PLICATION AWD KNOI'J THE SAME TO BE TRUE ANU CORRECT. � <br /> 62 Veral ene Estates ALL FROVISIONS OF LAWS ANO GRDINANCES GOVERNING THIS <br /> ui eiceK_oc _ TYPE OF WORK N'ILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESi 1ME TO GIVE AUTHORITY TU VIOLATE GR CANCEL THE PRO� <br /> VISIO�S OF ANY OTH[R STATE OR LOCAL LAW REGULATING <br /> .GE�AI�TRUCTION OR T E PEHFO NCE OF CONSTRUCTION. <br /> JU�ApOAE55 SiG4A' iE CONIV COR RAU1 RV IkGH � 0/'I <br /> 404 Veralene Way SW X � ���.�'� <br /> PLUMBING CHANICAL <br /> K'?. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPIdENT FEE <br /> WATEA CL09CT�T04ET) Q AIR COND.UNRS—H.F.EA. <br /> B4THTU� QQ NEFRIGERATION UM1 �3—H.R 6: <br /> 3 LAVATOflY 1`NASH OASIN) _ � �OILERS—HP.EA _ ' _ <br /> SHOWEH _QO GdS FIHED P C.UNI15— i�NNAGE EA. , __ <br /> �_ KITCHEN SINK&GISP. �QQ FORCED AIR SYSTEIdS—d T.U. M EA. �6_�p0_ <br /> DI.HWASHER _ —'qy� \"'4LL HEAIERS—�TL. M _ _ <br /> LAU�:DRY THAV I� UNIT I IC4TER5—D.T.U. M _._ <br /> 1 CLO iiSWASHcR EVAP:iqq71VECO0l[RS <br /> V_-���R H[ATEN CL01NE5 DRVEFS Q_ <br /> ���HINAL � VENTILAl7CN FAN fl(�_ <br /> l JR�RKING FOUNiAIN RANGE HOOD J�_ <br /> 'LCCR DRAIN AIN NANDLING UNIT— QF.M. <br /> \PC�!UM GREFKESS STOVE _ <br /> RCG'DR/dNf—RAINLEADERS METAL FIFEPLACE 8 CHII:.NFY _ <br /> S�NK�SERVICF—BAR,ETC) — <br /> SUu IOTAL �_ SUB TOTAL S �S OO <br /> —' PERMIT f PERMIT f <br /> TOT�:FEE S TOTAI FEE S <br /> ,AI:�E YA!�D�h79AGK STRLEi iEBACK REAH Yf.R�SEi�ACR PLAN fHECK NUM�ER �LAN CHECK FEE <br /> J Pt. ZO �t ZO Pt HZ��O9OS FEL Be51C RECEIPT NO <br /> US6 ZONE LOT AREA VACANT SITE <br /> R-3 X�y�G �;NO FEES VALUATION FEE <br /> TYPE O�-CCiNST CCCUPANCY GROUP "!0 OF CWELLINI;UNITS <br /> V-N R3 1 <br /> �-IIEOFpLDu NO.OFSTORIES tAAxOCC.LOAD �UILDING � G9��00. 2�$ 5� <br /> 2065 sq. ft. 2 ] PLCM6WG 26 00 _ <br /> � FIRF ZONE [3ASEMENT FlRE SPP.INHltRS . <br /> _ REOUIRED MECHANIC�L �H OO <br /> f'.YES J�NO - — <br /> � OTHER <br /> APPRG':ALS BY OATE <br /> LENVIRONMENTALCNECKLIST p� y UBC <br /> SEC.303�a� <br /> 2. BUIIDING PLANS � . 322 50 <br /> TOTAL <br /> I ? RRE MVDRANT �p <br /> l 4 FIRF PROTE N SYST�AI� P�RMIT VALIDATION �I <br /> 5. GRADING� = WN�W p�OPERLY�AL�DATED IW THIS$PSC�)jHIS IS�q��Fd1,yJ O _�� <br /> b U 3 6 7 1 a 7 <br /> C. �RAINA _� � . . 0 <br /> Q� <br /> tJ, ENVIRJI,(IaENTALIMPACLL7ATEMENT -p RECEIPT . �YOUR RECEIPT� <br /> . HEALTH'YJ S T ,1 .. <br /> �PLICATIOI��� ' NS CHECKEO BY APPR.POR ISSUAFlCE�P� � YO V TH,/��K YO U <br /> LC � � I H41M LC ' - , , <br /> � A 3 I Al� R Z � � AlC $Z <br /> ;,r,nrrrss Fn !- <br />