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� <br /> `'"`"�:;;;`�oF '''ONSTRUCTION <br /> , evere;tt P�RM�� PERMI:� n►o: 11130 <br /> CITY HALL'359��7�:5 <br /> even�rr.e,n aezo� x� COMBINATION � BUILDING � 11'=CHANICAL � PLUMBING <br /> �oen�u� r.!ni�noor+css oir ziv � vr�or:t '— <br /> Hillis Homes inc. 826 S .E. Bverett Mall t9ay Everett 98204 355-4992 <br /> naCH"CCiOF�ES�GNrq lAAILAODRt55 CIIY 21P PHONE <br /> ._ ..�L��AI CO41RnCIDP MAIL AUDRE55 Citt ZIP PNCNE LiCENSE� <br /> Same <br /> �!lQ��,NICRLCONTBnCTOR L�AILAODRFSi CI1Y ZIP FIIONE IICENS[Y <br /> F�p4�I11RGCONiN2C10R MAILApDRE55 UTY ZIP VHON[ UCENSEI <br /> ClA55Of WORK <br /> �gEW ❑ADOITION ❑ALTERATION OREPFIR ❑DEMOLITipN ❑FENCE ❑SIGN ❑GARAGE <br /> \'PIUAiION Of\VONK <br /> 3 45 � 0�0. �� <br /> oEscaise woarc <br /> Construct Single Family Residence <br /> rnoroseo i:se cF awioiNc <br /> Single Family Residence I HER6�:i CERTIFY 1NAT I HAVE READ AND EXAMINED THIS AP- <br /> �icnCocsa�rnor�ovPaertatt�sr�.owouowonnrtne�uour,eoert;� PUCAT!��N A�JD KNOW THE SAIAE TO bL TRUE AND CORRECT. <br /> 60 Ver.alene Estates ALLPROVISIONSOFLAWSANDORDINAt�!�'.ESGOVERNINGTHIS <br /> .o; e�a:�oF TYPE OF WORK WILL �E COMPLIED WITH WHETHER SPECIRED <br /> H[REIN OR NOT. THE GRP.NTING OP 4 PERMIT GOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> — VISIONS GF ANY OTHER STAT[ OR LOCAL LAW REGULATING <br /> �f,'f?NS{aJCTION j�F TF�; RFORMANCE OF CONSTRUCTION. <br /> �ounut,�ass si� ; u��•or c �. ��.u1�� u.,,-,�u���r,�ru,cNr onre <br /> _416 Veralene Way S.t+l � X . �f,l,y / IC� _-� ��-a7—�fL <br /> PLUMBING ECHANICAI ' <br /> NO. TYPE OF FIXTURE OR ITEM FEE ' NO. TYPE OF E�UIPMENT FEE <br /> wnre�c�cser Roacn p� niF�cono uNits—ra P en ___ <br /> BA1HlU0 f�Ef-RIGERATION UNITF—H P.[A <br /> 2 �VAiORV(WASH BASIN) LOILERS—HP.EA <br /> SHOWCR G45 FlFiEU A C UkITS—TOI�NACc cA. <br /> KITCH[N SINN 8 DISP. FORCED AIq SV$!EtAA—B1.U. M EA. <br /> DISHWASHER PALL HEAi�=1to—��. U. M <br /> LAUNOflY TRA1' 11NIT HE4TEHS— �.TL. M <br /> i �-�1NE5\NASHER EVAPORATNECJOLERS <br /> 1 V:AIER H[AT[R Z OO �. CIGTHES f]ilYlAS �Q <br /> URINAL Z VEMILATIO�FAN <br /> DRINKING POUIJTAIN ], 17ANCE HOOD <br /> FIOOR URAIN NR HANDUNG'1NIT— C.F M. <br /> VACUUM�RkAK.ERS STOVE <br /> ROOF�RAMS—RAIM EADEFS M�TAL FlREPV.CE&CHIMNEY <br /> SINK(SERVICE—DAR<TC� <br /> SUBTOTAI SUBTOTAL S ].S OO <br /> PEflM1T S PEflM1T S <br /> TOTAL FEE f TOTAL FEE f 00 <br /> SIDE YARD SfTOPCN S7R[[T 5[TBACK REAR YAPU SF.TB�CK fLAN CHF .K NUAI�ER P:AN CHECK FEE <br /> 5 ' 20' 20' 82/11130 F�E Basic REceietNo. <br /> USEZONE LOTAREA V�AyCANiSRE __ <br /> R-3 XXES i�NO FEES VAWATION FEE _ <br /> t�'P6 OF CONST. OCCUPANCY GROU7 NO.OF DW[LLING UNI75 <br /> V—N R-3 1 <br /> SIZ[UF BLDG. NO.OF STOPIES MA%.OCC.LOAD BUILDING $¢S �OOO. 2 G O OO <br /> _ 11HO SQ. Ft. 1 Q PLUMBING 24 00 <br /> FlR[ZONE BASEMENT FIRE SPqINKL[NS <br /> REOUIRfQ MECNANICAL 1� oO <br /> None i;ves xaGo _ <br /> APPFOVALS BY 04TE OTHEP <br /> 1. ENVIRONMENTALCHECKl15T p�Nq��y U.�C <br /> 2. DUILDiNG PLANS SEC.303(a) <br /> T <br /> 3_FIREHYDRANT � ' TOTAL 29B 00 — <br /> �. FIRE Pq07[p I ON SVSiEM PERMIT VALIDATION <br /> -1, WHEN FFOPERLV VAUi)ATED(IN 7H15 SPACE)THIS IS YUUN PERMIT <br /> �'"c �_ � — 5024. 00 — 3 9409 S2G0. 00 --�'I� <br /> �,.�y . oaniNnc�E � �� <br /> �-V. LNVIROKM�lpAL Ih1P iATEMENT - � <br /> «e. N���T � ��T a ' �.1 n RECEIPT �(OII�R REC:EIPT,`�—� <br /> APPlICA7QQIJ A64 ��Y LANSCHECKED�Y APPR.FOR ISSUANCE B j. � • �.� ; Y� U <br /> �. � ` �� � �C#rA{�K Y O U <br /> � xwM Lc <br /> ;, <br /> A , � . <br />