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- . <br /> rhi•6rerl'rrrn <br /> ederett � %ONSTRUCTIO �� _ <br /> PERMI�' PERMIT N0. ���`� � -' <br /> QTV HALL 259 8745 <br /> EVERETT.I'JA98201 � COMBINATION XBI BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O\4NER RIAIL AD�RESS QiY ZIP PNONE <br /> F3illis Homes, Inc. 626 SE Everett Mall Way Everett 98204 355-4992 <br /> ARCHITEGi OR DESIGNER MAR pDORE55 GTY ZiP PMONE <br /> GENER4L CONTflACTOR AIAIL AODRE55 CIiY ZIP VHONE LiCENSE� <br /> Same <br /> MECMANICAL CONiRACTOR MAIL ApORE55 CITY ZIP PMONE LICENS[v <br /> PLUNBING GONTRACiOR MAIL AOORE55 GITY ZIP PMONE LICENSE• <br /> CLF55 OP WORK <br /> �j NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR O OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WORR <br /> s 98,000.00 <br /> DESCRIBE WORH <br /> Construct Single Family Residence <br /> PROFJSED USE UF BUILOING <br /> Single Family Residence I HE�eB1' CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �Ecn�oescaiarioruoFaaoaearrisHov:eei.owor�n.rncHFouecowes� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCEfi - <br /> �or �l eiocn_oF Veralene Estates GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � <br /> PERMITDOESNOTPRFSUMETOGIVEAUTHORITYTOVIOLATE m <br /> OR CANCEL THE PROVISIO�'S OF ANY OTHER STATE OR " <br /> F 12 28 4 �OCAL LA�N REGULATING CONSTRUCTION OR THE <br /> -�PERF�ORMAivG£ OF CONSTRUCTION. <br /> OB AO�RE55 SiGNAjURE OF C tliR"�f(1H OR nUiHON12E0 AGE4T DAiL '� T <br /> 502 Veralene Way S.w. X �;.�<- ����%�(__ 10/10/83 � -i <br /> N S <br /> PLUMBING MECHANICAL � o m <br /> cv <br /> N0. TYPE OF FIXTURE 6R ITEM FEE NO. TYPE OF EOUIPMENT FEE m � <br /> Z WATERCLOSET�TOILET) 4 00 AIR WND.UNITS- H.P. [A. �� <br /> 2 BATHTUB 4 OO flEFRIGERAT10N UNITS- H.P. EA. � Z <br /> 2 LAVATORV�WASHBASIN� t} OO BOILERS- H.P. EA. m '� <br /> SHOWER GAS FIRFD A.C.UNITS- TONNAGE EA. ,.-� ��-, <br /> ]. KITCHEN SINK 8 DISP. Z Q� FORCED AIR SY'STEMS- B.T.U. M EA. y ,i <br /> 1 DtSHINASHLR 2 00 WALL HEATEPS- B.T.U. M � � <br /> LAUNDRV TRAY UNIT HEAT[RS- D.T.U. M � N <br /> < <br /> 1 CIOTMES\7ASM[R 2 QQ EVAPORATI'JECOOLERS p A <br /> 1 1YATE9 MEATER Z OO 1 CLOTHES ORVEPS 4 SO T n <br /> URINAI VENTILATI(1N FAN �m <br /> 2 <br /> ORINKING FOUNTAIN RANGE 11000 m N <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. � <br /> or <br /> VACUUM BREAKERS STOVE-VJOOD n m <br /> C ln <br /> ROOF DRAINS - RAINLEADERS 1 METAL FIREPLACE 8 CMIMNEV ] SO m N <br /> SINK�SERVICE- BAR,GTQ) FIREPLACE INSERT z n <br /> -i r <br /> MEAf PUMP � m <br /> n <br /> z <br /> — _ <br /> — _ <br /> n <br /> z <br /> sueTorn� s 20 00 SUBTOTAL s 31 50 � <br /> PERMIT f PEflM1T S =, <br /> TOTAL FEE S iO 00 TOTAL FEE 5 31 SO N <br /> SICL YAFl�SETB 1CK STREET SET�ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE Z <br /> O <br /> S� ZO� ZO� 83�124�5 FEE 1�2.ZS RECEIPTNO. � <br /> LISE ZONE LOT AHEA VACANT SITE 69�92 — �' <br /> FEES VALUATION FEE m <br /> jj-Z ]{x'ES ..NO -- <br /> TVPE OF CO�J57. OCCUPANCY GROUP NO.OF OWELJNG UNITS <br /> V-N R-3 i <br /> _ B nG E 274 OC <br /> SIZE OP BLCG NO.OF STORIES MA%.OCC. LOAD - - <br /> . 19JO Sq. L't. 2 � PLUMDING 2� 00 <br /> fIREZOH[ - �ASEMFNT � FIRE SPRINKLEPS MECMANICAL 31 SO <br /> REOUIREq,,,7 <br /> None ves h�b <br /> APPROVALS BY DATE OTHER <br /> t. ENVIRONMCNTAL CHLCK LIST PENALTv U.BC. <br /> „p---- -- — SEC.30JIa1 <br /> 2.DUILOING PlANS -- <br /> 3.FIREMYDRAtJT � T�TA� �2S SO <br /> d.FIRE PROTECTION SYSTEM PEflM1T VALIDATION <br /> 5.GflADING ' ^VJMEN�PRO�P�RIV VALIDATED pN TH15�gA�E�THI•le Ypl�ji PEWd1T � <br /> � L � ,PL 1 ! 11U <br /> G.�RAINAGE - Vq ��� <br /> ! 7.0NVIROIJMLNTAlI1dPACTSTAfiEMENT <br /> 6.H - TH DISTFICT �v�� '. � " ' �� !' '�;�' <br /> APPLICATION ACC. �1C1 PLANS CMECKE[)BY APPR.FOR ISSUANCE BV � � . � . ` � I I.�I � � �� � <br /> �- ,- ", � � <br /> , ., ; � � <br /> G� .�` rn �' HWrf LC � .. . . .. <br /> ':_ -,: � <br /> -, —� <br /> Iy � (j 'I ,� I „ � <br />