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;�lho Errr,lrrrn � --- . A o N ST R U CT I C „ <br /> ni�: r,: ' <br /> everett pERMIT �eRnnir No. 14364 <br /> ci�v na��zs9�e7as <br /> � evcAerr.wn;eQzoi , [� GOMBINATION ❑ BUILDING ❑ MECHANICAL C PLUMBING <br /> OIYNEP MAI�AOORE55 CIiV ZIP PNONE <br /> HILLZS HOMES INC. 826 SE cVERETT MALL WAY EVE-dETT WA 98204 355-4492 <br /> ARGMITEGT OR UESIGNER MAIL>OORE55 CItV Z�V PMONE <br /> GErvERAI CONTRRGTOP MAiL AppRE55 CIT\ E�P PMONE UCENSE• <br /> MEC,CHgF�qICONLPAGiOA MAILADDRESS GITV ZIP PNONE ULENS[I <br /> PLUMBING CONIRPCTOR MRR AO�RESS CITY ZIP r'MONZ ULENSE M <br /> CLASS OF WORK <br /> Ij�NEW ❑ ADOITION ❑ ALTERATION ❑REPhIR ❑ DEMOLITION ❑ PENCE 0 31GN G WOOD STOVFJFIfiEPLAC=INSERT <br /> VALW'�ON Oi\YORN <br /> S QH�OOO.00 � <br /> OESCRIBE IVORR H <br /> Single family residence M <br /> aaoroseo useoF euaoivc I HEREBY CERTIFY TNAT I HAVF READ AND EXAMINED THIS �� <br /> Single family residence APPLICATiON AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROFERTVISH'l\YBELOWORRTTAGNfOURGOFIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 122 Veralene Estates GOVERNING THIS TYPF.OF WORK WILL B[ COMPLIED WITH <br /> LOT_BLOCN_OF WHETHER SPECIFIED HEREIN OR NOT.TH[GRANTING O�A H �..� <br /> PERMITDOESNGTPRESUMETOGIVEAUIHORITYTOVIOLATE '3 "� <br /> O A CEL THE P UVISIONS OF ANY OTHER STPTE OH � N <br /> CAL L RE ULATING CONSI�RUCTION OR THE � �j <br /> PERF C � C9tJSTRUCTION. ���777 <br /> JOB AODRE55 SiGNnT 4[ CO tOP➢li P11T110RRED AGiN� DAiE � <br /> 619 Veralene Way SW � Lrt, ! Le / -�y-�'S` � <br /> PLUMBING CHANICA�� � <br /> NC. TYPE OF FIXTURE OR ITEM FEE �NO. TYNE OF t[1UIPMENT FC•E E� H <br /> 2 WAiE1lCLO5ET�TO1LEn 4 OO ��R COND. UNI75-M,P.EA. � Z <br /> 1 PATNTUB Z OO NEFRIGERATION JNIiS— H.P.EA <br /> LAVATOHY p':ASM BASIN� Q OO COILI'RS— M.P.EA. ~ Uj <br /> 2 � <br /> 1 SHOWER 2 OO _ GAS FIRED A.C.UNITS —TONNAGE EA. � <br /> _1 <br /> KITCHEN SINK 8�ISP. Z CO FORCEO AIR SVSTEN�S— B.T.U. M EA. _ � <br /> 1 DISHWASHER Y OO WAiLHEATEHS— BT.U. �� N <br /> LAVIJDRY TRAY UNIT HEATERS— B T.U. M1� M N <br /> 1 CLOTHES WASHER _ Y OO EVAPORATIVE COOLEHS <br /> 1 WATEP MEAI'ER 2 OO 1 GLOTNES DPYERS <br /> URINAL 1 VENTILATION FAN � � <br /> DPINKING FOUNTAIN 1 RANGE MOOD ' � <br /> FLOOR ORAIN AIR HANDLING UNIT— ���F�M� <br /> VACUUM BREAKERS STOYE—WO00 <br /> ROOF DRAINS— RAINLEADERS — j METAL FIREPLACE 8 CMIMNEY � SO � <br /> SINK(SERVICE — BAR.ETC.) FIREPLACE INSEFT _ <br /> HEAT('UMP <br /> � <br /> � <br /> — N <br /> SUB TOTAL : 20 00 sue rorn� s 19 50 4 <br /> PERMIT f PEflMIT f � <br /> TOiALfEE 1 ZO OO iOT4LFEE f S9 SO <br /> SIDE�ARO SETOACK STREET SETBACK REAR VARD SETBACK PLAN CHECI(NUMBER PLAN CHECK FEE <br /> S ft 2� £t 20 £t 85/14364 FEE BdS1C RECEIPT N0-- <br /> USL ZONE LOT AREA VACANT SIiE FEES VALUATION PEE <br /> YES NO - <br /> R-3 <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF �\NELLING UNITS __ <br /> V-N R-3, M 1 eui�oiNG s48,000.00 274 0� <br /> SIZE OF BL�G NO.OF STORIES IdA%.OCG LOAD <br /> ��R-.-3 = 1614 Sf 2 6 PLUM�ING 20 00 <br /> F�qE Zp�e$ BASEMENT FIPE SPRINNLERS ��ECHANICAL ZJ SO <br /> REOUIREO <br /> YES NO <br /> APPROVALS 9Y DATE <br /> OTMER <br /> L ENVIRONMENTAL CHECK LIST PENALTV U B.C. <br /> SEC.303�a� <br /> 2.DUILDINGPLAN$ TOTAL 3S SO <br /> 3.FIRE HY�RANi <br /> 4.FIPE PfiOTECTION SYSTEM PEflMIT VALIDATION <br /> WNEN PROPEfiLY VALIDATED(IN THIS SPACEI TMIS IS YOUiy PERMIT_ <:J� <br /> S.GRADING ���� . �. � �'� ' <br /> 6.DRAINAGE UONNA � _ <br /> 7.ENVIRONMENTAL IMPACT 6TATEMENT -� <br /> B.NEALTMDISTRICT ' � . . � � <br /> �APPLICATION ACC.BY "PLANS CHECNED BV APPR.FOR ISSUANCE BY <br /> EB HhTi LC <br /> .. � ADDRESS I-iLi_ <br />