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r <br />r- <br />the Ll•ergreen CC' N ST R U CTI O N � <br />cliv OF <br />everett PERMIT PERMIT NO. 1O8HH <br />GTY HALI 259-B7a5 <br />ever�err. van saze� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIVNER l.IAiLqU[)HF55 Gli\' Z��' PMONE <br />Dennis Lipscomb 8520 Xavier I9ay Everett <br />hnO11i[GLORCESIpNER 1.InILADOPE55 CrtY ZIP PMONE <br />GINFA<LCONiRAG10P I.IAILAppPCSS QtY .'IP PyONE IIGENSE� <br />Ace Construction Co. 1532 Grand Everett Q8201 AC EL OC 223 <br />IACOInNiGI CO':iRAC10R IAAIL AOUPE55 GiY ZIP PMONE IICENSE � <br />RE <br />PlUM01NG CONiRAC10E AIAIL A�pRE55 CIIY 21P PHONE IICENSE I <br />^,IASS O� YIORK � <br />❑NEW ❑ADDIiION ❑ALTERATION ❑REPAIR CDEIdOLITION ❑FENC[ ❑SIGN ;(�GARAGE <br />VAIUAiION OF WORK <br />S i����.00 <br />OESCNiBE WORrc <br />Construct attached qaraqe <br />Single Family Residen <br />�ecA� o�scninrioi+oF aaor�arv isww ouow oa ni <br />��. 31_Ai�K_o� BeveYlY <br />J00 ADDRE55 <br />8520 Xavier Way <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />\VATER ClOSET ITOILET) <br />LFUNOPYTRAY <br />CLO7tiE5 WASHER <br />\vATER H[ATER <br />Dii 11N5 — <br />:cmnrr — <br />SIDE VARD SEi�nCK <br />6' <br />USE ZONE <br />R-1 <br />V-N <br />OF BLDG <br />STREET ShT�ACK <br />20' <br />LOT AREA <br />NO OF <br />APPNOVALS <br />1. ENVIRONMENTALCHECKLIST <br />2 �UILDING PLAN$ <br />3. FIPE HYDRANT <br />4 FIRE PROTECTION SVSTEM <br />5. GRADING <br />G. ORAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISiRICT <br />APPLICATION ACC. BY PLANS CHECKED �V <br />E.B. HW:1 <br />REAR YARD SET�AGK <br />VACANTSR[ <br />[7VE5 (;iNO <br />1c x <br />N0. UF DWELLING UNITS <br />�IAX OCC.LOAD <br />FlRE SPRINKLERS <br />RWUIRED <br />1 rvE5 <br />BY DATE <br />APAR.FORISSUANCEBY <br />L.C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIfJED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI[D <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OI? CANC[L THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PEHFORMANCE OF CONSTRUCTION. <br />SIGNAIURLQSCONINA�i(ivORAVijK1iIZEUAGENT ONTE <br />X �li,..,...: v <br />I OF EQUIPMENT <br />-Hr �n <br />iNITS — HP. EA <br />FOHCED AIq SYSTEMS — <br />YJALL HEATEPS — B.T.U. <br />UNIT HEATERS — BS.U. <br />EVAPORATNECOOLERS <br />STOV@ <br />METAI FIREPUICE 8 <br />82/10888 <br />FEES <br />OUILDING <br />PW MDING <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAL <br />FEE <br />TOTAL FEE f <br />PLAN CHECK FEE <br />FEE RECEIPT NU. <br />28.93 � _,,.__ <br />5 4 , 000 <br />uoc <br />SEC. 303 (a) <br />44 � 50 <br />44 � 50 <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6szs 5044.50� 1`'i <br />� . <br />� � <br />YOUR RECEIPi� <br />THANK YOU <br />�DDRESS PILC <br />2oA�az <br />