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\\ <br /> '"�£,'���o° C(' NSTRUCTION <br /> everett PERMIT pERMIT NO. 07667 <br /> CITY HAIL 259�8745 <br /> EVERETf.\NA 98201 L7 COMBINATION Gt�cBU1LDING ❑ MECHANICAI. ❑ PLUMBIN� <br /> OWNER MAILAODRE55 CIiY ZIP PHONE <br /> Rodney C. Hermes 3215 Shore Ave. 9,9203 355-4536 <br /> ARCHIiECT OR DESIGNER MAIL AD�RE$$ GTV ZIP PMONE <br /> GENERALCO��tAACiOR �/�LA�DRE55 QiY ZIP PHONE UCEISE/ <br /> Same <br /> 1dECMAFICAL CANTRACiOR MAq qDpRE55 CITY ZIP PNONE LICENSE♦ <br /> PWMBINGCONiPACTOP MAILApDRE55 CIiY ZIP PHONE LICENS[I <br /> cwss oF woarc <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DF�!OLITION ❑FENCE ❑SIGN L7GARAGE <br /> VALIIATION Oi WORK <br /> s 3,500.00 <br /> oesCniee woRrc <br /> Addition of Bedroom <br /> raovosEo usE oF euaoiNc <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS�P� <br /> iecn�oescaianoN ov anoPearv�sNow se�ow on nnncH Foua eoaits PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 7 9 Shore Acres ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ic.�r e�ocK_oF TYPE OF WOFK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VIS16N OF ANY OT ER STATE OR LOCAL LAW REGULATING <br /> ONSTR CTION E PERFORMANCE OF CONSTRUCTION. <br /> JOB ApDRE55 5 NAt �OF CONiRAC 0�0(i U IDPI2ED AGENi DAiE <br /> 3215 Shore Avenue � � .�+-U.. � • ��(�J�.^-r--__-- 6/5/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> j WATER CLOSGT(TOILET� AIR COND.UNITS—HP.EA <br /> 1 BATHTUB Z OO ��FFIGERATION UNITS—HP.EA <br /> 1 LAVATORV QVASH BASIN) 2 OO �OILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA <br /> KIiCHEN SINK 8 DISP. FORCE�AIR SVST[67S—B.TU. M EA. <br /> UISHWASHER WALL HEAT[RS—�i U. M <br /> LAUNDRY TRAY UNIT H[qTERS—�T.U. h1 _ <br /> CLOTH[5 W/54ER EVAPORATNECOOLERS <br /> WATER NEATER Cl07HE5 URY[RS <br /> UFiINAL ], VENTILATION FAN <br /> DRINkING FOUNTAIN R�NGE NOOD <br /> FLOOR DRAIN AIR HANOUNG UNIT— C.EM. <br /> VACUUM BREAKERS STOVE — <br /> ROOF DR�INS—RAWLBADLI7S METAL FlREPLACE A CHIMNEY <br /> SINK(SEPVICE—BAR.ETCJ <br /> SUB TO7AL 6 00 SUB TOTAL f 2 00 <br /> PEHMIT S PE�M�T S <br /> TOTAL FEE S G OO TOTAL FEE S <br /> SIDE VARD SETBACK STREET 5[T�ACK REAI?VARD SLT�ACK PLAN CHECK NUM�[R PLAN CHECK FEE <br /> 80/7667 �E� 19.0 R�cEirruo <br /> USE ZONE LOT AHEA VACANT SITE ABBOS <br /> ilYES $p(O FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNIiS <br /> V-N R-3 1 <br /> BUILOING b 3500.00 28 00 <br /> ZZ�IXEQF�BLDG. NO.OFSTORIES MAx.00C LOAD <br /> lU PLUM�ING (� OO <br /> FIR[ZONL BASENENT FlRL SPRINKLERS <br /> 3 RGOUIFED MECHANICAL Z OO <br /> ; 'YES i <br /> APPflOVALS BY DATE OiliER <br /> t. ENVIfiJNh1ENTPl CHECK LIST pENp�iy U D C <br /> SEC.303(al <br /> 2 DUILDING PLANS �" . <br /> 3. FIflE HVDRANT o TOTAL 36 �� <br /> 4 FIRE PROTEETION SYSIEM PERMIT VAlI0ATI0N <br /> 1 5. GRADING � 1VHEN Pf70PERLV VALI�ATED ItN THIS SPAC� IHO � VOU�P[qlf�lT�. O O � � <br /> (� !� / U � <br /> ��l G DRAINAGE.i p � � � �! U U. O O ��' 3 � <br /> 4- (� <br /> '--. 7 ENVIRQIJME IAIIMF�ISTAT@\�ENT �� <br /> _ ^� Q r2��' �IIT�F <br /> � e Hen�ty d5taicr • Y�. l� i �- -��- <br /> � APPLICAT10t�� C.BY PLANS CHECKED OY APPF FOR ISSUANCE�Y� � " �''���,�=I PT � �'j/',�7 C. � �=`' UO <br /> ; , <br /> �_ � I v.c. J <br /> '' "" c� <br /> �� - �, .�..� o <br />