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the6�rrrgrcen C(' NSTRUCTION <br /> ��T�oF � <br /> everett PERMIT P�RMIT N0. 07667 � <br /> CIiV HALL 259�B7a5 <br /> eveaerr.�a�n 9ezo� ❑ COMBINATION xn[BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OV:NEB MAILADDRESS CITY ZIP PNONE <br /> Rodney C. Hermes 3215 Shore �ve. 98203 355-4536 <br /> ARCMRECTORDCSIGNEP MAI�AD�RES$ GTY 21P i`IIONE <br /> GENERPLCANTRFCTOR MAILFD�PL55 piY $IP PHOKE UCCh>f • <br /> Same <br /> 61EC11RNILRL CONiqA�iOF MAIL ADDRESS QTY ZIP PHONE LICEIJSE r <br /> PIUMBINGCANTRACTOR 614q AD�ql55 CITY ZIP PNONE lICE1bC I <br /> QFSSOP WOAK <br /> ❑IJEW ❑ADO�TION �AUERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN �GARAGE <br /> VALUhTION OP WORK ' <br /> 3 3�5��.�a <br /> oescRiee woaK <br /> Addition of Bedroom <br /> rROPosEo usE oF eWLoiNG <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> u:cn�oescaienoNOFvaovea.r�snowoeiowoannna�vouacoaies� PLICATION AND KNOW THE SAME TO BE TRUE �ND CORRECT. <br /> 7 9 Shore Acres ALL PROVISIONS OF LAWS AND ORDINANCES GO\'ERNING THIS <br /> ior eioc�ov TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO G WE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> ,VISI6N5 OF ANY OT ER STATE OR LOCAL LAW REGULATING <br /> �''�ON�R�ION Q��!E�RFORMANCE OF CONSTRUCTION. <br /> JOBADORESb 5`Gt�nnJf4`OFCUNiR4C�Ob` U GPIiEDAGENi pnTE <br /> 3215 Shore Avenue X� � ^sL. �\ 7`'_�, ,�-�_ - 6/5/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI3;TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET(TOILET� AIR COND.UNiiS-H P.EA <br /> ]. �ATHTU6 Z 00 REFRIGERATIONUNITS—HP.EA <br /> 1 LAyATORV(WASH BASIN) Z OO �OILERS—HP.EA. <br /> SHOWER GAS FlR[U AC.UNITS—T01JN4GE EA <br /> KITCNEN SINK&DISR FORCED AIR SYST[IdS—B T U. M EA. <br /> DISHWASMER VJALL HEATERS—B TL. M <br /> LAUNDRY TRAV UNIT HLAiERS—�.T.U. M <br /> CLOTHES WASHEF EVAPORAtN[COOLERS <br /> WATER HEAIEP CLOTIiLS DHYEPS <br /> URINAL ], VENiILATiON FAIJ �Q <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— C F M. <br /> VACUUM BREAKERS STOVF <br /> POOF DRAINS—RAWLEADERS �dETAL FlREVLACE 8 CHIMNEV <br /> SINK�SERVICE—DAR.ETQ� <br /> SUBTOTAL 6 00 SUBTOTAL f 2 00 <br /> PERMIT f VEflM1T f <br /> TOTALFEE S 6 OO TOTALF'EE f <br /> SIDE YARD iETOALK STREET SETOACK fi[AR VARD SE7�ACk PLAN CHECH NUM6[R PLAN CH[CN FEE <br /> 80/76G7 Fee 19 0 ��c�irt No. <br /> USE ZONE LOi AREA VACANT SITE 98905 <br /> f.]YES ,}(M� FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUp N0.OF DWELLING UNITS <br /> V—N R-3 1 <br /> ZZ$IX[QF�OLDG. NO.OF STORIES MA%.00C.LOAD 6UILDING £3SOO.OU ZB 00 <br /> LO PLUMOI�G 6 QQ <br /> PIR[ZONE �ASLMENT FIRE SPRINKLERS <br /> 3 � fiEOUIR[D MECNANICAL 2 OO <br /> I!VES I': <br /> APPROVALS BV DATE OTHER <br /> 1. ENVIRONMEN7AL CHECK LIST pENA�T� U B C. <br /> 2. BUILDING PLANS w SEC.303(a) <br /> 7. FIFE HYDRANT O TOTAL 36 0� <br /> n fIRE PROTEETION SYSTEM PEFMIT VALIDATION E{�,�I <br /> � WHEN Pf70PERLY VALIDATED�M THIS uP6C3 IHO J YOU�P�J '[ip, O O �� � <br /> I S. GRADING � C <br /> '._rl G ORAINAGE,,� p j f, 17 O �j. O O '�' r] (D <br /> S; %. ENVIRON 7AL IMF�T STAiEMENT ,J <br /> � <br /> -- � , .; „,. ,. r.ifti <br /> � 9. NEALTH Di51RICT ' i . ' t� ; !�C�.. .- <br /> r� _ � <br /> � APPLICATION�A C.OY C�PlANS CHECKED�v APPR hOR ISSUANCE�V� � �\ P i_Ci F I PT � �'I/��,i�J f� ' �_' UO <br /> �_ -n i v.C. � .. . � ,\- � , <br /> _� <br /> I� - , _�� i�� <br /> � -�i n� <br /> .. i�';,_��; �+,"}�J� <br />