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drr Evergrecn CO N ST RU CT I O�� <br /> CITY OF <br /> everett PERMIT pERMIT NO. 10331 <br /> u�r�in��zs9-s�ns � COMBINATION �tBUIIDING ❑ MECHANICAL PLUMBING � <br /> eveFaErr.'.vn ����oi � <br /> I I.NIIAUDBESS Clll' ZIP �'�IUNf <br /> DYnICP <br /> Sam Halley 3402 Shore Avenue Everett <br /> aa6ulECi OR UCSGYLn <br /> MAIL A[��RE55 C11Y ZIP PI�Oiri. <br /> GfNFRALCONtRAGiOR <br /> AIAIL AD�RE55 CIiY ZIP YHONE UCCNSE� <br /> Star Home Improvement 5314 2nd Street Everett 353-9278 _ 1 <br /> �:COIANIGP��NiF.ACiC4 MAILkODRC55 CILY ZIP PNONf LICENSE� ` <br /> DI ED RW K312DC <br /> �lL6�Brt�GGONiRAGTOP MAILA�DRE55 GiY ZIP PMONE ULEN56� <br /> i:�,n!5 Of WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION X]IREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GANAGE <br /> \'AlU%�1�ON OF IVOAN <br /> 5 3/ �0�. �� <br /> D[SCR.OE\VCRN <br /> Cement block foundation <br /> ��>c�oseo use or eu��ou:c <br /> I HER[BY CERTIFY TF'4T I HAVE FEAD AND EXAMWED THIS AP� <br /> u�.�,:.�.oescaiariorvormo�'earr�snowuuo�vea.�rTncNrouacor�ies� PLICATION AND KNOW THE SAME TO 9E TRUE AND GOPRECT. <br /> ALL PROVISIONS OF LAWS AND ORUIN.aNCES GO\'ERNWG THIS <br /> ,,,,- 5 o��H 7 oF Shore Acres TYPE OF WORK WILL BE COMPLIEU WfTH WHETH[R SPEUFIED <br /> � HEREIN OR NOT. THE GRANTING OF A PERMIT DOES N07 <br /> PRESUME TO GIVE AUTHORITY TO VIOLA�tE OR CANCEL THE�RO� <br /> VISIONS OF ANY OTHER STATE OH LO�AL LAW REGULA'fING <br /> CONSTRUCTION OR THE PERFORIdANCE OF GONSTRUCTIOV. <br /> p;r�:,ill�*I OI u�'�iR��G10RO�FUiHORRED�GC9i JAit <br /> ,;�,paooa�ss � � � 3�16�82 <br /> 3402 Shore Avenue ,__, X �L=�r��--ti9[�� <br /> PLUMBING MECHANICAL __ <br /> TYPE OF EOUIPMENT FEE <br /> N0. TVPE OF FIRTURE OR ITEM FEE N0. — --- <br /> -- nir�coNu.uNiTs-- n� [F _-- <br /> WATER CLOS[TlT04Ei� — <br /> REFRIGEflATION U�lITS—���.EA -- <br /> F�THTI'[3 <br /> L4VATORY(WASH BASIN) BOILLRS—H P.EA. <br /> - GAS FIRED AC.UNITS—TONNAGE EA. — <br /> SHOWER <br /> -- FORCF.���F7��57EA15—B T.0 M EA. <br /> KITCHEN SINK 8 DISP. <br /> -. WALL H[AT[PS—�T.U. F� <br /> UISH\V45HEii �r, <br /> UNIT H6U[RS—B T U. <br /> LAUNDPYTRAY <br /> - EVAPORATIVE COOLERS <br /> CL07HES IVASr.CR CL07HE5 DRYERS <br /> WATER HEATER <br /> — VMTILATION FAN -- <br /> URINPL <br /> RANGE HOOD - <br /> DRINKING FOUNTAIN C.F.M. <br /> _- AIR HANDLING UNIT — -- <br /> _ FLOOP DRAIN STOVE -- <br /> VACUUM BREAKERS <br /> -. METAI RREPV+CE B CHIMNEV - <br /> RCOF DRAINS—RAINLEA�ERS <br /> SINK�SERVICE—BAR ETCJ <br /> SUP TOTAL = — <br /> SUB TOTAL PEflM1T S - <br /> PF.RMIT = <br /> f TOTAL FEE 5 � <br /> TOTAL FEE FV�N CHECK�tC <br /> SIUE VARD SETBACR S1HEI ��:�'�'.^�h FBAR VAR�SETBACK PLAN CNECN NUMOER <br /> FLB RECBPT NG <br /> USC ZONE LOT nHEA VACANT SITe FEES VAlUAT10N FEE <br /> 1YES CNO <br /> TVPE OF WNST. OCCUPANCV GROUP NO OP DWELLING UNITS � <br /> nuao�r+c x 3,000. 00 _38 50 <br /> ;IZ[OF�LDG NO.OF SfOP1ES MAT OC...��A� — <br /> PWM�ING <br /> FIRE ZONE BASEMENT FlRC SPRiNkLLRS ����GhANICAL . ., — <br /> REOUIRED — <br /> i!YES �.�NO <br /> - BY UPTE �T��ER <br /> APPROVALS — <br /> t. ENVIRONMENTALGHECKLIST PCNALIY UBC. <br /> SEG.303(a) <br /> � BU�LDING PIANS TOTA� B B S O <br /> 3 FIRE NYDRANT <br /> PERMIT VALIDATION <br /> 4 FIRC PROTCCTION SYSTEM W�{[N PHOPERIY VALIDAiED UN i HIS SPACE)THIS IS YOUR PEPh'IT � <br /> ° vv3 5038. 50 - i�-+ - <br /> 5 GRADING <br /> ' M <br /> G URAINAGE (y� <br /> 7. ENVIf70NMENTAL IMPACT STATFMcNT ����„)� � ��C L I PT O <br /> 8 HEALTH DISTRICi <br /> APPUCATION ACC.BY ALANS CMECK[D dY APPF.FOR ISSUANCE BY ���;:^-,�;K Y O U <br /> 16 �� &2 <br /> Ai1nRE55 FILE <br />