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1 <br /> I ---� <br /> T'� <br /> i � <br /> :i`-.? . <br />'I `"�`,���YeoF � �ONSTRUCTION �� <br />� �v�rett PERMIT � <br /> PERMIT NO. 107�5 <br /> CITY HALL 259�8745 <br /> EVERETT,WA sazoi � COMBINATION � BUlLDING � MECHANICAL � PLUMBING � <br /> 1 OWNER MwILA0DPE55 GITY 21P PHONE <br />� Hillis Homes Inc. 826 S.E. Everett Mall Way Everett 98204 355-4492 � <br />� ARLHrtF:CTORDE5IGNEFl MAILAODPE55 Cltt ZIP PHONE <br />{ GENERFLCONTRACTOR MAILAODRESS CITY ZIP PHONE LICENSEI <br /> Same <br /> MECHANICAL WNiRACiOfl MAIL AD[1flESS GTV 21P PHONE LICENSE I . .. � <br /> I � PLUMBINGCCYiRAGiOR MAIINDDPESS CITY ZIP FHONE LICERSEI I <br /> ClASS OF WORK / <br /> �d�W ❑A�DITION C)AI.TERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUA710N OF WORN <br /> f 39, 160.00 <br /> DESCRIBE WORK <br /> Construct Single Family krsidence <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCRIPTIONOPPIiOPERTY�SHOWBELOWOFATTACHF011RGOPIES) PLICATION AND KNOW THE SAME TO BE TfiUE AND CORRECL � <br /> 44 Veralene Estates ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED � <br /> HEPEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT ' <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> — VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUI.ATING <br /> F 12 28 4 CTION OR�HE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDRESS SIGNATURE C TRA T ORA MORI2EDAGENi DATE <br /> 7209 6th Avenue West <br /> PLUMBING ME ANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE O. TYPE OF E�UIPMENT FEE <br /> 2 WATER CLOSET ROILETI Q OO AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(INASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINK&DISP. Z O O PORCED AIR SYSTEMS—B.T.LL �I EA. 1 <br /> 1 DISHWASHER Z OO WALLHEATERS—B.T.U. M _ <br /> LAUNDRYTRAY UNITHEATERS—BT.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS J <br /> WATER HEATER 1 CLOTHES DRYERS �} S O � <br /> URINAL Z VENTIiATION FAN C) OO 1 <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STO'JE <br /> ROOF URAINS—RAINLEl.UERS METAL FIPEPLACE&CHIMNEY <br /> SINK BERVICE—BAR.ETC.1 _ <br /> SUBTGTAL SUBTOTAL f <br /> PERMIT E PERMIT S <br /> TOTAL FEE S 2 O 0 O TOTAL FEE S 1 S 0 0 <br /> SIDE YARD SETBACK STREET SETBACK REAFi YARD SETBACK PLAN CHECK NUMBEfl PLAN CHECK PEE <br /> S� 20� 20� 82�107].S FE�dS].0 RECEIPiNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-3 X�,XES LNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE Of BLDG. NO.OF STOPIES MA%.OCC.LOAD BUILDING � 3 H, 160. _ 2 38 00 <br /> 1104 Sq. Ft. 1 4 PLUMBING 20 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS � <br /> REOUIRED MECHANICAL 1S 00 — <br /> � CIVES 7S� <br /> APPHOVAlS BY DATE OTHEF <br /> 1. ENVIRONMEN7AL CHECK LIST pENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.3031a) <br /> � rorn� 273 00 <br /> 3. FIRE HYDRANT � � <br /> 4. FIRE PR T ION SYS7EM PEHMIT VALIDATION <br /> I. � 5. GRADI�,� ����-�ID1l"�D(IN THIS SPACE)THIS IS YOUR PERMIT I <br /> �� J <br /> s. oani rc�e� 0 459! s13�.8fl � � ' <br /> . 7. ENVIR M�TAL IMPALTSTATEMENT ��� R REC E I PT � ' ~ <br /> pQB. HEALT o� ��T •� � ' � ` YO U R REC E I PT �—+ <br /> APPLICA�N .BY LANS CHECKED BY APPR FOR ISSUANCABY! �.n� Y O U , <br /> � �is HwM Lc' THANK YOU <br /> A - ,� 82 <br /> ADDRE55 FILE _ _._ _. . � � 82 � <br />