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�_ <br /> � <br /> .eEvcrgreen �°���TRU�•e �VI \ � <br /> CITY Of <br /> , ✓er�tt PE�M�� �ERMIT N0. �112H <br /> CITY HALL 259�8745 <br /> eveaerr.wA �ezo� C� COMBINATION L�j Bi11LDING }� MECHANICAL �I PLUMBING <br /> � <br /> ' p�yq[p MAIIADOBE55 CiiY ZIP --�PHONE <br /> Hillis Homes Inc. 826 S .E . Everett Mall Way Everett 98209 355-4492 <br /> AR�NIiECi OR DES:GNEH MFIL ADDRE55 CIiY Z^ PI�ON[ <br /> GEI1Ef1ALCONTRRCTOR MAILADDaE55 CITY ZIP P40NE LICENSLr <br /> Same <br /> VCC��ANIG�LCC��iRAC10ii MNI,ACDAE55 C�Tv ZIP FHONE UCENSEI �� <br /> PL�11p1.`�;i CONTPACTOR AIFIL ApDRE55 GiY _'IV PHONE LICENSE� <br /> C1A55 OF 1'10RN <br /> `U.3(EW ❑ADDITION ❑ALTEf7AT10N ❑REPAIq ❑DCMOLITION ❑FeNCE ❑SIGN ❑GAFAGE <br /> VALUATION OF WORv, <br /> 5 50 , OOOoOU <br /> DCSCRI6E:IORK <br /> Construct Single Family Residence _ <br /> PROPOSEO USE OF pWLCI!!G <br /> Single Family Residence I hiEREBY CERTIFY THA7 I HAVE READ AND E�(HMINED THIS AP- <br /> �ecn� nescFu�riur��FvaoPearris��ovie«ov+or+nrrnu�FouFcoaiesi PLICATION AND KNOW THE SPME TO BE TRUE AND CORRECT � <br /> 144 Veralene Estates ALLPROVISIONSOFLAWSAfJDORDINANCESGOVERNINGTH!S <br /> i.o� _uiocrc_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SFECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT � <br /> PRESUME TO GWE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> S OF ANY OTH STATE OR LOi.AL LAW REGULATING <br /> F 12 28 4 CONS RU IOI�LQR T PE�M C OF CONuTRUCTIQN. <br /> �oe non�ess ' sicr�nr +, or�a � o� urHa izeo d�rir onre <br /> 7210 6th Avenue +?est X � .� �G'—Z ��j'� <br /> PLUMBING M HANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE ,� O. TYPE OF EUUIPMENT FEE <br /> WATCR CLOSET(iOILEi) � �IR COND. UNRS—H.P.EA. <br /> j BATHTUB Q REFRIGERATION UNITS—H.P.[A <br /> Z LAVATOPY 6NAShl BASIN) 4 O O BOILEFlS—HP.EA. _ . I <br /> 1 SHOWER GAS RHEU AA.UNIIS-- IONNAGEEA. <br /> KIiCMEN SINK 8 DISP. a FORCED AIR SYSTEMS—8 T.U. M EA. <br /> 1 DISHWASHER WALL HEATERS—B.T.U. M <br /> IAUNDRYTRAV UNITH[ATERS—�.T.U. h1 <br /> ]. CLOiHES\VASHER Z OO EVAPORAiNEC00LEi75 <br /> Wf.TER HEHTER 1 C�OTHES DPYERS �Q <br /> URINAL 2 VENTILATION FAN <br /> DRINKWG FOUNiAIN 1 RANGE HOOD Q S O <br /> PLOOR URAIN 4 AIR HANDLING UNI7— C.F.R1. <br /> VACUUM BREAKF.RS STOVE <br /> ROOI'DRAINS—RAINLEADERS �dETAL FiREPLACE&CHI�dNEY <br /> SINK�SERVICE—BAR,LTCJ _ . <br /> SUB TOTAL 2 O 00 S�IB 70TAL S Q <br /> PERMIT E PcPM1T 5 <br /> TOTAL FEE f .. TOTAL FEE 5 15 0 0 <br /> SIDE YARD SETBACK STHEET SETBACK fiCAR`.-ARU SET�ACK PLAN CHECK NUM�Efl 1r'lqAN yCHZECK FEE <br /> 10 ' (E) -5 ' (W) 20' 20 ' 82/1112A FEE 169: 33 �����. <br /> USE ZONE LOT AREA VACANT SITE 6 016 7 <br /> R-3 X'j(ES !7N0 FEES VALUATION fEE <br /> � <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UYITS <br /> V—N R-3 1 <br /> SIZE OF BLDG. N0.OF S�ORIES MA%.OCG LOAD BUILDING g 5 Q , 000. 2 8 3 �� <br /> ].�}�.2 Sq. Ft. 1 PLUMUING 2� Q� ' <br /> FIRE ZONE BASEMENT f-IRE SPRINKLERS <br /> � None RE�S�R�� M1+Ec�iaNicn� 15 00 _ <br /> APPHOVALS BY OA7E OTHER <br /> 7. LNVIRONM1IENTAL CHECK LIST P�NA�T�• U O.C. � <br /> SEG.303�a) � <br /> 2. BliIL01NG PLANS .p — <br /> TOTAL 318 00 <br /> 3. FIFEHYDRAN7 <br /> d. FIRE PFOTECTI N SYSTL'M� PEPMIT VALIOATION � <br /> I� 5. GRADIN6d WHEN PROPEFLY VAUDATEU QN THIS�PQC���HIS IS yOj�I��Mx O —_�, I <br /> ( qQ q Sc u , <br /> � DRAINACa� G, _� � O L �/. O O �� �] N <br /> 7. ENVIRONNE IMPAC�ATEh1ENT �� � • . t"'� , <br /> HEALTHIflSTi�f ;s . . � . Y�'Jl.� R RtCEIPT� <br /> rlPLICATIOWTC�"�Y Q NS CHECKED 6Y APFR.FOR ISSUAN E Y R R t C E I PT � ' • {T1 H�1 N K 1 O U <br /> '" � ^' ( ewm Lc ' `"� '��11; YU U <br /> c -o � <br /> A q �!±r ? $ �z82 <br /> ADD�E'SS"FIL�1 . <br /> � ; <br />