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`,'eCP�TYeoF �ONST�UCTION <br />everett PER�'� PERMIT NO. ZO753 <br />CITY HALL 259�9745 <br />eveaerr. vun �e2ui (� COMBINATION � BUILDING C� MECHANICAL �] PLUMBING <br />OVMEN MAIt,ApDHE55 CIiY ZIP PHONL <br />Hillis Homes Inc. 826 S.E. Everett Mall Way Everett 98204 355-4992 <br />APCHiTECTOROESiGNEF MAR�D�iiE55 CIiV ZIP PMONE <br />G=NERAL GONiFAGiOA MFIL �DORE55 GIiY 21P PHOtlE liCEtlSC X <br />Same <br />IALCH4NiCFLCONTRAGiOR MAILAD�R[55 CITY 21P PHOt6. LICEIISE� <br />PLUIdBIIJG COI�iqFCiOP �dAIL AUCFCSS GIi1 LG FHGNL UCE115E ♦ <br />CLA55OF WOriK <br />�VEW ❑ADD1110N ❑AL'�ERATION ❑R[PAIR L�DEM1IOLITION ❑FEi�CE ❑SIGN ❑GARAGE <br />VALW� 10� OF WORK <br />, 44,000.00 <br />c:scaice woaK <br />construct single family res�dence <br />PRUoU5E0 USr Of �WLDING <br />single family residence I HEREBY CERTIFY THAT I fiAVE READ AND EXAMINED THIS AP- <br />�Ec��oescrirnoiroFrno�e,iv�sriowee�or�oanrv.er+vouneiw:sr PUCATION AND KNOVJ THE SAME TG BG TRUE AND CORRECT. <br />25 Veralene Est:�tes ALLPROVISIONSOFLAWSANDOPDINANCeSGOVERNINGTHIS <br />��r oixk_�F . TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGREC <br />7202 ?th Drive S�est <br />PLUMBING <br />NO. TYPE OF FIXTUR° OR ITEM <br />9 WATERCLCSETlTOILE71 <br />1 DISHWASHER <br />LAUNLRVTflAY <br />], CLOTHES WASHER <br />1 WATER HEATER <br />URI4AL <br />DtiWKIN � FOUNTAIN <br />FLOOR ORAIN <br />bACUUM OREAKERS <br />POOf DRAINS — RAINLEAD[RS <br />SINK (SERVIGE — BAR, ETCJ <br />SUBTOTAL <br />PFRM�T <br />TOTALFEE <br />SID[ YARD SETBACK STR[Ei SEiBACK <br />s� zo� <br />USE ZONE LOT ARFA <br />R-3 <br />;YPe OFCONST. OCCUPANCY GROUP <br />V-N R-3 <br />S�ZF OF BLDG. NO. OF STORIES <br />1258 Sq. Ft. 1 <br />FIRE::OP:� BASFIdENT <br />none <br />i. ENVIRONMENTAL CHECK LIST <br />:' BUIL�ING PLANS '� <br />•a <br />5. FIRE HYDRANT V� <br />:. RRE PROTFCTIOttSYSTEM �— <br />5.�ADI— NG��f <br />_ , _ L �,, <br />6.�AAINAGE � 'T � <br />—�— <br />i. �VIRONMEISTPL INPACT ST1ffEM[NT <br />_� ' � �___ <br />8. i�EALT41 UISTHICiII <br />Ai�lCATION �, m PLQ�{§ CHECKED BY <br />lJ <br />L.� � � HWM <br />.� <br />FEE <br />HEREIN OR NOT. THE GRANTING OF A PERAIIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CP NCEL THE PRO- <br />S CiF ANY OTHER S?ATE OR LOCAL LAIV REGULATING <br />CONST UC ION OR AE RMANC[ OF CONSTRUCTION. <br />SiG���TUR 0 ONt �.� � ORf HORiZE AG[Ni DATE <br />X �/E.!F`�'f � . l �.3'�'�- <br />i ian i,vrv�. vniia — n.r. vr�. <br />Z OO REFRIGEP�TION UNITS — H.I <br />4 OO BOILERS — H.P. EA. <br />� GASFIREUAC.UNITS—T01 <br />Z O O FORCED AIR SVSTEMS — 8 T <br />2 OO IYALL HEATERS — B.T.U. <br />UNIT H[ATERS — �S.U. <br />� n f1 FVAf'ORATIVE COOLERS <br />REAR YARD SETE <br />zo� <br />i���YES ��JO <br />NO.OF DWELLING UNITS <br />5 <br />VENTILATION FAN <br />RANGEH00� <br />STOVE <br />82/10753 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />IT — <br />M EA <br />M <br />h1 <br />C.EM. <br />PLAN CHECK FEE <br />FEE RECEIFT N0. <br />Basic <br />VALUATION FEE <br />�d4,000.0 256 00 <br />io 00 <br />U.B.C. <br />SEC. 303 (a) <br />rorn� I I zaeloo <br />PEfiMIT VALIOATION <br />WHEN PiiGPERCi VALIDATED pN THIS SPACE� THIS IS YOUR PERMIT <br />' Z0.0�7 — 3 uvs6 $ZS6.00 -- ,�ir�, <br />� <br />^ � : RFCEIPT � <br />YO;t1R REGEIf�T � <br />APPR. FOR ISSUA�E_�Y,., �� `�� r-. U <br />'J Tt-1l�[VK YOU <br />LC <br />I 4 .►u� R 2 <br />ADDRESS FIL.F <br />I 4 ��1. u ? <br />� <br />l <br />f <br />