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die Ll�erllreofi , .. � a IN ST R U�CT I 0 N <br />������� PERMIT PERMIT N0. � ������� <br />CITY HALI 259�8745 <br />EVERETT.VlA99201 [� COMBINATION � BUILDING CX MECHANICAL �� PLUMBING <br />pp;4EP MAILFOONE55 CrtY JP PHONE <br />Hillis Homes Inc. 826 S.E. Everett Mall [9ay Sverett 96204 355-4492 _ <br />ARGMIiEGTORJE'ANFF M/ILAO�RE55 GIiY ZIP Ft�JNE <br />GENERnLCONTRnCtOR 1AA�LPDDRE55 GITV iAP PNONE LICENSE� <br />Same <br />IAECHANICAL GONiflACiOR MFIL AOOPE55 CIiY ZI� PHONE LICENSE � <br />PLUMBING LONiRACTOR !/AIL AODRE55 CITV ZiP WHONE LiGENSE N <br />0.i.35 OF L'/ORK <br />�iIEYJ ❑ AOOITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ PENCE ❑ SIGN ❑ WOOD STOVHFIREPLACE INSERT <br />SS0,000.00 <br />Single Family Residence <br />vHovoseu wr �r noamn� <br />Single E'amily Residence <br />�or 18 o�ocrc_ _ov <br />7216 7th <br />PLUMBING <br />NO.-� <br />�SMOL'J BELOW OR ATfACH FOIIR GOPIES� <br />Veralene Estates <br />F12284 <br />jpt 18 <br />TYPE OF FI%TURE OR ITEM <br />c�oseT �roi�En <br />BATMTUB <br />LAVATORY (NlASH <br />SHONlER <br />KITCHENSINKL 0 <br />LAUNORYTRAY <br />j CLOTMES WASHER <br />1 WATEFl HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEPS <br />SINK (SERVICE — BAP, ETC) <br />SUBTOTAL 5 <br />PEflldlT S <br />TOTALFEE 5 <br />flD SETBACK STREETSETBACK RE <br />$� 20' <br />1E LOT AREA VP <br />R-3 Xj <br />�CONST. OCCUPANCY GROUP N( <br />V-N R-3 <br />iaiz sq. rt. <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />,.- <br />3.FIREHY�fiANT �� <br />a. FIRE PROTECTION SYSTEM� <br />—vr <br />v.GRADING - <br />6. DRAINAGE <br />1 <br />'7'ENVIRONMENTAL IMPACi3i •\TEMENT <br />B.�iEALTH OISTRICT —�— <br />.nPair icniiON'ACC. BY P1ANS CHECKED BV <br />�_- ea ; <br />i:: <br />� <br />r_ <br />� tnaia <br />` <br />l`> <br />4 <br />4 <br />2 <br />� 1 1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />4PPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />r'ERMIT DOES NOT PRESUME TO GIVE AUTHOP.ITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL` LAW REGULATING CONSTRUCTION OR THE <br />PERPORMANCE.O� CONSTRUCTION. <br />SICNATUNe OF CO�lTR�TO� OP�AUiNORi2E� AGENT �ATE <br />X i�/e � '. ( .,� ' <br />NO. � TYPE OF EOUIPMENT <br />AIP. r,�ND. UNITS — HP. EA <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.F. EA. <br />GAS FlRED A.Q UNITS — TONNAGE EA. <br />FOFCED AIR SYSi EMS — B.T.LL Id EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFS — �.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �flYERS 9 S� <br />VENTILATION FAN Fi OO <br />RANGE MOOD 4 SO <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CMIMNEY <br />PIREPLACEINSERT <br />HEAT PUMP <br />Z2 00 SUB TOTAL S <br />PERMIT S <br />ZZ OC TOTAL FEE 5 <br />VAR� SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br />20 � FEE FECEIPT NO. <br />YT SITE 83 LZSBS Ba57.0 <br />. NO FEES VALUATION FEE <br />1 BUILDING ESO,OOO. 283 00 <br />OCQ LOAD <br />5 PLUMBING Zz OO <br />SPRINKLERS MECHANICAL ZS OO <br />IRED <br />: X190 <br />UATE OTHER <br />PENALTY U.B C. <br />SEC.303�a� <br />rorp� 320 00 <br />PVN NITPROPERLYOVAUDATED �1N THI�SYA�y THIS 1¢ �OU�EHMIT (,(�� <br />a <br />tc Z2.00 � <br />��! — 3 , -�oj. <br />, .�.. �.c.�.�, <br />1. FOR ISSUANCE BV �-.I ��. �'.1 � Y(. �J <br />L� � � r�Fc�_ipr � . <br />�,,.� ;�_, � <br />, 'i. _� <br />� � ��.;1 u J <br />;�.DUF_E�S'.RIE�:�„I � <br />