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rhr ficc'rercen <br />e��rett <br />� �N���Y1,������� <br />PGf�1YlI� PERMIT NO. ��-'EU�) �- <br />CITY HALL 259-P745 <br />eveaerr, wn �ezm � COMBINATION � BUILDING �r1f MECHANICAL � PLUMBING <br />OV:tiER MAIL FD[1RE55 CITY Zi� PMONE <br />kiillis Homes Inc. 82G S.E. Everett Mall Way Everett 98204 355-4492 <br />AHGMITEQ OP DESIGNER MAIL AODPE55 GiY ZIP PMONL <br />GENERFL GONiPACTOF MAIL AODRE55 GTY ZIP PMONE LIGENSE � <br />Same <br />MECIiANICAL CONTRACTOR MAIL ApDFE:VS CITV ZIP PMONE LICENSC n <br />PLU�dBING CONTItACiOR MAIL AODRESS CITY ZIP PHONE �IGENSE M <br />I�iIEW ❑ ADDITION ❑ ALTERATION ❑ FEPFIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREFLA�E INSERT <br />VALUATION OF V/ORK <br />s 50,000.00 <br />Construct Single Family Residence <br />ROPOSEI] USE OF BUILDING <br />Single I'amily Residence <br />[GAL DESGRIPTION OF PROPEPTY �SHOW BELOW OR ATTACM FOUR COF <br />�or 14 BLOCK_OF Veralene Estates <br />F 7.2-28-4 <br />10� ADDFiESS <br />7308 7th Drive �4est <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />2 WATEFCLOSET(TOILE'� _ _ <br />9 BATHTUB <br />2 �LAVATORY�WASHBASI <br />SHOWER <br />1 KITCHEN SINK 8 DISP. <br />1 DISHWASHEf' <br />LAUNDRYTFAY <br />], CLOTHESVlASHER <br />]. WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM 6REAKEH'' <br />ROOF ORAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />5' <br />USE ZONE <br />R-3 <br />IYPE OF CONST. <br />V-N <br />� �E OP BLOG. <br />1412 Sq. Ft. <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />lEE'fSETBACY <br />20' <br />f AflEA <br />CUPANCY GRI <br />R-3 <br />. OF S70RIES <br />SEMENT 1 <br />None <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLPNS _ <br />3. FIRE HVDRANT <br />1 FIRE PPOTECTION SYSTEM ' <br />5. G :AOING <br />6. C9AWFGE <br />7.ENVIflONMENTALIMPACTSTATEMENT <br />B.HEAITH�iSiRICT � <br />APPLICATION ACC. 8Y PLANS CHECKED BY <br />EB <br />I HEREBY CERTIFY THAT I HAVE READ AND EX4MINED THiS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS UF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WQRK N:iLL BE COMPLIED WITH <br />WHETHER SPECIFIED HER��IN OH NOT. THE GRANTING OF �1 <br />PERMIT DOES NOT PRESUiv1E TO GIVE AUTHORITY TO V�OLAI�E <br />OR CANCEL THE PFOVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OF THE <br />PER ANCE OF ONSTRUCTION. <br />�514NATUHE� Q�iRA i'� F yUiMOFIZ" RGENi /l� /� DAfE �. <br />/. I � � .,. a , <br />FEE �NO. TYPE OF E�UIPMENT <br />�- AIR COND. UNITS - H.P. EA. <br />RE�RIGERAT�ON UNITS - H.P. EA. <br />� BOILERS - H.P. EA. _ <br />GAS PIFED A.C. UNITS - TONNAGE EA. <br />Z OO FORCED AIR SYSTEMS - B.T.U. M EA. <br />2 OO N1ALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />Z OO EVAPOflATIVE COOLERS <br />2 00 1 CLO7HES DRYERS <br />� VENTILATION FAN <br />1 RANGEHOOD <br />AIR HANDLING UNIT - QF.M. <br />STOVE - YJOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />S 20 <br />5 <br />5 20 <br />flEAR YARO SETE <br />20' <br />VACANT SITE <br />gges uo <br />NO. OF �WELLIN <br />MAX.00C.LO D <br />5 <br />FIRE SPRINKLER <br />REQUIREq.�. <br />- —VES�- —'IVO— <br />By I DA <br />FOR <br />fIIPM � LC <br />BY <br />84/14001 <br />FEES <br />BUILDING <br />PLUMBING <br />IdECHANiCAL <br />OTHER <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />FEE HaSiC <br />4ALUA710N <br />S $0�000 <br />5 � <br />S <br />5 15 00 <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />283 00 <br />20 � )U <br />15 00 <br />PEnALTY SEC. 303 �a� <br />707AL 318 00 <br />PERMIT VALI�ATION ' - _ - ' <br />WHEN PROFERLV VALIUATED qN THIS SPACEI1HI515 YOI1R PERMIT ,, <br />4 <br />�. <br />C: <br />