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I�IY �' CClI'1Ct91 ' 60 � � �n� q � �� � j�, � � <br />�: r�� � � 1 �� <br />A������1, f""�I�AIYIIT PERMIT NO. 1��:�`�' <br />CITY NGLL?59-A745 <br />eveaerT, wa �azoi � COMBINATION �l BUILDING r MECHANICAL � PLUMBING <br />U'e��FF l.IAIL AODfiE55 Ci�Y ZIF PNOf1E <br />Hillis Homes Inc. 826 S.E. Everett Nill 47ay Everett 98204 355-4492 _ <br />fd�GwiECT OR UESIGNER F1AIL ADDPESS CiiY DP PMONE <br />G[��E11FlCONTFFCTOR MAII.ADDRE55 GITV ZIP PMONE LICENSC.v <br />Same HI LL IH *377L6 <br />1.1GGHFNIGAL CONTRAGTOR �tAIL ADORE55 GITY Z�P PMONE LICENSe � <br />PLUM�ING GONTFAGTOF ��AIL AO�RESS GITV ZIP PMONE IIGB�SE r <br />GLrtSS OF YlOFN <br />CY�7NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE WSERT <br />VAlUhT10N OF VlORK <br />s 49,000.00 <br />L[SC(iIBE Y/ORK <br />Construct Siaqle Pamily Residence — <br />Singl>_ Family Residence <br />EGAL �ESCFIP110N OF PROPERTY ISM01Y 6ELOW OR ATTAGH F( <br />�or 9 BLOCK__OF Veralene Estates <br />L <br />7404 7th Drive 41est <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />1 <br />WATERCLOSET�TOILtI� <br />BATHTUB <br />LAVATORY IWASH BASINI <br />SHCWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHFS WASHFR <br />WATER HEATER <br />URINAL <br />DRINKIIJG FOUNTAIN <br />FLOOR DRAIN <br />VACUIIId BREAKERS <br />ROOF DRAd1S — RAINLEADERS <br />SINK�SERVICE — eAR.GTC.I <br />SIDE YAR� Shirncn <br />s� <br />USE ZONE <br />R-3 <br />TVPE OF CONST. <br />V—N <br />SIZE OF BLDG. <br />1760 Sg. Ft <br />SUU TOTAL <br />PEflM1T <br />TOTAL FEE <br />IEET SETBACK <br />io� <br />AREA <br />CUPANCVGROI <br />R-3 <br />. OF STORIES <br />2 <br />SEM1IEN7 <br />None <br />i. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS � � <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSTENI' <br />S GRADING <br />fi.�RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEAITH Di "RICT ' � <br />APPLICATION ACC. BY � PLANS CHECNED BY <br />, SB HWId <br />S Gb <br />S <br />s 26 <br />EAR VARD SLTB <br />2�� <br />'ACANT SITE <br />}b'ES NO <br />10. OF DWELLIN� <br />1 <br />,7AX. OCG LOAD <br />6 <br />'IRE SPRINKLER: <br />iEOUIREn. <br />YES n�JO <br />BY �A <br />POR ISS <br />LC <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OHDINANCES <br />GOVERNING THIS TYPE OF WOftK N/ILL 6E COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINu OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THF PROVISIONS OF ANY OTHEF STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />P�F MqNCE OF CONSTRUCTION. <br />�IGNATUR qFJ�CONTRfjGT qOR�' UTMORREDAGENT ' OAtE <br />X , .�l U, . ': �''- � Jl ;5 =.;� <br />i. TYPE OF E�UIPMENT FEE <br />AIR CONO. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. __ <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS _ <br />1 CLOTHES DRYERS <br />2 • VENTILATION FAN <br />1 RANGEH000 <br />/�Ifl HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIldNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PEPMI7 3 <br />TOTALFEE S <br />AN CHECF' NUtABER ���"' �^"'^'" <br />84/13355 FEEgd51C I RECEIPTNO. <br />FEES VALUATION FEE <br />eui�oirvc 5 49,000. 278 <br />PLUMBING 26 <br />h1ECHANICAL 2], <br />OTHER <br />PENALTY SEC 3031a) <br />TG7AL 325 50 <br />PERMIT VALIDATION , <br />WHEN PFOPERLV VALID4TED �IN THIS SPACF� THIS`ISIYOU�P `RMIT 4.. �� <br />- �� "�, �_7�.�i;-�. <br />� <br />., I . .. .��; i . . <br />F- 1- <br />� -. <br />�— r- <br />�n � <br />r <br />� <br />r; f � <br />f <br />�j r <br />U � <br />y; <br />!� . <br />r <br />r: <br />,1 <br />.7 . <br />� . <br />f <br />r . <br />� <br />