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- ihr Lrrrcrre,i <br />�V��"��$ '%�IVSTR�CTI��' , <br />pER�i1Gi PERMlT N0. ' <br />' CtTV�HALL 259�ft7a5 <br />EVERETT. �vA��9B207 j�� COMRINATION ❑ BUILDING ❑ MECHANICAL LJ PLUMBING <br />OWNER h1AllA�JOR`c55 CITY 'IP PHONE —Y <br />CENTER-HILLIS I[Q`4ES 826 S� EV�ttGTT D1AI.L !'lr�Y EVGRETT IYA 98204 355-4492 <br />ARCHITECT OF DESIGNER MAIL ApDRE55 CITY ZIP PMCNE <br />'vEcN^E*R�AL WNiRAGipN MFIL AOORE55 CITY 21P PHONE LIGENSF = <br />.]t�lY� <br />MECHFNICA� CONTRACTOR MFIL AO�RE55 CITY 21P PHONE UCEHSE u <br />PLUMBING CONTRAGTOR MAIL ApDFE55 CIiY ZIP PHONE LIGENSE x <br />ROBINSON PLUhII3IPJG <br />CLA55 OF YJOPN <br />XJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O DEMOLI7ION ❑ FENCE ❑ SIGN ❑ WOOG STOVEIFIREPLFGE INSERT <br />EJS����.�� <br />Neia single family residence <br />rnuruaeu use ur eui�uin� <br />Single family residence <br />LEGAL OESCRIPTION OF PROPERTY (SHOW 8EL0\ <br />�oT 158 o�ocK_oF Verale <br />7505 <br />PLUMBING <br />NO.�— TYPE OF FIXTURF OR ITEM <br />WA7ER CLCSET (TO�LET) <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER _ <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLCOR ORAIN <br />VACUUM BREAKERS <br />ROOF DHAINS — RAINLEADERS <br />SINK (SERViCE — BAR, [TC.) <br />SIOE YARD SE" <br />$' (10' ( <br />USE ZON� <br />R-3 <br />TVPE OF CON: <br />V-N <br />SIZE OF BLDG. <br />936 sf <br />COPIESI <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIC`N AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. „LL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLiED WITH <br />WHETHER SPECIFIED HEREIN OR tJOT. THE GRANTING OF A <br />PERNIT DOES NCT PRESUME TO GIVE AUTHORII'Y TO VIOLATE <br />OR CAIJCFL TH� PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REG,ULATING CONSTRUCTION OR THE <br />OR A�10E OF�CONSTRUCTIOiV. <br />SIGNANRE P�bNTRqCj(.r�JfrAUTMORIZEDAGEGf DFTE <br />MEC�}1ANICAL - � <br />FEE f10. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />� REFfiIGERATION UNITS — H.P. EA. <br />� OP BOILERS — H.P. EA. <br />GAS FIFED A.C. UNITS — TONNAGE EA. <br />�_ I FORCED AIR SYSTEMS — B.T.U. M EA. <br />t WALL HEATERS — B.T.U. M <br />�_ <br />UNIT HEATERS — B.T.U. h1 <br />� EVAPORATIVE COOLERS <br />� CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDI ING UNIT — QF.M. <br />STOVE — VJ000 <br />METAL FIREPL.4CE Z CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUM? <br />SUB 70TAL s ] <br />PERMIT S <br />TOTAI. FE[ 5 1 <br />3EET SETBACK REAR YARD 5 <br />20' 20' <br />f AREA VACANT SITc <br />�lES NO <br />R-3 <br />NO. OF S <br />1 <br />ensEMEn <br />APPFOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUII.DING PLANS <br />�. FIRE HYORANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRA�ING <br />6. UflAINAGE <br />7. fNVIRONMEN7AL IIAPAC'B7A7cMENT <br />8. HEALTH DISTFICT � <br />'APPUCATION ACC. BY PLANS CHECKED BY <br />C'�l �IIVIR <br />1 <br />fA%.00Q LOAD <br />4 <br />IRE SPRINKLERS <br />EOUIRED <br />YES NO <br />8� <br />APPR.FORISSUANCEBY <br />ZC <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />85/15062 FE9�asic <br />FEES , VALUATION <br />� <br />3 <br />� <br />FEE <br />K FEE <br />FECEIPT NO. <br />FEE <br />BUILDING 538 OOO. ZZ� OO <br />PLUMBtNG __ _ _ _ 14 �O <br />MECHANICAL ].Z OO <br />OTHER <br />PENALTY U.B C. <br />SEC. 303 �a� <br />rorn� 255 00 <br />PERMIT VALIDATION <br />6VHEN PROPERLY VALIDATE� pN THIS SPACEJ THIS IS YOUR PERMIT <br />^. _ i_. � � <br />