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du� t:���re.er,i <br />eve��ett <br />CITY HALL 259�8745 <br />EvraETT. wn eazoi <br />':�RfST�UCTIO�' <br />�GRIV1�� <br />C� COMBINATION � BUILDING C,xl MECHANICAL <br />Homes Inc <br />I�IPIL HVVnc.�+ <br />826 S.E. Everett [•fall S4ay <br />PERM17 PdO. �_ %; �' ' � <br />�� ['LUMBING <br />Everett 982Q4 <br />GENEFALCONTRAGTOR MPILAOORE55 <br />CITY ZIP PMONE LIGFilSC n <br />S'aI110 pHONE LICENSF. • <br />61P,MqNICAL GONTRAGTOR MAiL AO�RE55 <br />CITY ZIP <br />C�TY Z�p PMONE LICEhSE • <br />?I.11M81NG C0�ITPAGTOP <br />IAAIL A�DRESS <br />$}{NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ GEMOLITION ❑ FENCE ❑ SIGN ❑'�'r�OD STOVFiFiFEPLACE INSERi <br />� 45,000.00 <br />__ ---- <br />DESGRIBE WC�iH <br />Const,:n�Y Sirgle Family REsidence <br />PROPOSED C:E OF BUI�DIHG <br />Single Fr:mily Residence _ <br />3 Veralene Estates <br />LOT __BLOCK__OF --' <br />ioo nooness <br />7506 7th Drive West <br />PLUMBiNG <br />NO TYPE OF F�aTURE OR <br />—� WATERGLOSET�TOILE� <br />—2 , BATHTUB . <br />Z ILAVATORY�WASH <br />SHOWER <br />KI7CHEN Sln,'.8 DI�?. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHEF <br />WATEft HEA7ER <br />URINAL <br />DflINKING FOUN7AIN <br />FLOOR Df1AIK _ <br />VACUUM 9REAKERS <br />ROOF DR.�INS — RAINLEADERS <br />SINK (SEF7VICE — BAR, ETC) <br />SUB TOTAL <br />PEPMIT <br />TO7AL FEE <br />SI�EYFHUStim��n ���� <br />S� <br />US[ ZONE LOT <br />R-3 <br />i1'PE OF CONST. OC( <br />V-N <br />9ZE OF BLDG. N�� <br />iieo sq. rt. <br />FIRE ZONE BA� <br />2�� <br />A <br />NCY <br />R-3 <br />�TOR <br />1 <br />None <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2L'UILDINGPLANS - <br />3. FIRE HYDRANT <br />4. FIflE PROTECTION SYSTEM � <br />5. GRADING <br />e. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />E. N EALTH OIST RICT <br />Eg I HWM <br />L 12 28 4 <br />I HEREBY CERTIFY THAT I HAVE READ HND [;�AMINEC THIS <br />APPLICATI`JN AND KNOW THE �AME TO riE TRUE AND <br />GOVERNING THIST�Y,F'IEIOF WORK WILL EFNCOM.P�LIED WITH <br />PERM T DGES NO fIPRESUME TO GIV �AUTHORITY TO N OL�ATE <br />OR CANCEL THE PFOVISIONS OF ANY OTHER STATE OR <br />LUC&� LAW NEGULATING CONSTRUCTION OR THE <br />,PERPOf�tMANCE. CONSTRUCTION. p�TEl�.,_/ <br />$IGN0.iUP.. EONT TOR 0 THORIZED AG[b` � i �, ' <br />„ /,�'Z�. :r �� _ , C � � -- ,� <br />FEc PTO. TYPE OF EQUIPMtn� <br />Q CO AIR COND. UNITS - H.P. EA. _ <br />Q OO flEFRIGERATION UNITS - M.R EA. _ <br />�1 BOILERS - H.P. EA. <br />GAS FIRED A.C. UfJITS - TONNAGE EA. <br />a�_ FORCED AIR SYSTE`dS - B.T._ ��_M EA._ <br />\1'4LL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />E`�APORATNE COOLERS <br />1 C .THES DHYERS <br />2 VENTILATION F.4N <br />� RANGE HOOD <br />s 22 <br />S <br />5 22 <br />�EAR YP9D SE' <br />Z0� <br />VACANT SITE <br />XXES NO <br />NO.OFOWELL� <br />1 <br />MAK. OCG LOF <br />BY <br />BV IAPPR. <br />LC <br />DATE <br />AIR HANDLING UNIT - C.F.M. <br />S70VE - WOOD _ <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSER7 <br />NEAT PUMP ___ <br />SU9 TOTAI 5 <br />— � -- PERMIT 5 <br />TOTALFEE 5 <br />;NUMBER PLAN C <br />89/14037 FEE gasic� <br />FEES VALUATION <br />a�n�ow� <br />PLUMBING <br />fdECHANICAL <br />ornER <br />5 45,000. <br />FEE <br />RECEIPT NO. <br />FEE <br />is <br />PENALTY — I SEC. 303 (a� <br />i 297 00 <br />TOTAL <br />PEPMIT VALIDATION <br />VJHEN PFOPERLY VALIDAiEO ON THIS 5?AGE) THIS IS YOUR PERMIT __ {�— <br />(i 1 <br />r l <br />^ti <br />C <br />r. <br />t: <br />H � <br />H � <br />cr, :: <br />or <br />� ' <br />( <br />� �_ <br />J . <br />� ' <br />C7 <br />F <br />r7 : <br />r <br />� ' <br />r- ; <br />=, <br />a� <br />� <br />� <br />(^ <br />� <br />