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� <br />tHeE��ergrecn r1�1�� 1 1. \�� 1'�6r <br />QTY OF <br />everett PE���T PERM�T N0. 1OOi5 <br />ciTr r{n,� zs� e�as <br />eveaen, wn eezoi �J COMBINATION � BUILDING � MECHANICAL PLUMBING <br />o�vuen <br />r.�naaoonEse cnr zir n��ont <br />Hillis Homes Inc. 626 S.E. Everett hfall Way 96204 355-4492 <br />naa+rtecroaocsicr�er+ rnnanooFEss � arv zm P�+or+e <br />GENERALCONiRACTOR MAILADDRESS CITY ZIP PHOtlE LICEIlSE� <br />Same <br />CIECMANiCAL GONTRACTOR MA�L %DCR[55 CIIY ZIP NP.@�E UCENSE / <br />PLCIABINGCOMiNCTOR MPILADORE55 GIiY ZIP PYO4E UCENSE/ <br />CLA55 <br />�OPN <br />R�GE.W CADDITION ❑ALTERA7lON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />OF YlO�H <br />B�.i%QQ.�Q <br />Construct Duplex <br />PROPOSED USE OF BUILOING <br />Two Unit Apartment <br />LEGl.L �ESCflIPTION OF PFOPERiY �SHOYJ pELOW OP FTTACY. FOUR COPIE <br />��r 1 e�aK_oF Veralen_ Estates <br />JOfI HDDRE55 <br />7510 A& B 7th DRIVE WEST <br />PLUMBING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF- <br />PLICATICN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVIS.�NS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPF OF WORK W.LL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN CR NO1�. THE GRANTING OF A PEFMIT DOES NOT <br />PRE'iUME TO GIVE AUTHORITY TO VIOLATC OR CANCEL THE PRO� <br />VISIONS OF F,NY OTHER STATE OR LOCAL LAW REGULATIMG <br />�CON�TR�IC�IUW OR THE PERFOR'v+4NC���- OF CONSTRUCTION. <br />sir,rvni n`�GF r�t4�HCT�OliAUTMORIZEDAi'EM1' DFiE <br />� <br />TYPE OF FIXTURE OR ITEM FEE ; NO. TYPE OF EQUI <br />;LOSET (TOILET) _ AIR CON�. UNITS — H.P. EA. <br />8 8 Q � HEFRIG[RATION UNITS — N <br />9Y (WASH BASIN) 1 Z OO BOILEPS — H.P. EA. <br />GAS FIREU A.C. UNITS — T01 <br />j —__' <br />J SINK 8 DISP. (��1_ Z FORCED AIR SYSTEMS_ 3:1 <br />SHER [j Q Q W".LL HEATEI±S — B.T.U. _ <br />UNIT HEATERS — B.T.U. <br />IY TRAY . _ _"". __' <br />NATER HEATER <br />URiNAL <br />DRINKING FOUNTAI�' <br />fL00R DRAIN <br />VACUUM BREPKERS <br />ROOF DRAIHS — RAINLFADERS <br />SINK ISERVICE — BAR, EfC.) <br />Sl1B TOTAL <br />510"e VARD SETBAGK <br />5' <br />R-3 <br />V-N <br />S�ZE OF BLDG. <br />2856 Sq. Ft <br />FIPG ZONE <br />STREET SET�ACK REAR YAR� SEiBACK <br />20' 20' <br />LOT AREA VACANT SITE <br />7268 Sq. Ft. �74'ffs ��rvo <br />OCCUPANCY GROUP NO. OF DW[LLING UNITS <br />R-3 Z <br />NG GF STORIES MA%. OCC. LOAD <br />2 1� <br />none <br />1. ENVIRONMENTAL CHECK LISi <br />2. BUILDINGPIANS <br />3. FIRE HYDHANT <br />,. F6ic PROTECTION SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7. LNVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />pPPI.ICATION ACC. BY PIAHS CHECKED BY <br />HWM <br />� ,Y <br />BY <br />APPR. FOR ISSUANCE BY <br />5 DRYEPS <br />,TION FAN <br />HUOD <br />:DLING UNIT <br />FIREPLACE 8 <br />PLAN CHECK NUMdtH <br />81/10065 <br />FEES <br />BUILDII�iG <br />PLUMBiNG <br />MECHANICAL <br />OTHER <br />PENALTY <br />M <br />M <br />FEE <br />FEE 19 �,( O I REC[IPl NO. <br />b817.000. <br />U.B.C. <br />SeC.303�a) <br />:i79 �00 <br />48 00 <br />51 00 <br />TOTAL I I 4 7 8 � � <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERlAIT <br />� <br />,. '— � <br />� <br />� <br />�.--� <br />ADDRESS FIL[' <br />