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The Ewrgrern <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />C'MSTRUCTION <br />PERMIT <br />"COMBINATION kiBUILDING kkMECHANICAL <br />PERMIT NO. 10994 <br />Ld PLUMBING <br />OWNER MAIL ADDRE 5S ul) :PPHONE <br />Hillis Homes Inc. 826 S.E. Everett Mall Way Everett 98204 355-4492 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CTV 71P PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY bP PONE LICENSE F <br />Same HI LL IH *337L6 <br />MECHANICAL CONTRACT OR MAIL ADDRESS CRY ZIP PHCNE IICENSE0 <br />PLUMBING CONTRACTOR MALL ADDRESS CITY DP PHONE LICENSE F <br />CLASS OF WORN <br />*JN1EW ❑ADDITION ❑ALTERAT ON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />38.000.00 <br />Construct Single Family Residence <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />S OF ANY OTH R STATE OR LOCAL LAW REGULATING <br />CONS U TIOWOR E PERF NCE OF CONSTRUCTION. <br />SIGNATU NTA 0 EDAGE DATE <br />X _�-12— <br />LEGAL DESCRIPTION OF PROPERTY (SNOW BELOW OR ATTACH FOUR COPIES, <br />148 Veralene Estates <br />LOT BLOCIL_OF <br />L 12-28-4 L I2 2 <br />IDD ADDRI <br />702 73rd Street S.W. <br />PLUMBING <br />M HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET)AIR <br />CONE) UNITS — H P EA <br />BATHTUB <br />REFRIGERATION UNITS - M.P. EA <br />LAVATORY ASH BASIN <br />BOILERS - H.P EA <br />SHOWER <br />GAS FIRED A C UNITS - TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS - B T.0 M EA <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />URINAL <br />CLOTHES DRYERS <br />VENTILATION FAN <br />- <br />DRINKING FOUNTAIN <br />RANGE 1'0OD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F.M. <br />_ <br />VACUUM BREAKERS <br />ISTOVE <br />ROOF DRAINS - RAINLEADERS <br />_ <br />METAL FIRE,'. ACE A CHIMNEY <br />SINK (SERVICE - BAR, ETC, <br />SUB TOTAL <br />14 <br />SUB TOTAL f <br />12 <br />00 <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f14 <br />Fin <br />TOTAL <br />FEE f <br />12 <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />82/10994 <br />PUN CHECK "EE <br />FEEBasicRECEIPT NO <br />USE ZONE <br />R- 3 <br />LOT AREA <br />VACANT SITE <br />Ij(JS GNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />V-N <br />OCCUPAI ICY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />138,000. <br />229 <br />00 <br />SIZE OF BLDG <br />936 SQ. FT. <br />NO. OF STORIES <br />1 <br />MAX. OOC. LOAD <br />4 <br />PLUMBING <br />14 <br />00 <br />FIRE ZONE <br />BASEMENT <br />None <br />FIRE SPRINKLERS <br />REOUIj <br />I IYES 1N0 <br />MECHANICAL <br />12 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC. 303 (a) <br />2. BUILDING PUNS HT <br />3. FIRE � <br />HYDRANT <br />' <br />TOTAL <br />255 <br />00 <br />A. FIRE P77R--OWqTION SYSTEM <br />IT VALIDATION <br />PERM�IgPEM.TI <br />VJgV F/VAL0TE!3N THIS S AACE3 T HIS IS YOUR PERMIT <br />C f Z 19.O,U --• <br />1 I C <br />U R R E C E 1 P7 o <br />�YCxIFR RECEIPT <br />,1 A, N K YOU THANK Y O U <br />V 5. GRADBEG C <br />S. DM O <br />7. ENVIHONATMQIM{:F�fT STATEMENT <br />8 HUL2}IHEAkT}, TR,CT i <br />CM <br />APPLL AI'ACC. BY PLANS CHECKED PY <br />EBy HWM <br />APPEL FOR ISSUANCE BY i <br />LC <br />�a I ] SEP 6 L _,e <br />I7s�r81 <br />ADDRESS PILE <br />J <br />17 <br />