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!hr £��rrgrern � <br />�„Y�F C • )NSTRUCTION <br />everett PERMIT pERMIT NO. 0�791 <br />CITV HAiL 25&B74S <br />eveaErt wn sezo� ❑ COMBINATION L�BUILDING ❑ MECHANICAL PLUMBING <br />OWNkN IIdILPUURluS GIIY ZIF i'110NL <br />Mary I Dow 6310 Herkshire Drive 98203 353-4710 <br />♦RCmtECI OR OLSIGNEN Mnil nD�Nt55 ��t� Z�P P����E <br />f.ENEA�I CONLR�CiOB MRiI AppRC55 CRY 21P VNONE IIGENSE I <br />Same <br />A�EGI.�HICALCOqiR�CiOR I.IML�UDAESS C�iY ZIP PHONE I�CCNSk� <br />PLUMOING GORTIUCiOR AIAIL �UD11E55 CILY ZIP PHONE LICENSE � <br />❑NEW �ADDITION ❑ALTEFATION ❑REPAIR UDEMOIITION ❑FENCE �SIGN ❑GARAGE <br />�2,$00.00 <br />construct car-port <br />vnovoseu usE or euaniNc <br />car-port residential <br />Lf WL DkSCRIP110N 0� NAOF[A1Y ISMOW 9ELOW OR niiACM 10UA ��PI151 <br />3 4 Beverly Hills Div. 2 <br />ior e�a�_or <br />"""��.� East Berkshire Drive <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR Il <br />WATER CLOSE� (TOIICT� <br />BATHTUB <br />LAVATOPY (WASH BASIN� <br />SHOWER <br />KITCNEN SINK 6 DISP. _ <br />OISHWASHEF <br />LAUNDRYTRAY <br />CLOTNES WASHER <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />RGOF DRAIIJS — RA�NIEA�ERS <br />BINN ISFRVICE — BAR ETC 1 <br />SIDE YARD <br />ZONE <br />SIZE OF BLDG <br />20'X20' <br />FIPE ZONF <br />3 <br />SiREET SETBACN <br />LOT RREA <br />OCCUPANCY GRS <br />M-. <br />NO OF STORIES <br />1 <br />1. ENVIRONMEN7AL CHECK LIST <br />2 BUILDING PLANS <br />3. FIRE NVDRANT <br />� FlRF PROIECTION SYSTEM <br />5 GRAOING <br />6 DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B HEALiH OISTRICT _ <br />AVPLIGTION ACC. BY PLANS CHECNE� F7Y <br />v.c. <br />FEE <br />REARYAPD $ETBACR <br />VACANT SITE <br />IIYES IINO <br />L�.9 <br /><PPR FOH ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE REAC AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROViSIONS OF LAWS AND ORUINANCES GO��ERNING THIS <br />TYPE OF WORK WILL BE COMPLIED W'ITH WNETHER SPECIFIED <br />HEREtN OR NOT. THE GRANTING OF A FERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUGI'ION OR TH[ P�RFORMANCE OF CONSTRUCfION. <br />yi�''"'`' �t or CONin�c10�1 o1P a°' �oNT l< U oN1E <br />Y �L.n n ,�:_ / �� 0/3/79 <br />AN�:AL � <br />TYPE OF EOUIPMENT FEE <br />AIR CONU UNIfS -- M P[A <br />f1fPRIGf:�AiION UNITS — M P fA <br />�O�lf RS -- �� F EA <br />GAS FIRED A C UIJI75 — TONNAuF. EA _ <br />fOflCED AIR SYSTEfdS — B T U M EA <br />WA4L NEATERS — � 7 U M <br />UNIT HCAT[RS — � T U M <br />EVAPORAi1VE COOLERS <br />CIOTH[S DqYCRS <br />VEN11LAilON FAN <br />RANGE H(pD <br />AIR HANULING UNIT — C F.M <br />STOVE ___ <br />�N Ch1ECN NUM(3ER <br />79/6791 <br />FEES <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />PLAN CHECK FEC <br />rEE 12.00 43664 No <br />VRLUIITION FEE <br />: 2,500.00 24 UO <br />UBC <br />SEC.J031a1 <br />.... ...__'._'.. <br />WHFN PROPERLV VAUDATED (�N TH155PACE)TH1515 VOUR PEPMIT <br />3080 sOZM.00+*� � <br />� <br />KOU.R RECEIPT o <br />iMANk� YOU <br />, . <br />