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I � <br />dc Erergrrrn CC •�� ST R U�T i O N <br />atr ov <br />everett PERMIT PERMII' NO. 06635 <br />��T� �,��� .5�.l3�45 <br />�v�nrn wn �eao+ ❑ COMBINATION ❑ BUILDIN� ❑ MECHANICAL ❑ PLUMBING <br />UWNFR MNII RUOIILSS Cl�v IU' PIIONL <br />Ben Harris 6701 Berkshire Drive 90203 353-2658 <br />ARCIUIfQ10fIDL9GN!!1 MPIIADC�NE55 ❑!Y 21P PHONE <br />GEN[RAl COMBACION MAII AppRE55 ❑!Y ZIF PIIONE UCENSE I <br />W.S. Builders, Inc. 7612 Beverly Blvd. 98203 353-6422 <br />IAfC11RN1(:AIWNiRRGIOH MAILR�ONE55 CIiY ZIF PMONE IICEN5E1 <br />WS BV I23KR <br />PllIM91NGCANiPl�CiOR MNIlA00Rl55 Qiv ZR' PMON[ IiCFN5E1 <br />❑NEW ❑AD�ITION ❑ALTERAiION iQIF7EPAIR I��[]FMOLRION LIFFNCE ❑SIGN ❑GARAGE <br />S 12��.�� <br />Repalc foundation <br />Sinqle family residence <br />IEG�.� DESCPIFtION Of PROPERrv iSNOW BLIOW OR PiiFCN I <br />4 12 Beverly Hills <br />l0i BLOCK_C� <br />6701 Berkehire Drive <br />PLUMiiINO <br />N0. TYPE OF FIXTUI <br />DISMWASHER <br />IAUNDRYTFAY <br />CI.OTNES WASH <br />WATER IIEATEH <br />1171NAL <br />UqINKING FOU1 <br />! �nOF D�:�N <br />nwr unHina — <br />SINN ISEPV�CE — <br />SUB <br />1'PRD SETPPCK I 57REET SCTBACK <br />LOT AREA <br />OCCUPANCV GROUP <br />NO OF STORIES <br />ZONE <br />1. ENVIRONMEN7AL CHECK LI51 <br />2 BUILDING PUN$ <br />J FIRE HVDRANT <br />4 FIR[ PROtECTION SVSTEM <br />5 GRADING <br />6 ORAINAGE <br />7 ENVIRONMENTAL IA7PACT ST� �TFMENT <br />1 HEAITH UISTRICI <br />pPLICATION ACC NY PlANS CHECKF.D BY <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO 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 WHETFIER SPECIFIED <br />HFREIN OA NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />S�c.riniunForcoNlnnCIORCRFuiHCNZEOAG[Ni D�TF <br />X .��PQ.� � . � iA'M�].0 9�4�79 _ <br />MECHANICAL <br />TVPE OF EOUIPMENT <br />AIR COND UNITS — H P EA <br />REFPIGERATION UNITS — N P EA <br />BOLLER$ — H F (A <br />GAS FlRED AC UNITS — TORNAGE [A <br />PORCED AIR SVSTEIAS — B T U M EA <br />WALL NEATERS — � T U M <br />UNIT NEATERS — d T U M <br />EVAPoRA7IV[ COOLERS _ <br />CI.OTHES DIiY6(75 <br />VCNiILATION PAN <br />RnNGf NOO� <br />AIR HANOLING UNIT — C F M <br />REAR VL'� S[TBACK PLAN CIIECK <br />VACAkT SIIE <br />IIYFS IiNO <br />NO. OF DWELUIJG UNITS <br />OUILOING <br />MA% OCC.LOPD <br />PI.UMBING <br />FIRE SPRINKLEFS <br />REOUIREO MECNANICAL <br />I!YES I1N0 <br />BY OATE OTIIER <br />PENAITY <br />TOTAL <br />A(+PR FOR ISSUANCE BV <br />PIAN CH[CK FEE <br />FEE RECEIPT NO <br />VALUATION FEE <br />S LZO�.�� 12 �� <br />U.BC <br />SEC 3071e1 <br />12 I 00 <br />PROPERLVVA�IDATEOIINTNISiPAC`��HISIS�OIIR'PF[iM1To� � <br />! • V I Y <br />M <br />� CO <br />YOUR RECF.IPT o <br />+k-IANK YQU <br />