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,,,�� !i rergrern �O N ST R U CT I O N <br />� irv or � <br />ever�tt PERMIT p�RMIT NO. 11117 <br />��r� „�« _,�;� o�,,�, <br />�v���ETT wn �dro, ❑ COMBINATION ;� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />c;:N�r� ,ini�nUnu�ss un riv rr�oNl <br />Gary C. Boid 6404 Beverly Blvd. Everett 98203 355-9345 <br />ar�aurecronui.sanu+ r.a��aounFss cur z�a rr�or�e <br />C.fhlna� [OritRnpoH Mnil a�DPE55 cit�' IIF P��oqE UCLNSL r <br />Same <br />U(C11RNiCAI CONiNACiON MAII ADD��ESS CIIV ZIP PMONE LICCNSE � <br />t�iUTAHiNGCONiRACiOR MniLADDRE55 Glv bP ���ONC UCCNSC♦ <br />CIA550� WORK <br />❑NEW L�ADDITION ��ALiERAT10N L�REPAIR i_]GEMOLI710N ❑FENCE ❑SIGN ❑GARAGE <br />s4,000.i1U <br />oEscnmE wca« <br />Instnll thermo Windows, insulation and siding <br />r•nor-oseo usr or Aunnu+r, <br />I HEREBY CEFTIfY THAT I HAVE READ AND GXAMINED THIS AP- <br />ucn�oesca�anoHo�rno�•<<�rv�s�owue�owunanno�iounm�iEs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />3 2 North Heverly Park Div. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS <br />�oi oiocK_or TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br />#Z HEREIN OR NOT. THE GRANTING OF A P[RMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW HEGULATING <br />CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. <br />doH nUor�ts5 - sior�ctur�f. o� ca�tnni.to�v (iq nuD�c�a.'f:� nr.Ern on�L <br />6404 Beverly Blvd. X C �! 10/8/82 <br />PLUMBINQ MECHANICAL <br />N0. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br />F3ATHTUli <br />IAVATORY IY/ASH BASIk� <br />SHOWEP <br />KITCHEH SINK 8 DISP. <br />DISHWASMEH <br />LAUNDRY TFiAV <br />CLOTHESIYASHER <br />WA7ER HE4TER <br />URINAL <br />DRINKING FOUNTAIN <br />FL00� DRAIN <br />VACUUM BREAkERS <br />ROOF DRAINS — RAINLEADERS <br />SWK �SERVICE — �AR ETC I <br />SUBTOTAL <br />SIDE YARD SETBACK <br />I:SE 20NE <br />TYPF. OF CONSi <br />j12E OF BLDG <br />FIP[ ZONE <br />STREEi5E1UACK <br />NO <br />f3A5E1dENT <br />I ENVIRONMENTAL CHECK LIST <br />2 BUILDINGPLANS <br />3. FlRE HVDRANT <br />4. FlRE PROTECTION SVSTEM <br />5. GFADING <br />6 ORAINAGE <br />7. ENVIRONMENTAL IMAACT STATEMENT <br />8. MEALTH DISTHI�T <br />APPLICATION ACC. UY PLANS CHECKEC BY <br />nin w��o ura�ls — �i a ea <br />PEFRIG6RA710K U�I7S — H P EA <br />t]UILCNJ — t11' GM <br />GASFlHEDAC UN115—TONP <br />FORC[D Alq cY5TEM5 — B T U <br />�Ynll HEAtLRS — B 7 U <br />UIJIi HEATERS -- B T U <br />FAN <br />AIR HqNDLING UNI7 — <br />IdETAL <br />HE�� Y�RD SETDAGK PLnN aftcn <br />VACANT 51T4 <br />YES . NO <br />NO OF DWELLING UNITS <br />ewioiNc <br />MA% OCC.LOAD <br />PLUM�ING <br />FIRE SPRINKLERS <br />REOUIRED MECHANICAL <br />IIYES �.'.NO <br />BY DATE OTHER <br />__ PENALTV <br />APPR.FORIStiUAY.CE BY <br />SUBTOTAL <br />M EA <br />PLAN CHFCK F[E <br />fLE ��[C[IPi NO <br />VALUATION FEE <br />$ 4,000.0 44 50 <br />U0C <br />SEC 307 (a) <br />WHEN PROPERLY VALIDATLD pN THIS SPACE) THIS IS VOUP PERMIi <br />8586 5044.50 --- � ; <br />� <br />YOU R RE�EtPT � <br />71-!!',NK Y,O�U' <br />ADDRFSS FILE <br />— $ ocT 81 <br />