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d�rfi��e�xreert - ��NSTRUCTION � - <br />Citv OF <br />everett PE�MIT pERMIT NO.O�IZO <br />CI1V HALL:'S4B74r. <br />evtn[ r1 wn ��i�u� '� COMBINATIOM 0 BUILDING Q MECHANICAL �7 PLUMBINO <br />UYININ M�It �U118165 � rM1 !iP PnONL <br />Danard Cuetom Homes, Inc. P.O. Box 1947 Hverett 98206 259-1001 <br />NLL nillll UR Ut S�GNi 11 MAII nUUNI Sti Uh !II' I4�ONL <br />GI NIRnL CONIPACIOR MMl �0[)fIf55 GiY 21P PIIUNL IICtNSE 1 <br />DA NA RC 8253KI <br />A1161nNIUl('.ONiRAC10N M�IL�DDBE55 CIiY lli' PIIONE IICENSEI <br />VIUAIU�NOCOMF�CtJR M��1�DARE55 C�IV ]IP PMONE IICENSEI <br />CUSSOf WOHN <br />�NEW <br />vuunnoH ov wonK <br />3 90,000.00 <br />u�scnu�e Nonrc <br />Const.ruct Duplex <br />i'��Oro5t0 USf 0� NwIIIM(i <br />4wo Fam11y Unit <br />i [c�� U[sceiFnor� o� cr.ortqr <br />Ptn 6 5 <br />101 0l0`.N_Of <br />I.]AODITION L]ALTERATION i.�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />N Beverly Park N2 <br />Lot B S.P. 1202-4T-79 <br />Z6-28-5 _ <br />doH nUURF55 <br />PLUMBINO <br />N0. TYPE OI <br />Q WA1ER CLOSEi (TOILE <br />i BATMTUB <br />Q LAVALORY Ii:�SH BA: <br />SHOWEP <br />2 KIiCHFN SINI( 8 DISP <br />2 DISHWASMCR <br />IAUNDRYTRAY <br />2 CLJTNLS WASHER <br />Z WATEF HEAiER <br />UAINAL <br />DPINKING FOUNTAIN <br />qOOF <br />75ETQACF <br />5� <br />R-2 <br />ANST <br />V-N <br />LDG <br />3 <br />— DAR.LETI' � ^ <br />SUB i0711L <br />PERMIT <br />TOTAL FEE <br />STPEET SET0AC1( <br />20' <br />�ot anEn <br />7500 Sq. Ft. <br />OCCUPANCY GROUI <br />R-3 <br />NO OF STORIE$ <br />2 <br />BASEMENT <br />1 ENVIRONMENTAL CHECK LIST <br />2 BUILDING rLANS � <br />3. FIRE HYDRANT � <br />4. FIRE PP T� ION SYSTEM <br />— 5 GRAp�fO �— <br />4• <br />6 URAINAG ,� p <br />� 7 ENVI���, M�ITALIMCRCTSTATEMENT <br />O� <br />Qp B HEAL� D�RICT � <br />(T�t�C Bv P�nNSCHECKEDBY <br />A <br />C 'p I V.C. <br />�� <br />A <br />FEE <br />REAR YARD SE iC1AGk. <br />20' <br />VACANT SITE <br />I�S �NO <br />2 <br />MA% OCC LOAD <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AR <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT. <br />ALL PROVISIONS OF LAWS ANU OPDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLI[D WITH WHETHER SPECIFlED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PR[SUMF TO GIVE AUTHORITY TO VIOLATE OR GANGEL i HE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTI OR THE PERF RMANCE F CONSTRUCTION <br />x�1. OI C qIqPCIJB N AU l➢ U A6f qi � ORtLj <br />�,r�.., , o,, J 3// 7/r� <br />N�`'� TYPE OF EOUIF <br />AIR COND UNITS — H P EA <br />REfRIGLRAiION UNITS — H P <br />GASFIR6DAC UNITS—TONN <br />�OPCFD AIP SYSTEMS -- � T U <br />WALI HEAiERS -- B / U <br />UNrt MCATENS -- H T U <br />EVAPORATIVE COOLERS <br />RANGE HOOD <br />METAL FlREPLACk 8 CHIMNEV <br />I;HCCk NUMPIR <br />80/7119 <br />FEES <br />BUILDING <br />PWMBINC <br />MECHANIP,A� <br />TY <br />SUB TOTAL <br />� <br />f <br />PLAN CHEGK FCk <br />FlE RECEIPT NO <br />VIILU�TION FEE <br />f 90,000. 267 00 <br />36 00 <br />16 00 <br />UBC <br />SEC 3031a� <br />319 I 00 <br />WMEN PRO�EfiLY VAIIDAiED pN THIS SPACEI TNI51S VOUR PCPMIT <br />036.00— 3 0 <br />' R REGEIPT <br />APPR POR ISSUANC� BY� ,, r 1 t' �O U <br />^ <br />� <br />} ] YAR $ 0 � <br />nopReSS FIL.E <br />9619 s16].0� —� <br />ti <br />YO;U:R REGElPi � <br />• �■M`Y7� 7�✓�� <br />1 "I u�o 411 <br />