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�,�� L,.����«�,� �"NSTRUCTION <br />��TY OF � � . �' <br />everett PER�AIT pERMIT NO. 0�122 <br />CITY HALL'259-8745 <br />eveaerT, wn �ezoi � COMBINAT�ON � BUILDING � MECHANICAL J PLUMBING <br />ownE�� <br />Mni�nno�+tss cirr ia' v��oru <br />Danard Custom Homes P.O. Box 1997 Everett 98206 259-1001 <br />naCwt[ct on oEsicr+En <br />r,ua nooaess arv zir P��or�e <br />— MARADDRESS CRY ZiP PHONE UGENSEI <br />cer+enn� coNiancron DA NA RC 8253K1 <br />MFCII�NIGALCONiPACTOR <br />MAILAODPE55 GIiY ZIP PIIONE LICENSEI <br />PIUMBING CONiRACtOR <br />MAiIAUDI1E55 CItY ZiP PIIONE IICEN5E1 <br />WORN 7(�( <br />uryEW ❑ADD�110N ❑ALTERATION ❑REPAIF ❑�EMOU110N ❑FENCE ❑SIGN ❑GARAGE <br />V�LWTION OF WOAK <br />f 9��000.00 <br />OESCRIBE WORK <br />Construct Duplex <br />rnoroseo usE oF ouuou+e <br />Two Family Residence <br />IEGBL DESWiPt10H Of PRO�ERiY ISHOW <br />�u�r� � eiocrL 3 ac t7or <br />6714 A& B Beverly Blvd. <br />PLUMBIN6 <br />r <br />� <br />�RD SETBACK I STREET <br />5' <br />USE ZONE <br />R-2 <br />TYPE OF fA1 <br />V-N <br />FIRE <br />TOACK REARYAFD SET�ACK <br />20' 20' <br />VACANT SITE <br />�1�E5 f INO <br />^v f:ROIIP NO.OF DWELLING UI <br />R- 3 <br />' STOPIES MA% <br />i <br />1. EIJVIRONMENTAL CHECK LIST <br />� 2. BUILDING PLANS � <br />3. FIRE HYDRANT '� <br />4. FIflEPJi�T TIONSYSTE'A <br />— s canar�rr- �� <br />� - <br />�6. DRAIN�GH� O <br />7. ENY�"iAEENiAL IMFACT STAIEMENT <br />� B. HEA �H 'THICi �' <br />b � <br />�� APPLI�IQ01ti4CG: BV C� PLANS CHECNED �Y <br />C -p � V.C. <br />��. � <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 />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUC�OON OR THE PE ORMANCf OF CONSTRUCTION. <br />�,..�...mrmr� mn[v�nOR �� iZLOAGLNI �� oNE / <br />X GYY �� C 4 Y^' _' __! v- ✓ i i <br />d CHANICA <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNI7S — N P EA <br />PEFRIGERATION UNITS — HP. EA <br />�ORERS — H P EA. . <br />GAS FlRED AC UNIiS —iONNAGE cA <br />FOFCED AIP SYSTEMS — E3 T U M EA <br />WALL ��EATEFS — 0 T.0 M <br />UNITH[AiEl15—BiU M <br />EVAPORATIVE COOLENS <br />CLOTHES DRYEHS —�j- <br />z VENTILATIO�I FAN <br />Z RANGLMOOD <br />AIR HANDLING UNIT — C.F M <br />STOVE <br />METAL Fl7EPLACE 6 CHIMNEV _ <br />SUBTOTAL s <br />80/7122 <br />FEES <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />TV <br />FGE <br />E90,000. <br />UBL. <br />SEC. 303 la1 <br />RECEIPi NO <br />319 I 00 <br />rcnm�i ..�.�.•• <br />g��1F�J ppG�'F�1LV VAUDl�i{U (IN THIS SPACE) THIS IS YOUR PERMIT <br />USb �iu J 9616 5267.00 - N1 � <br />l"� . <br />Y'? R P.ECEIPT ypUR RECEIP� : <br />APPR. FOR ISSUANCPI3Y. !, !`,� �../ Y O U - 7; ; H N K Y O U <br />