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„"” `,`.,A"�° C^NSTRU�TION <br />C�1Y n� <br />everett PERMIT pERMIT N0. OSH%2 <br />CRV H4�L 25&B7A5 <br />evEnert. wn sezoi ❑ COMBINATION j� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />Ov:N6❑ IdqLLnUbPh55 Cl�v Z6' CnONE <br />Harold F. Ibsen 7102 Beverly Blvd. 98203 353-1280 <br />nucwticloRlRSicN[B �ar.ilnou��[sti cnr .ir r��oNE <br />°ENE�`A`�"'�`l'uminum 2010 Madii�onu"`s' Ever`e�tt 98���13 ��}�°NFMA L`�`�'�i`�H <br />AIFCIIANILAI GONiqACiOR MAIL /.pURE55 GiY TIP PIIONE UGENSE 1 <br />PLUI.IB�NG CONiRALtOR <br />Cliv <br />CLASSOFWONK � — <br />%(�.(JEW C�ADDITION ❑ALTEf±AIION OPEPAIR uDEMOL1ilON �FENCE C�SIGN ❑GARAGE <br />VAWAiION OF WOPR <br />S 4����.Q� <br />DESCRIHE WORN <br />construct 20'x26' Carport <br />aaoaoseo u;e ov ow�owe — <br />sir�qle family residence <br />IEGAI O[$CHIp11pN O� CROPERtY ISHOW HELOIV OR ATTACII fOUI{ ( <br />io� oiocK.�i_or �everlv Nills <br />JOU nD�t1E$5 <br />7102 Beverly Blvd. <br />PLUMBINO <br />NO. TYPE OF FIXTURE <br />LAVATORV (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTMES WASHER <br />WATER NEATER <br />URINAL <br />DRINKING FOUhTAIN <br />FLOOR DPAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />$INK (SEPVICE — BAR. ETC � <br />SUB TO7Al <br />PEqMIT <br />TOTAL FEE <br />ID SETBACN STqEET SETBACK <br />ZONE <br />20'x26 <br />LOT AREA <br />OCCUPANC�'iROUP <br />1 <br />NO. OF STORtES <br />1 <br />APPROVALS <br />1. ENVIRONM[NTAI CHECK LIST <br />2. BUIl01NG PNNS <br />3. FIRE HVDRANT <br />4. FlFE PROTECTION SYSTEM <br />5 GRADMG <br />G DRAIIJAGE <br />7. LNVIRONMENTALIMPACT STATEM@NT <br />B. HEALiM DISTRICT <br />APPLICATION ACC BV PLANS CHECHED BY <br />V,C. <br />REAR VARD SETBACM. <br />varqNt SpF <br />;il?5 i±Nb <br />NO OF DWELIWG UNITS <br />MA% OCC LOAU <br />APPP FOR ISSUANCE �Y <br />N�ONE UCCNSE � <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 FROVISIONS OF LA1NS AND ORDINANCES GOVER�ING THIS <br />TYPE OF WORK WILL BE CO�API.IED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GNE AUTHORIT� TO VIOLATE OR CANCEL THE PRO- <br />VI�OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />NSTR CTION OR THE PERFORMANCL OF CONSTRUCTION. <br />SiGNntO� O�COtUHACiOPOf1�J��ORR AG[li UAiE <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H P. EA <br />REFNIGEHATION UNITS — N P.EA <br />Bl"ILERS—HP EA <br />GAS FIPEU A C UNITS — TONNAGE EA <br />�-ORCED AIR SYSTEM1'S — B T U M <br />WALL HEAIERS — BS U M <br />UNIT HEATERS — fi T U. M <br />P'APOPATNECOOlERS <br />CIOTHES DRYERS <br />VENTILAiION FAN <br />RANGEHOOD <br />AIR HANDLING UNIi — C <br />STOVE <br />MEL1L FIREPLACE 8 CHIMNEY <br />81/0872 <br />�UILDING <br />FEE <br />ree 28.93 � ��'�1P��� <br />g 4,000. � 49� 50 <br />PENALTY UBC <br />SEC 307�a� <br />TOTAL 44 50 <br />PERMIT VALIDATION <br />WNEN PROPERLY VAl IDATED pN TMISiSPACEI THIS IS YOUR PERMIT <br />- . . % C , �� �.. � � —� ( V <br />N <br />� <br />�i I O <br />.� <br />ADDRESS FILE <br />