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the£rrrxreer� �^�NSTRUCTION � <br />CIiY Of <br />everett PERMIT PERMIT N0. OH14� <br />CITY HALL'255-07a5 <br />�ver�eTr. v,�n ��zoi ❑ COMBINATION [�HUILDIN" ❑ MECHANICAL ❑ PLUMBING <br />OV/1!U! AIAII ALUNl55 CI�Y ZII' fllplll <br />Leann Jacobson 7107 Beverly Blvd. <br />ancnnmi oa o�sim�u: inai noon�ss — cnv zm w�or+c <br />GFN! RAl CONIRAGIOR MAII ADDRE55 qfV ]I[' Pa0f1E �ILEIISF r <br />Blakely Camp Homes BL AK EO H2O2PC <br />MLCIIMUCAL CONiPACiON MPII ApDPE55 CIiY ZIP PHONI UCCNSk � <br />PlU6��iNGCONiHAC10R MAqAODP[55 Glv ZI? PMON[ ti('GNSE� <br />ClASS OP Y/ORK <br />❑NEW jdxDDIT10N ❑ALTERATION ❑PEPAIR L�DEMOLITION L.IFENCE L�SIGN LIGARAGE <br />VnLUAiION OF WORK <br />f 5,500. <br />^lSCpIOL WORN <br />Addition to existing residence <br />�noaoseo use oF Aunowc <br />single family residence <br />i tcn� o[sc�arrioN or vnor�intv is�ow er�oc� on anaa� i oun cowrs <br />�Ili f3�IX.k_�� _ <br />NE� OF NE�a o 7 28 5 EWM <br />7107 Beverly Blvd. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />LAVATOPY <br />DISP <br />CLOTMES YlA51 4A <br />ORINKING FOUNTAIN <br />(LOO�i ORAR! <br />VACUUlA EiRFA1(F.RS <br />ROOF' DPAINS — RAt <br />SIIJK 6FPVICF — Nq� <br />FEE <br />SIGG YARD SETBACH SiH[ET SE7H�CK REAR 1:4RD $ETDACK <br />6' 20' 20' <br />USE ZONE LOT AREn VACANT SRE <br />R-1 15189 S. F. �ES �X� <br />TYPE OF CONST. OCCUPANCY GROUP NO OF DWELLING U� <br />V—N R-3 1 <br />512E OF BIDG NO OF STORIES MAX OCC. �OA� <br />1 <br />FIRE ZONE <br />1 ENVIRONMENiAL CMECN LIST <br />2. 9UILDING PU1N5 <br />3.IlRE HYDRANT <br />4. f IRE PROiECT10N SYSTEM <br />5 GFADING <br />6. DRAiNAGE <br />7. ENVIRONMENIAL IMPACT STATEIAENT <br />0. HEALTH OISTRICT <br />APPLICAI'ION ACC. BV PlANS CH[CKED BV <br />V.C, <br />BY DATE _ <br />APPfi FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EW+MINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILI BE COMPLIED WITH WHETHFR SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESIiME T GNE AUTHORITY TO VIOLATE OR CANCEL THE PFO� <br />ViSIONS O ANY OTHER STATE OR LO AL �}W REGULATWG <br />CONST C ION OR TFIE PEjiFO ' R{v OF ClDNSTRUCTION. <br />.,�cu.w t .� nncror+o�inu �r �¢e.r vf � unu.� <br />i <br />X �� ` �. <br />MECHANICAI <br />NO. TYPE OF E�UIPMENT FEE <br />HE�-RIGCRATION UNIiS —LH P EA <br />ooi�rr�s — r+r En <br />GAS FIRED AC UNI�S ��- TONNAGE EA. <br />FORCED AiR SyST[MS — 9 i.0 M EA <br />WALL HE.'.T(RS -- 8 TL. M <br />UNIi NEATERS — �T.U. M <br />EVAPORAiIV[ COOIERS <br />RANGE��OOG <br />AIR HANDLING UP <br />.STOVE <br />METAL �IH[PLACE <br />8149 <br />�UILDING <br />PLUMOING <br />MECHANICAL <br />PENALTY <br />PERMIT <br />TOTALFEF. <br />PLFI <br />FEE36.73 <br />b5500.00 <br />U.�L <br />SEC.30J�a) <br />R[CGIPi NO <br />56 50 <br />� 0� <br />[T�7F'�i <br />WHEN PROPERLV VALIDATED IM THIS SPACE) TNIS IS YOUR PEIiMIT <br />�,�,�,,_ ; �.��o �050.50-- � � <br />�- , <br />c"i � <br />I PT ', ',' i' P.` :. � I � T p <br />. , �,1 � . ,..�;. !� J <br />ADDff[�S F LF I <br />