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the Ei,erxr(•rrr /1 <br />CITY OF • COfSTRUCTION <br />everett PERMIT CITY HALL PERMIT N0. 06637 <br />259-03 rab <br />EVERETT. WA 9R,Ic1 ❑ COMBINATION Fx� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />Delbert Peach 7427 <br />Beverly Blvd. <br />I ilaut <br />353-3681 <br />ARCHITECT OR ]L5IGNER <br />MAIL ADDRESS <br />CITT ZIP <br />PHONE <br />GENFlhye'Ve"telhu i lder s <br />�Gi <br />MECHANILAL CONTRACTOR <br />5606 Evergreen EWay <br />MAIL ADDRESS <br />CITY ZIP <br />98203 <br />CRY ZIP <br />PHONE LICENRC/ <br />353-7161 <br />PIIONE LICENSE/ <br />PLUMDINOCONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />EV ER EB 301PH <br />PHONE LICENSE/ <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION MEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUAT N OF WORK <br />$ 2'780.00 <br />DESCRI3E WORK <br />Jte-Place siding <br />vROi'CSED USE OF SLRLDING <br />• Single Pamily P.esidence <br />WIDESCRIPTIONOFPROPERTYISHOWBELOWORATTACHFOURCOPIESI <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />L <br />Ptn 4 Park City To Beverly Park <br />LOr RLOCK 3 OF Y <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />_ <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />— <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VIFIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUFT�ON OR THE PEfjFO E OF CONSTRUCTION. <br />SI, NA REEF (,OlI1M 70R 0 1 AGENT <br />KIB ADD — -- <br />`��27 <br />Beverly Blvd. <br />DATE <br />_ <br />" 4/79 <br />PLUMBING <br />MECHACICAL .. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — HP. EA <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED A . UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS -B.T.U. hl <br />CLOTHES WASHER_- <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />_ <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.r M <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF D3AINS - RAINLEADEHS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC) <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE <br />S <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LIYES ITNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONSt <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />$ 2780.00 <br />24 <br />00 <br />SIZE OF BIDG. <br />NO OF STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED MECHANICAL <br />❑YES UNO <br />APPROVALS <br />BY <br />DATE OTHER <br />1, ENVIRONMENTAL CHECKLIST <br />U B C. <br />PENALTY <br />2. BUILDING PLANS <br />SEC. 303 (a) <br />3. FIRE HYDRANT <br />TOTAL <br />S <br />— <br />24 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT <br />VALIDATION - <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />1795 s 011. 0 0 <br />5. GRADING <br />WHEN <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />YOUR RECEIPT p <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />THANK YOU <br />-5SEP.79. <br />