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dic Ll�crgrren - C(�-N ST R U C� 10 N � <br />CITY OF <br />�verett PERi�IT PERMIT N0. OH1H4 <br />CITY HAI� 259�tl74S <br />evenErt.wn sezoi ❑ COMBIN1TION �BUILDING ❑ MEGHANICAL PLUMBING <br />O'lNLR AINILPUUNl55 CIIY 212 PHONF <br />H& D Builders 3328 91st Street S. E. Everett 98204 337-6190 <br />/9.:I�n[?ORpCSIGNLf1 MAILAOURl55 CIiY 2�1� PIIONE <br />GLNERALCON1RnCiOR MRII AUDf1ES5 CIIY ZIF FNONE LICENSE I <br />Same <br />RIlC11nNICAI CONiRPCiOR MAII AO���E55 CIIY ZIP PHOVE UCENSE I <br />Pll1MBINGCONiRACTOP MPIL R�URE55 CitY Zi� P�ION[ LICENSE � <br />CI.A55OF WORN <br />❑NEW ❑AD�ITIJN ❑ALTERATION XXREPAIR ❑DEMOUTION ❑FENCE ❑SIUN ❑GARAG[ <br />VAWAiION OF WOPN <br />55����.0� � <br />OESCRIBE WORN <br />interior repair-add to permit #7992 _ <br />PPOPOSED USE Of BUIlDINO <br />Of f ice I HEREBY CEHTIFY THAT I HAVE READ A'JD EXAMIIJED THIS AP� <br />iecn�oeuamnor+oFPaorean�sNowa:.owor�arinc��vouaconi=.,� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />3 8 Beverly Yark ALL PROVISIONS �F LAWS AND ORDINANCES GOVERNING THIS <br />iat eia�_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />MIT DOES NOT <br />aoe nooeess <br />7612 Beverly Blvd. <br />PLUMBINO <br />N0. TYPE Of FIXTU�7E OR ITE�.: <br />WATER ClOSET (TOILET� <br />BAiHTUB <br />�AVATORY(WASM BASIN� _ <br />SHOWER <br />KITCHEN SINK 8 DISP. _ <br />SINY. (: <br />SIDE YA(iC <br />USE ZONE <br />TYPE OF C <br />SIZE OF BI <br />FIflE ZONE <br />� <br />e <br />LOi AREA <br />NO.OF <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLAllS <br />3. FIRE HYDRANT <br />a. FIRE PFOTECTION SYSTEM <br />5 GPADING <br />ti ORAINAGE <br />7. ENVIRONMENTAL IMPACi STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC GY PIANS CHECKED BY <br />R[�R <br />VACANT SITE <br />IiYES f.:NO <br />NO. OF DWEL <br />MA% <br />APPR. FOR ISSUANCE BY <br />HEREIN OR NOT. THE GRANTING OF A PER <br />PRESUME TO GI�/E AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIQN OR THE PERFORMANCE OF CONSTRUCTION. <br />s��unru��kocc �//n� cwe�or� y4��ou�r�,nyc/,r onie <br />X �'� ��sG'G:',._ li. ���� "- 8/29/80 _� <br />/f / <br />NO. TYPE 9F EOUIPMEN7 <br />AIR COND UNITS — N P. EA _ <br />REFRIGER�110N UNITS — N P EA <br />�OILERS — H P.EA. <br />GAS FIRED AC UNITS — TONNAGE EF. <br />FORCED AIR SYSiEMS — B TL M EA <br />Yl4LL HEATEfiS — B T.0 M <br />UNIT MEATEPS — O.T.U. M <br />EVAPORATIVE COOLERS . <br />CIOTHES DRVERS <br />`;�NTILAiION FAN _ <br />RANG[HOOD <br />AIR HANDLING UNI7 — C F M. <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />ouuoiNc <br />PLUMDING <br />lY <br />FEE <br />:EE <br />s <br />U.B C <br />FCC. 303 (a) <br />fEE <br />RCCEIPT NO <br />FEE <br />PROPERLY VALIDATED�pN THIS SPACE� THIS i5 YOUR PERMIi <br />20�OJ <br />m �1 <br />'� <br />7125 5020.00 -°`� <br />� <br />� <br />`'. � J < R�C,=1PT <br />� ,'� ; ; }; 1' i.; U <br />