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IheE��ergrec�i C���,STRUCTION � � <br />CITY OF <br />everett P�ERMIT PERMIT N0. OH15Z <br />CITY HALL 259�B7A5 <br />ev�r�ert.wn sezo� ❑ COMBINATION �BUILDIN" ❑ MECHANICAL ❑ PLUMBING <br />O1vNER MAILMOHE55 GIIY ZiV PIIONE <br />Dfyron Bakko 5829 Beverly Lane Everett 98203 353-6124 <br />AR.;nrtFCt OR OCSiGNCP MAII ADORE55 CRv Z6' 4'��ONE <br />GENERAICONiRAGiOR MAILNO�RES$ Lli" jIP RIONE II�EN5E1 <br />Same <br />MECIIANICA� �ONiRPCiOR MAII PD�PE55 ; IiY ZIP ^HONE LICENSE I <br />PLUMBING CONLRALTOR MAIL ADORC55 CITY ZIP PNONE UCENSE / <br />LLA55OF WOPN <br />LJNEW f(�[+DDIiION L�ALTE�7ATIOH ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAhAGE <br />VlLUAiION OF WORN <br />f 6500.00 <br />oEscame wuaK <br />Add 25'x18' addition <br />rnoaosEo usE oF ounoinc <br />single familv reaidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAP- <br />ior o�pc�oF _ <br />Nort � of North � of Track 34 <br />JO� ADLRESS <br />5829 Bever <br />PLU�781N0 <br />Lane <br />NO. TYPE OF FI%TURE OR ITEM FEE <br />1YATER CLOSET (TOtLET� <br />BA�HTUB _ <br />Ll.VATORV IWASH BASIN� <br />SHOWER <br />KITCNEN SINK 8 DISP <br />OISHWASHER <br />LALINDRY TFAY <br />CLOTHES WASHEfi <br />WATER HEATER <br />URINAL <br />OFINKING FOUNTAIN <br />FLOOR ORAIN <br />SINK <br />SID[ YAPD SEi�ACh <br />usE zoNE <br />V—N <br />18X25 <br />1�7E ZONE <br />3 <br />r <br />� <br />ETC <br />SiRE[T SETE3ACN <br />�or nwen <br />OCCUPANC� GROUP <br />R-3 <br />NO. O� STOflIES <br />1 <br />�ASEMENT <br />1 ENVIRONMENTAL CHECK LIST <br />2. OUILDING PLANS <br />3 FIP[ HYDRANT <br />4. FIP[ PROTECTION SYSTEM <br />5 Gi7ACING <br />G DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEAIENT <br />!3 HEALiH DISTRIGT <br />APPLICATION ACC BV PLANS CHECKED OY <br />v.c. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TF;iS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN ' iR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUMt TG GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CUNSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. <br />SiGNAiURE JF COIIiRAC1UR Oli AUt110RlZf� A(�Glip pniE <br />NO. TYPE OF �ZDUIPMENT <br />AIR COND UNITS — H Y EA <br />REFiiIGEPATION UNITS -- H P EA <br />�OREf±S — NP. EA. <br />GAS FIRED P C UNITS — TONNAGE E. <br />FOHCGD AIR SYSTEMS — � T U. <br />1VALL HEATERS — U T U <br />11NlT HEATERS — � T U. <br />EVAf'ORA7IVE COOlERS <br />CLOTIIES DRYERS <br />VENiILATION FAN <br />RANGEHOOD <br />Flfi HANDLING UNIT — <br />STOVL <br />MFTAL FlREPLACE 8 CHIMNEY <br />80/8152 <br />vncnNr sirE <br />��. �vES X�NO FEF <br />R <br />N0. OF DWELLING UNITS <br />1 E3UILDING <br />rnax occ iono <br />PLUM�ING <br />FIRE SPRINKLERS <br />REOl11PED M[CHANICAL <br />APPR FOl7 ISSUANCE l3Y <br />PENALTV <br />TOTAL <br />M <br />M <br />CFM <br />F!E <br />PLAN CHECK FEE <br />�« 20. 00 I �EceiP1 r+o <br />SG500.00 <br />UUC <br />SEC 30Y WI <br />T VALIDATION <br />PROP[RLY VALIDATED (IN TNIS SPACEI THIS IS YOUR PERMI7 <br />b1s3 �040.00 ---� <br />� <br />� <br />�� i �; r�:��:I=1F-i o <br />; :,;'`!K 1'' U <br />% j ' -'� G U <br />�CP."�i ( ;LI! <br />�,� <br />