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"'�E,."���Gn �� _ ;ONSTRUCTIO�p �- <br />everett PERMIT PERMITNO. 1Z454 <br />CITY HALL 259B7d5 <br />EVEHETT.WA98201 � COMBINATION � BUILDING � MECHANICAL C7� PLUMBING <br />OWNER M41L RODPE55 GITY 21P VMONE <br />William N. Johnson 8114 Beverly Lane Everett 98203 '+�5-40�6 <br />ARCHITECT OR OESIGNER MAIL AODRESS CRY 2iP VNONE <br />A <br />OENERAL CONTR�GTOR M�II AO�FE58 dTY 21P PMONE UCENSE I <br />Same <br />MECHANICAL CONTP�CTON MAIL h'JORESS LIiY ZIP PNONE LILENSE � <br />PLUMBIN6 CONTR�CTOR M�II. AD�9ESS CITY 21P PMONE UCENSE ��'i I <br />O NEW SIADOI710N ❑ ALTERATION O REPAIR ❑ DEMOLITION IJ FENCE ❑ SIGN ❑ WOOD STOVE/Flf'EPLACE INSERT <br />S 10,000.00 <br />16'x18' addition to existing residence <br />IYVSLV VJL Vf YV�lYinu <br />ainqle family residence <br />�oT 1� e�ocK_oF_ Tract 10 <br />JOB AGDflE55 <br />8114 Beverly Lane <br />PLUMBINO <br />OF FIXTURE OR <br />1 WATERCLOSET�TOILET) <br />BATHTUB <br />1 LAVATORY�WASMBASIN) <br />1 SHOWER <br />NITCHEN SINK 8 DISP. <br />DISMWASMER <br />LAUN�RYTRAY <br />CLOTHESWASMER <br />WATER MEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.1 <br />SUB TOTRI i <br />TOTAL FEE <br />fBACK STREET SETBA� <br />(' 20' <br />LOT AREA <br />R-1 <br />V-N <br />SIZE OF BLDG. NO. OI <br />88 S Ft <br />FIRE ZONE BASEA <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2.BUILDINGPLANS N <br />9.FIREHYDRANT r <br />4. FIRE PPOTECTION SYSTE <br />S.GRAD— ING z <br />.DRAINAGE -� <br />�NVIHONMENTy IMPAC A1 <br />�:HEALTHD�STRICT p <br />�A►PLICATION AbiT. BY L.idf.A <br />;�� • <br />o:. �-� o <br />�.-: E.B.. , o <br />- _-� <br />� <br />A-3 <br />FIWM <br />COPIES� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORHECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF LONT iOR°� AUiMORILEO RG:Ni DATE <br />X /�J � �,e.L'a.�?�R� ) 10/3/83 <br />FEE N0. "1'YPE OF EOUIPMENT FEt <br />2 OO A�R COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />2 00 BOILERS - H.P. EA. <br />2 00 GAS FIRED A.C. UNI IS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL MEATERS — B.T.U. M <br />_�__ UNIT MEATEFiS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HE5 DRYERS <br />1 VENTILATION FAN � <br />RANGEHOOD <br />Alfl HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIRE?LACE 6 CHIMNEV <br />FIREPLAGEINSERT <br />HEAT PUMP <br />s� 6 <br />EAR VAF� SETBAi <br />ACANTSI7E o1 <br />VES X}�IO <br />'�O. OF DWELLING <br />1 <br />inx.occ.�ono <br />IRE SPRINNLERS <br />EOUIREQ_ <br />VES xx,o <br />ev� oare <br />BY IAFPR. <br />SUB70TAl f <br />PENMIT S <br />TOTAL FEE _ <br />83�12454 IFEESZ�j3 I RECEIPTNO. <br />5a716 <br />FEES VAUTATION FEE <br />BUILDING 510,000. 80 50 ' <br />PLUMBING G OO <br />MECHANICAL 3 OO <br />OTMER <br />PENALTV U.B.C. <br />SEC. 30J la) <br />TOTAL B) SO <br />PEHMIT VALIDATION <br />�F�ry,PROPOEi�LY VALIDATED (IN 7HMS $P,A�E) THI�I�Y(�1�1.P�EFj}11T -� <br />uU6 U 3 L44 tSU 7U <br />>SUANCE• 9Y ' I ti R'_ C � I f'r <br />Lc ' t"' U <br />-3�:;� h� <br />ADUR[SS HLE � <br />. �::��z !:[C[:IPT � � <br />fFi��h:K YOU <br />-3uer 3� <br />