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� ��, <br /> ,1�,• (.,�.r�r��.r, CC' VSTRUCTION <br /> ��rY oF <br /> ev�rett PERMIT pERM,r �o: oa5z1 <br /> CIiV N4Ll 2`_9 N745 <br /> �ve:nerr wn saf�:u+ U COMBINATION � BUILDIN(3 ❑ MECHANICAL ❑ PLUMBINQ <br /> iryYryl 9 MAII PIIf]IIISS t IlY LII' 1`IIONF <br /> Wm. Nelson 7722 East Casino Road 98203 <br /> nurunmr oa urs�ca+in � ��i��onntss citr zm Pr�oN[ <br /> cl ht RAL cou*MctOn � MA:I MUnEss cRr br R�oxE IICENSE r <br /> D�mage Repair Servlce Box 2045 Everett 98203 <br /> A4f unN�CA�(;ONiP4CIJN IAAq AODRF55 Clh 21P P110NE IIf.ENSE 1 <br /> fYlIAl11iNGCONiR�C10P MdIL�ODRt55 ❑h 21P PNONF IICEN5E1 <br /> C1A550f WOqN <br /> ❑N.W ❑AUDI110N ❑ALEIATION OOMGPAIR L]DEMOLITION ❑FENCC ❑SIGN ❑GARAGE <br /> V�Iu�VONOf WORN �_�--_ <br /> �500.00 <br /> uiscniee wonK <br /> Repair vehicle damage to one wall <br /> punPOSCG USF Of BWIDiNG <br /> I HEREBY CGRTIFY THAT I HAVE READ AND EXAMINED THIS AR <br /> it,.i o[scnirnoHorvnnn[nirisr�ca�niiowon�iuoirouurur�rts� PLICl1ilON AND KNOW THE SAMC TO �E TRUF AND CORRECT. <br /> B 3 Bever ly Home Tra ALL PROVISIONS OF LAWS AND ORDINANCES GOVtRNI�JG THIS <br /> �o� nioc�_or _ TYPE OF WORK WILL BE COMPUED WITH WHETHER SPEGFIED <br /> Div. I HEPEIN OR NOT. iHE GRANTING OF A PERMIT DOES NO? <br /> PRESUME TO GIVE AUTHORITV TO b'ICIATE OR CANCEL THE PRO� <br /> —� VISIONS Of- ANY OTHER S1ATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIGN OR THE PERFORMANCE OF CONSTRUCTION. <br /> si,qntuni o� rnrvmenun oa qNn�Oaq!D Ar1 rrt perE <br /> JaPADORE55 �' / q <br /> 7722 Eaet Caeino Road X ��1.�C � �� ,'l � 11/3/80 <br /> PLUMBIN6 MECHANICAG� � � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WRiER CLOSET O�ILEi� MH COND UNIiS --Il P f.� <br /> yqiH7lIB f1EfRIGERAiION UNI75--11 P F4 _ <br /> LAVATORY(WASM BASIN� BORERS—H P 6A <br /> SHOWER GAS GIRFU AC UN115--TONNACiE EA <br /> NITCNEN SINK 8 DISP �ORCED AIR SVSIEMS—8 T U M EA <br /> UISHWASNER WALL HFA7CR5— B T U M <br /> LAUNDRYTRAV UNI1111niFRS--BTU M <br /> CLOTHES WASNER CVA�OHA7IVF COpIERS <br /> WA1ER HEATER CLOLIES D�PIRS <br /> URINAI VCNiILA710N f AN <br /> DRI�NING FOUNTAIN ��NGE 110UD <br /> FLIX)!i DRAIN �����ANUI ING UNIi — C P M <br /> VACUUM BREAK[P$ ST��� <br /> R�X;F OFlAINS—RAIMLEADERS METAL fIREPLACE 8 CHIMNEV <br /> tiINF �SE9VIC[ -� B4R.E7C� <br /> SUBTOTAL SUBTUTAL f <br /> PENMIT f PERMIi S <br /> TOTAL FEE f TOiAL FEE t <br /> SIPE VARO SETOACK SINE[T 51 i[IACK PEAR YARD SETBACK PIAN CHFCN NUMB6F PLAN CH[Ck FF t <br /> f6 RECEIPi NO <br /> USC ZONE LOi ARCA VACANT SITE <br /> I!YES ! �NO FEEB VALUATION FEE <br /> TVPE OF CANST OCCUPANCY GNOUP NO OF DWELLING UNITS <br /> BUILDING f 1SOO.00 ZS OO <br /> SIZE OF BLDG NO OF STORIES AIA% OCC IOAD _ <br /> PLUMBIN6 <br /> FIRE IONE BASEM[NT FlRE SPRINKLEPS — <br /> REOUIRED MCCIIANICAL <br /> I!yF5 I ��NO ____ <br /> �PPROYALB BY DATE OTHER <br /> 1 INVIRONMENTALGHECKLIST PEhAL'Y UBC <br /> Y BUILORlGPUNS _ SEC ;703�e) <br /> 9 FIRE MYDRANT TOTAL 2 S OO <br /> 4 fIRE PHOTECTION SYSTEM Pl�iMli VALIOATION <br /> — - WHEN PROPLRLY VALiOATCD�IN TMIS SPACE�THIS IS YOUH VERMII <br /> 5 G9ADING ^ ^ '1 5 <br /> 6 URAINAG6 O �f ( O � V � !, O O �� � <br /> / ENVIRONMEHfAIIMPACfSTATEMENT L,C) <br /> e MEALTH OISTRICT � i� 1�� C�_1 PT 0 <br /> APPIICATION ACC BY PLANS CHECKED BY A�PR FOR ISSUANCE 9Y <br /> � � ��� ��( � U <br />