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(heEveCrgme�F �C'�STRUCTION .���� <br />�V�1'�?� �PERMIT pERMIT NO. O?HO4 <br />CI7Y HALL 2!i9�B745 <br />EVERETT, iYA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAiLADDPE55 CIfV 21P PNONE <br />ieonard Rachel 1425 Madison F erett 98203 353-3702 <br />ARCHITEC'JRDESt,NER MAILADDRE55 CIiY ZIP PNONE <br />GEN[RALGONTRACiOR MAILA�DRE55 CITV 21P PNONE LIGENSE� <br />Same <br />MECMI.NICALGONTftAGtOP MAILADDRE55 GTY ZIP PMONE LICENS[• <br />PWMDINGCONTRACTOR MAIL/DDRE55 CITY ZiP PMONE LICENSEb <br />�NVu V' ••V�•�' ❑NEW �.�.DDITION ❑ALTERATION ❑flEPAIR <br />VALUATION OF WORK <br />g 25�0.�0 <br />OESCRIb[ WORK <br />Add 11'xl2' Addition to Existing Residence <br />PROPOSED USG OF � W LO W G <br />single family residence <br />LEGAI 0E5CFIPiION OF PROPERiY ISMOW BEIOW OP NTTACH FOUR C�PIES) <br />ior 11-12 oLaK 3 oF Beverly PaYk <br />�o nooaess <br />1425 Madison <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />KiTCHEN SI:JK 8 DISP, <br />DISHWASHER <br />LAUNDRY TRAV <br />CLOTHES WASHER <br />WATER HEATER <br />UflINAL <br />ORINKING FOUNTAIN <br />FLOOF �FAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — �AR, ETG) <br />SIIB TOTAL <br />SIDE Y�RD <br />5' <br />TYPE OF CONST. <br />V—N <br />SIZE OF BLDG. <br />11'12' add <br />FIRE ZONE <br />3 <br />STREETSET�ACK <br />20' <br />LOT AREA <br />OCCUPANCY GRO <br />R-3 <br />NO. OF STORI[S <br />1 <br />BASEMLNT <br />none <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING FLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALiH DISTRICT <br />APPLICATION ACC. BY PLANS CNECKED BY <br />�.�. <br />REAR YhRD 5 <br />io� <br />VACANT SITE <br />❑YES [}{�D <br />NO.OF DWEL <br />1 <br />Mnx oca �c <br />riae sar�in,Ki <br />R[OUIRED <br />l ]YES XiL40 <br />BT <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />APPR.FORISSUANCEBY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PPOVISIONS OF LAWS AND OR�INANCES GOVFRNING TFIIS <br />TYPE OF WORK WILL BE COMPLIED WITH WF'cTHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAV.' REGULATING <br />CONSTRIiCTI R Ti-IE.PERFORMANCE OF CONSTRUCTION. <br />� p+��T F.OFC NTR?�CT A IORIZEDACEM DATE <br />„�(/./i ,/�'�/�ii 6/24/80 <br />NO. <br />AIR COND. UNITS — H.R EA. <br />REFRIGERATION UNIiS— H.P. EA <br />6GILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAC <br />FORCED AIR SYSTE�dS — B.T.U. <br />WALL HEATERS — B.T.U. <br />IINIT HEATCflS — B.T.U. <br />M <br />M <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLItlG UNIT — C.F <br />STOVE <br />METAL FIREPLACE & CHIMNEV <br />SUB 70TAL <br />CHECK NUMtlk <br />80/7804 <br />OUILDING <br />PLUMBING <br />PENALTV <br />TOTAL <br />FEE 12.00 <br />5 2500.00 <br />u.o.c. <br />SEC.303 <br />F[E <br />RECEIPT NO. <br />49122 <br />24 �00 <br />24 I 00 <br />WHEN PflOPERLY VALIDAtED (IN THIS SPACF) THIS IS YOUR PERMIT <br />3930 5024.00 -=� <br />� <br />� <br />� 1'�UR RECEIPT� <br />� f�AnK You <br />ADDRESS FILE . ? 5 � gp <br />