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� <br />r <br />``'�E'<;T;`��F r�iVSTRUCTION <br />�V����� PERMlT pERMIT N0. 10439 <br />GITv HALL 255-67a5 <br />e`•�er�erT v�a eezo� ❑ COMBINATION Lg�BUILDING ❑ MECHANICAL ❑ pLUMBING <br />_:.,dn un��auoWess crtr zin v�,or.t � <br />Dave Kubin 7312 Lowell Larimer Road 353-8085 <br />:.�.c�+�recronc�s°ar;�n uni�sooraess ci,r zia aHoti=_ <br />GiNtNaLt,U4liinClOR IAFILN�ORE55 CRY 2iP PH01lE UCEtlS! � <br />Damage Repair Service Box 2045 Everett 98203 337-4222 <br />L'IGHPNICALG0�ITRACIOR A:AllA00(�E55 CIiY ZIP PNOtIE ln,C�;SE� <br />DA MA GI 238D3 <br />�I UAIBING CONTPACiOR MAIL AOpRE55 [IiY ZIP PH011E LIC[s5� r <br />CG55 OF <br />❑NEW ❑AD�ITION ❑ALTERATION }�REPAIR ❑DEMOLITIOIJ ❑FENCE ❑$IGN ❑GARAGE <br />_ 20�000.00 <br />DESCPoBE V:ORK <br />Repair fire damage <br />�'ROPOS[p USEOF BWLDiNG <br />Single Family Residence <br />�ec�� ocscnirrior� uF aaoaearv isr+ovi ue�o�v oa nrrnc�i FouR coaie57 <br />$�,n. 40o�a,�_oF Beverly Acres <br />E;. 8 28 5 <br />O[iADDRE55 <br />7312 Lowell Larimer Road <br />PLUMBING <br />N0. -� ' E OF FIXTURE OR ITEM <br />WATER CLOSET ITOI�ET� <br />BATHTUI3 <br />LAVATOFY (WASH �ASIN� <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES VJASHER <br />WATER H61TER <br />URINAL <br />DRINKING FOUNTAIN <br />SINK ISERVICE — <br />SIDE VARD SETBACK I STREET ScTBACK <br />US[ ZONE <br />f iRE ZONE <br />LOT AREA <br />OCCUPANCV GROUP <br />L CNVIRONMENTALCHECKLIST <br />^ BWLDINGPLANS <br />3 FIRE HYDRANT <br />t FIRE PROTEC710N SYSTEM <br />5 GRAOING <br />6. DRAINAGE <br />Z ENVIRONME�ITAL IMPACi STATEMENT _ <br />o �+en�tH oisrr�icr <br />APPLIGATION ACC OY PlANS CHECKED BV <br />REAR YARD SET�ACK <br />I!YLS ❑NO <br />NO. OF DWEIIING <br />MA%.00C.LOAD <br />APPii I'OR ISSUANCE OY <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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLiED WITH WHETHER SPECIFIED <br />IIEREIN OR NO`I. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISION� OF ANY OTHER STATE ON LOCAL LAW REGULATING <br />CONSTRUCTIGN OR THE PERFORMANCF. OF CONSTRUCTION. <br />98�lFiURE OF COtJiRAC10R OP FU�HORiZ[D G�Nt DAtE <br />X �_� �i��'�. cl... _ _ �- 9/14/82 <br />MECHANICAL �� � <br />TYPE OF EQU�PMENT <br />AIR CGND UNITS — H.P. EA. <br />flEFRIGERATION UNITS — HP. EA <br />BOILERS — HP. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />NlFLL HEATERS — B T.U. M <br />11NIT NFATFRS — R T II In <br />DPYERS <br />ON FAN <br />STOVE <br />IdETAL <br />C.F.M <br />SUB TOTAL <br />PLAN <br />FEE <br />VALUATION <br />b 20.000. <br />RECEIPT N0. <br />140150 <br />PENALTY U.BC. <br />SEC.303�a) <br />TOTAL j c} Q S� <br />PEflMIT VALIDATION <br />WHEN PROP[RLY VA�IDATN (IN THIS SPACE) THIS IS YOUR PEWdIT <br />i2o6 EIq0.50—= � _� <br />� <br />�''-UR RECEIPT � <br />�.t-�n.r.E�: ��ou <br />;1DDR�S� FILE <br />'� �i r:HJ� � 2 <br />