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�. - <br /> `''eE''��YOF �'ONSTRUCTION <br /> everett PERMIT pERMIT N0. 1OS9� <br /> GTY 11ALL 259�8745 <br /> � EVEREiT.�VA 98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER AIAILFDDRE55 GITY ZIP PIIONE <br /> Behram S. Deboo 2934 Panaview Blvd. Everett 98203 <br /> ARCHILEGTORDESIGNER MAILAD�RESS CITY 21P PHONE <br /> GENE Al LONTRAGiOR MAIL AODR[55 diY ZIP 1'HONE UCENSE 1 . <br /> �Same <br /> I MEGHANICAL CONTFACiOR MAIL ADDRE55 CITY ZIP PHONE LICENSE� <br /> PWIdBMGLONiPAQOR MAILAOORE55 CITY 21P � PHOAE IICENSE♦ <br /> CLASSOF WOPK <br /> ❑NEW ❑ADDITION �LXA�7ERATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 3 BOO. 00 <br /> DESCRIBE WORK <br /> enclose car-port INTO GARAGE <br /> PROPOSEO USE OF BWLDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecnioescaiPnor+oFrAorenrrisNowae�owoxnnacNFouncoaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 83 Valley View ALL PROVISIONS OF LAWS AND ORDINANCES GOVEP.NING THIS <br /> ior e�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUfiE OF CA TqACTOR OP FUiNOR�.ED AGENT DATE <br /> �oo�o�q�s� Panaview Blvd. X a�d� �� 8/17/82 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> N'A'i ER CLOSET(TOILEq AIR COND.UNITS—H.P.EA. <br /> BAiHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVA109Y�WASN BASIN) OOILEFS—HP.EA. <br /> SHOW ER GAS FIRED A G UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSiEMS—B T.U. M EA. <br /> DISH'NASHER WA:L HEATERS—�T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—O.T.U. M <br /> CLOTHES WASHER hVAPORA7NECO0LER5 <br /> WATER HEATER CLOTHESDRYERS <br /> URIDlAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVL <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLAC_6 CHIMNEY <br /> SINK�SERVICE—BAR ETC.) <br /> SUB70TAL SUBTOTAL S <br /> PERMIT S PERM�T S <br /> 70TAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK R61R YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING s 8U0.00 14 50 <br /> SRE OF BLDG. NO.OF STORIES MA%.OCC.LOAD _ � <br /> PLUM�ING — <br /> I FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> C1YES L�NO _ <br /> APPHOVALS BY DATE OTHER <br /> t. ENVIRONMENTALCHECK LIST PENALTV U B.C. <br /> 2. BUILDING PIANS SEC.303(a) <br /> � 3. FIRE HYDRANT T�TA� 1�S S 0 _ <br /> 4. f'IHE PROTECTION SYS7EM PEHMIT VALIOATION I <br /> WHEN PROPERLY VALIDATED(IN 7HIS SPACE)TIHIS IS YOUR PE`RMIT <br /> 5. GRADING �3�O s O ' 4.5 9 --�r1� <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTALIMPACTSTA7EMENT � <br /> B. HEALTHDISTRICi YOUR RECEIP'i�' <br /> APPLICATION ACC.BY °IANS CHECNED BY APPP.FOR ISSUANCE BY T H f�N K Yf�.� , <br /> L.C. L.C.-D.B � • . ' � <br /> � <br /> � .: � $ At� BL <br /> ."�pnnpcc pll r . � � i � � . <br />