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lheC•��ergreen � CINSTRUCTION <br /> CITY OF <br /> everett PERMIT PERMIT N0. 09551 <br /> CITV HALL 259�87J5 <br /> EVERETf,Wq gB207 ❑ COMBINATION CxJ�BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OV/NER MAIL ADOR[5$ <br /> CIiV ZIP VHONE <br /> �• M. Platt 925 Pecks Drive Everett <br /> ARCHITECiORDESIGNER 96203 355-6610 <br /> MAIL qD�BE55 CIiY <br /> Z�P PNONE <br /> GS dIDe ONiRACTOR MAIL AUDqESS Z P <br /> cin <br /> PHONE UCENSEr <br /> MECNqNICA�CONiRACiON MAIL AppPESS <br /> CIiV jIp PHONE IICENSE/ <br /> PLUMBING CONiRACTOP MAIL AD�RESS ��n. <br /> Z�P PHONE �ICENSE 1 <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION 7QJ�pEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUAT10N OF\YORK <br /> 3 6��.�� <br /> OESCNIBE WORK <br /> repair termite damage in wall-replace windows <br /> PROPOSED USE OF BWIDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S AP- <br /> LEGRLOESCRIPf10NOFPRpPEN1Y�5HOW BELOWORATfACNFqUFCAPIES� PLICATION AND KNOW THE SAME TO BE TRGE ANf` ^ORR�CT. <br /> 7F3C7770XX$,$X � Beverly Hills Div. 4 ALLPROVISIONSOFLAWSANDORDINANCESGOV. .iVG �yIS <br /> ior BLOLI�_OF TYPE OF WORK WILL BE COMPLIED WITH WHET�iEG �pECIFIED <br /> W 70 ' of Lot 20, Block 7 Less 5 ' thereof HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> J09 ADDPE55 SIGNATUPE OF ONTRAC}pq OB AU7 OFIZED AGENT DATE <br /> 925 Pecks Drive X <br /> 7/27/81 <br /> PLUMBINO MECHANICAL <br /> N�• TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> WATER CLOStT(TOILEq FEE <br /> AIR CAND.UNITS—H.P.EA, <br /> BATHTUB REFRIGERATION UNITS—H.P. Eq <br /> LAVATORY(WASH BASIN) <br /> SHOWER BOIlERS—HP.EA. <br /> G/+S FIRED A.C.UNITS—TONNAGE EA. <br /> NITCHEN SINK 8 DISP. FOFCED AIR SYSTCMS—6.T.U. M EA. <br /> DISHwASMER WALL HEATERS—BS.U. M <br /> IAUNDflV TRAY UNIT HEATERS—B.T.U. <br /> CLOTHES WASHER — h� <br /> �HPoMTNE COOLERS <br /> WATER HEATER LLOTHES DRVERS <br /> URINAL VENTIUITION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROpF ORAINS—RAINLEADERS MEfAL FIREPLACE S CHIAINEY <br /> SINK�SERVICE—BAR.ETC.1 <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PERMIT s <br /> 70TALFEE f TOTALFEE s <br /> SIDE YARD SETBACK SiREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER ' <br /> PIAPI CHECK FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> LIYES ❑NO FEES VAl,UATION FEE <br /> TYPE OF CpNST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> SIZEOf BLDG. NO.OFSTORIES Mqx pC� ��Ap BUILDING $ 600, 00 <br /> 11 50 <br /> PLUMBING — <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY OATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> PENALTY U 8 C. <br /> 2. BUILDING PLANS SEC.3031s1 <br /> 3. FIREHYDRANT TOTAL 11 SO <br /> d. FIRE PROTECTION SYSTEM PERMIT VAIIDATION <br /> 5. GRADING WHEN PROPERIV VALIDATED pN TNIS SPACE)THIS IS YOUR PERMIT <br /> 6. �RAINAGE r . - r . ' I I . � f1 `_ � <br /> 7. ENVIRONMEN7ALIMPACTSTA7EMENT � <br /> B. HEALiH DISTRICT ;� <br /> � � O <br /> A�oUCA"ION ACC R1' �V��:S f��r�vr�n�- APPR (pp�SSUAtI�� P,Y <br />