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'"�`°��Yeo° �' C�INSTRUCTION - �'�. <br /> everett PERMIT pERMIT NO. 09551 <br /> CIN NALL 259�8745 <br /> ev�aerr.wn sozoi ❑ COMBINATION Q�BUILDING ❑ MECHANICAL ❑ PLU�!BING <br /> O1YN[R AIqILA0DPf55 CIiY 21P PNONE <br /> G, M. Platt 925 Pecks Drive Everett 98203 355-6610 <br /> RPClIITECi OfV DESIGNER AIAII ADDRESS GTv ZIP PMON[ <br /> GENE�PL CONTRACTOR MAILAO�RESS QTY 21P PMONE UCENSEI <br /> Same <br /> �IECMRIIILAL LONiRACTOfi MAIL AO�RESS GITY 21P PMONE LICENSE I <br /> PWMBINGCONTRACTOR MAILAODRE55 CITY ZIP PNONE IICENSE� <br /> G1A55 OF YlORK <br /> ONEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF 1YORN <br /> f 600. 00 <br /> DESCPIBE WORK <br /> repair termite damage in wall-replace windows <br /> PROPOSEO USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> lEGr1L0E5CR�PTIONOFPHOPERiY�SNOW BELOWONATfACMFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 7FXA707lRXJ6X � Beverly Hills Div. 4 ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> ior e�ocrc_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 CANCELTHE PFO• <br /> VISIONS OF ANl' OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB R�DRESS SIGNATURE OF ONTRACtO� A AVi ORIZEO FGENi DATE <br /> 925 Pecks Drive X 7/27/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND.UNI7S—HP.EA. <br /> BATHTUB F7EFRIGERATION UNITS—H.P.EA <br /> LAVATOflY(VJASH BASIN� BOILERS—HP.EA. <br /> SHOWER GASFIREDAC UNITS—TONNAGEEA. <br /> KITCHEN SINK 8 DISR FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER �4'NLL HEATERS—B TL. M <br /> LAUNDRV TRAV UNIT HEATERS—B T.U. h1 <br /> CLOTHES WASHER EVAPORA7NE COOLERS <br /> WATER HEqiER CLOTHES DRYEHS <br /> URINAL �ENTILATION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> FlOOf:DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF�RAINS—RAWLEADERS METAL FIREPIACE 8 CHIMNEY <br /> SINK ISERVICE—BAR.EfC.) <br /> SUB TOTAL SUBTOTAL 3 <br /> PEHMIT f PEHMIT S <br /> TOTALFEE S TOTALFEE S , <br /> SIDE YAR�SETBACK SiFEET SETBACK REAR YARD SETBACK PLAN CNECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE . — <br /> OYES [-1N0 FEES VALUATION FEE <br /> 7YPE OF CANST. OCCUPANCY GHOUP NO.OF DWELLING UNITS <br /> SREOFBLDG. NO.OFSTORIES MAX.00C.LOAD BUILDING S 600. 00 11 50 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS — — <br /> REOUIRED MECHANICAL <br /> - C]YES i:iNO <br /> APPNOVALS BY DATE OTNER <br /> i. ENVIRONMENTAL CHECK LIST PENALTY U.B C. <br /> SEC.303(a� <br /> 2. BUILDING PLANS <br /> 3. FIRE HVDRAN7 <br /> TOTAL 11 5 O <br /> 4. FIRE PROTECTION SYSTEM PERMIT YALIDATION <br /> WMEN PROPERLY VALIDATED(IN THIS SPACF.)THIS IS YOUR PERMIT <br /> 5. GRADINO � t : n � . � � . � � — � <br /> J � <br /> 6. DRAINAGE � <br /> 7. ENYIFONMENTAL IMPACT STA7EMENT L.C� <br /> B. HEALTH DISTRICT �. . l i � O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � - ' <br /> � <br /> _ I <br /> ADDRESS FILE <br />