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thr[rrr�rrer: ,� CONSTRUCTIGP� � � <br />��; r �.. <br />everett PERMIT pERMIT N0. ��r � J,, <br />CITY HqLL �GP h �:i <br />r_vraelr �vn e�?�u� IXi COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />c:;:•._:�. Vci�NI)DeE55 C'�iv ib� Vr�U�c <br />Jackie L. Newton 424 Dforgan Road <br />.. .�,.ni.cr or� utsi�.;s�;: r.�rd� aooeess -- <br />c�,r zia v�.one <br />-.u,>i mrnancion r.aii noor�e„s arr zir ���out u�r.�, <br />Everett Builders 5606 Evergreen L4ay 98203 353-7161 EV ER EB 30Y�H <br />.�, rb.NILAL �ONifVnCIJR IdAll ADONE55 CI1Y ZIP pr�ptJL �_iCLL`E ♦ <br />� .1!'L'iNG CONiRACiOR <br />CI.:f;S OF 1'!J(iN <br />❑NEW ❑AODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN �]GARAGE <br />v„�.,�,,noN a� �.ona <br />5522.00 <br />, ,'. ;�>IflE PlOFR <br />construct garage <br />CITY ZiP PHONE �ICCNSG � <br />. � ..� , :-i u uoc vr uui�oirve <br />single family residence <br />.. �--;L DESCRiPLON Of PRJPi�.qi�' i$��OIV BElO1V OF FTiACN FOUR COPi[5� <br />91 Beverly Hills Div. 5 <br />.. . ._. u�ckK nF <br />429 bforgan Road <br />PLUMBING <br />NO. TYPE OF <br />BATHIU� <br />LAVATORY (IYASH <br />$F10NlER <br />KITCt{EN SINK 8 D <br />DISHIVASHER <br />LAUNDRV TRAY <br />CLOTHES lVnSHtR <br />10R Df7AIN <br />_UUM BREAKERS <br />)F DRAINS — RAI <br />K ISERVICF — RA <br />SIDE VARD SE' <br />6' <br />USE 20NE <br />R-1 <br />TVPE OP CONS <br />V-N <br />,rz� or- oioc <br />24'x24' <br />iIRE 7.01JE <br />3 <br />SUB <br />STRGETSET9ACK <br />20' <br />LOT AREA <br />M-1 <br />NO. OF STORIE <br />1 <br />FiASEA7ENT <br />none <br />L ENVIRONMENTA_CHECKIIST' <br />2. BUILDING FLAIJR <br />9. FIR[ HYDHANT <br />4. FIRE PROTEf.T10N SYST[M <br />5. GHA�ING <br />fi. DRAINAGE <br />i. ENVIRGNM1Ef�TAL �61PACT STATEMENT <br />�_HGALTH DISThICT <br />APPLII.ATION ACC. BY PIANS CHECKED BY <br />�/. C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. <br />F�LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK INILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEHEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESU6-0E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />GONSTRUCTION OR THE PERFORA9ANCE OF CONSTRUCTION. <br />.a_:,�ontor�_or��'ci+ovnuta::��noacvr .,,�, <br />FEE NO. TYPE OF EOUIPI <br />AIR COND. UNITS -- H P EA. <br />RGFRIGERATION UNITS — H.P. I <br />BOILERS — H P. EA. <br />GAS FIRED A.C. UNITS — TONN <br />F047CED AIR SYSTEh1S — B T U. <br />\VALL NEATERS — d.T.U. <br />UIJIT HElQERS — B T.U. <br />20' <br />VACANT SIT[ <br />7'/ES �� <br />APfR. FOR ISSUANCE BY <br />R <br />AIH HANDIING UNIT — C F <br />STOVE <br />METAL FIREPLACL 8 CHIMNE7' <br />PLAN CHECK NUM�ER <br />79/490 <br />fEES <br />BUILDING <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />18. <br />8552�,0� <br />FEE <br />FEE <br />RECEIPT NO <br />41808 <br />�� <br />PENALiY U 8 C. <br />SEC.303(a1 <br />TOTAL °�. �. � 36 00 <br />r <br />PEHMIT VALIDATION �� � <br />\YHEN PROPERLY VALIDATGD (IN 7HIS SPAOCE) TH1581S Yplp �EIjM/T' O D qy,�`Y) + <br />ZS yu 1t� <br />� � <br />YOU R R�GE}�'� <br />TNANK Y.nUo <br />� <br />� . ; e . . . . <br />' 'j AUC � � <br />� <br />,� � , <br />