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� �, j . <br />�a 54 <br />:' <br />� �i <br />r <br />� <br />r��c L1 ar��oF ^ONSTRU CTIO f� <br />everett PERNiIT PERMIT NO. �-0976 <br />CI7 Y H�LL 359�87A5 <br />ev�neTT. wn .,� _oi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />m�mtn uni�nooncss cnv tir v��o�.t <br />ADGLINB E. LOA'RY 6302 St AlUionlYay #106 Dlowitlake Terrace �9yy3�403 <br />ARCNi1EC1 OH DESiJNCR h1AIL AD�RESS CItY ZIP PHON[ /`� _ J L V U <br />GCIifiIDL CONipACtOR M1IAI� qppRE55 CITY 21P P��ONE IICENSC 1 <br />�1J11CT <br />IdEI'HANiCAL CONTR4C10R FIAII AD�RE55 CIIY ZIP PNONE IICENSE � <br />PWAIBiHGGON'MACiOB I.IAIIA�DRESS CIiY ZIP PIIONE IIGENSEI <br />��„Vr••y'^ ❑NEW ❑NDDITION �P.LTERATION ❑REPAIR ❑DEMOLITION L�FENCE ❑SIGN ❑GARAGE <br />VALUAfiON CF WORK <br />E 8����.�� <br />DESCR�AE WOPM <br />Remodel - insulate, rewire, nei�� t�indo���s, add closet <br />reovoseu use oF ounmr+; <br />Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />i�.cnioescnivnor+oFrnoaearris��owee�owor+nnac�+Founcovies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />S�17 2 Dar lington ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />wr oiceK_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO <br />;oo aooaess <br />2309 Dlukilteo �lvd <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET QOILEn <br />BATNTU� <br />LAVAIORY �WASH BA;IN) <br />SHGWER <br />KITCHEN SINK 8 DISP. <br />DISN\YASHER <br />L4UNDRY TRAV <br />CLOTHES WASHER <br />1YATER HEATER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM OREAKr.H` <br />ROOF DRAINS — �AINLEADERS <br />SINK �SERVICE -- B�R. ETC.1 <br />SUBTOTAL <br />SIDE YAPD SETBACK <br />USE ZONE <br />TYPE OF CANST. <br />SIZE OF BLDG <br />STREET SETf3ACK <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIL�ING PLANS <br />3. FIPE HYDRANT <br />4. FIRL PRUTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACG BY PLANS CHECKED BV <br />STG DI3 <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUMF TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS C` ANY OTHER STATE OR LOCAL LAW REGULATING <br />CO�TRUC�TION OR TH ERFORMANCE UF CONSTRUCTION. <br />SIGNAtUR. Of CQNifLiCtCR OR Ui. OR�ZED AGE di OAiE <br />X'� ,�,;:j,( � ' 9/8/82 <br />MECHANICAL <br />N0. TYPE OF E�UIPMENT FEE <br />REAR YARD SETBACK �PLAN <br />!!YES fl <br />� <br />APPR.PORISSUANCE �Y <br />DB <br />AIR COND. UNITS — HP. EA. <br />REFRIGLRATION UNITS — HP. E <br />B04ER5 — H.P. EA. <br />GAS RFED AC. UNITS -� TONN. <br />FORCED AIR SYSTEMS — B T U. <br />YfALL H[ATERS — �.T.0 <br />I INIi HFATFfiS — B T.U. <br />AIR <br />h1ECNANICAL <br />PENALTY <br />TOTAL <br />8 CHIMNEV <br />M EA. <br />C F.M. <br />PERMIT <br />TOTALFEE <br />PLAN <br />F[E <br />VALUATION <br />�8,000. <br />UBC. <br />$EC. 303 W) <br />RECEIPT NO. <br />FEE <br />WHEN PROPEFLY VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />G8 I 50 <br />68 I 50 <br />� <br />�2,o E06S.50 ���� <br />0 <br />1'OU'R RECEIPf - <br />il-fA��K YOU <br />ADDRESS FILE ' R �P gl <br />