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rti.E+•ergnen • C�ISTRUCTION �� <br /> CITY OF <br /> everett PERMIT PERMIT N0. OSOZ3 <br /> CITY HALL 259�8745 <br /> EVERETf.WA 98201 ❑ COMBINATION Ix�,. ;BUI' OINfi ❑ MECHANICAL . ❑ PI,UMBINO <br /> OWNEP MPiLOJDFE55 GITY LIP PHONE <br /> Norman 0. Ronninq 7201 Upper Ridge Road 98203 353-3939 <br /> RACNITECIORDEL�GNEP M�ILP���qE55 CITY ZIP PHONE <br /> GENEPnLCCrviPAC10R MSI ADDRE55 CITY 21G FNONE UCENSEI <br /> Same <br /> MtCMANIGLCANTPNCiOR MAII ADORE55 CITY L�P �NON[ LICEI.SE I <br /> PWMBINGCANTRNCiOR MAILAD�RE55 CitY 21P PNLHE LI:EIiSE/ <br /> CLNSSOF WOFK <br /> ❑NEW ❑A�DITION ❑ALTEFATION Ga,(�.PAIR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE <br /> VALU/110N OF WOAK <br /> � 750.00 <br /> DESCRiBE W�FN <br /> re-roof composition <br /> cnoaosco use oF ewi.owe <br /> sinale family residence I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS AP� <br /> iecuoeuaianor+oFrnovenrr�srwwoeiowoaannci�wuacoriesi - PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> �or 49 ei«K_oc Beverly Acreage Tracts TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> • HFR[IN OR NOT. THE GRANTING OF A PERMIT DOES N�jT <br /> I'RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY GTHCR STATE OR LOCAL LAW REGULATING <br /> CONSTFUCTION OR TP. . PERFORMANCE OF CONSTRUCTION. <br /> SIGNAPIREOFGOBiRPQOROPAUt110PIZEDAG[Ni DAiE <br /> �oi3u�o.;ess � ^ � 7/28/80 <br /> 7201 Upper Ridge Road X -D" �ZLLj� �Y. � u <br /> PLUMBIN6 MECHANICAL <br /> Np. TYPE OF�IXTUHE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATEf7 CLOSET(TOILET) AIR COND.UNRS—����'.EA <br /> BAiHTUD _ NEFRIGERATION UNITS—HP EA <br /> LAVATORY(WASH flASIN) BOILERS—N P.EA. <br /> SHOWfiR GAS RRED AC.UNI75—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. f ORCED PIR SYSiEMS—�T.0 �•�tA� <br /> DISHWASHER YlALL HEATCRS—B T.U. M <br /> LAUNDRY 7PAV UNI7 HENENS—�.T U. �� <br /> CLOTH[5\YAS��ER EVAPORATIV[COOLERS __ <br /> WATER HEATER CLOTNFS DRYEPS — <br /> URINAL VENTILATION FAN __ <br /> � DRIFNING FOUNTAIN HANGE HOOL . <br /> FLOOR�RAIN NP HANDLING JNIT— C F M. <br /> VACUUM EiPEAK[RS STOVF <br /> ROGr DRAINS—�A�NIEADERS �.1EiAL FIREPLACE E GHIMNEV _ <br /> SINk�SERVICE—BAR.L7C] — <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT f PERMIT s_ <br /> TOTAL FEE f TOTAL FEE _ <br /> SIDE V/�PD SETBRCK STHLHT SLTCiACK REAR VMD SETBACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AFEA �ACANT SITE FEES VALUATION FEE <br /> IlYES ❑NO <br /> TVPE OF CANST. OCCUPANC�GROUP NO.OF DWELLING UNIiS <br /> oui�oiNc $ 750.00 8 OU <br /> SIZE OF BLDG N0.OF STORIES MA% OCC.LOAD <br /> PLUMDING <br /> FIfiE ZONE BASEMENT qEOUIREO NLCRS MECHANIC4l <br /> i�IYEG L:NO — <br /> APPROVALS BY DATE OTH[F <br /> L ENVIRONMENTALCHECKLIST pEryq�Ty UBC � <br /> — SEC.303�a) <br /> 2. BUILDINGPLANS a pp <br /> TOTAL <br /> 3. FIRE HVORANT <br /> 4. FlRE PROTECiION SVSTEId PERMIT VALIUATION <br /> _ WHEN PROPERLV VALIDATED�W TNIS SPA�E4iF�l�1$"O�B���j' O O C�� <br /> 5. GRADING �� � u O <br /> 6. DRAINAGE N <br /> 7. ENVIRONAIENTAL IMPACT STATEMENT � 1-��} � REC E I Pgo <br /> e. HHALTM DISTRICT <br /> APPLICATIUN ACC.BY P1ANS CHECNED OV APPR.FOR ISSUANCE BV � I ;A N K Y O U� <br /> � � -- 2 $ ,A14 �0 <br /> AODhESS FILE <br />