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h `,�.`�r�� " � -CO►NSTRUCTIOP ' <br /> everett PERMIT PERMIT N0. 1591L� <br /> GITY HALL 259�8745 <br /> EVEREtT,1NA 99201 � COMBINATION CXI BUIL�ING � MECHA�VICAL � PLUMBING <br /> OWNER MAILI.JDRE55 GiiY ZiP PMONE <br /> Dr. Joseph Welch 4005 Colby Ave. Pveretr 98201 <br /> PPGHREGT pR DESIGHER MRIL�DDRESS GITY IIP VMONE <br /> GENEHAL CONTRAGiOR MAIL AppRESS CITY $IP PMONE IICEN52• <br /> Gaffney General Contracting, inc. 9502 19th Avenue S.E. Everett 98209 <br /> ME�H�NIGAL CONiP4LTOR MRIL ADORE55 LITV pIP PHOM1E UCENSE� <br /> VLUMBINGCONTRAGTC' MAII,ADDRE55 CITT ZIP PHONE UCENSE� <br /> C1A550F WORN <br /> IR%IEW O ADDITION ❑ ALTERAT10Y ❑REPAIR O DEMOLITION O FEN.^.E ❑ SIGN ❑ WOOD STO�FJFIRLPLACE INSERT <br /> ya�UAT10N OF Woiin <br /> = ZZ�i���.�� <br /> DESCRIBE WORK <br /> Construct 2339 Sq. Ft. Building <br /> PROPO:ED u5E OF B W LOING <br /> Medical Clinic I HEREBY CERTIFl 7HAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANU KNOW THE SAME TO BE TRUE AND <br /> �ecnioescaivrwNovrAorenTrtsHowee�owonnrrncHFouncoriEsi CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCcS <br /> �pTS_G_B��K 10 pF Climax Land Co. 's lst GOVERNING THIS lY?E OF WORK WILL 8E COMPLIED WITH <br /> WHE7HER SPECIFIE D HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT P9ESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE P30VISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REG'JLATING CONSTRUCTION OR THE <br /> _ PE ORMANCE OF I:QN$T UCTION. <br /> J08 ADUAE55 SIG AT RE OF CONTRAG 0 '�R F R12�� GE�R pA7E <br /> 4009 Colby Avenue X ,�/ r� _ � <br /> PLUMBIN6 M CMAMICAL � % � <br /> N0. TYPE Of FIXTURE OR ITEM FEE NO. TYPE OF IiOUIPMENT FEE <br /> 3 N'ATFRCLOSET�TOILti� � AIR CONn,UNITS — H P. EA. <br /> BATMiUB qEFRIGEHATION UNITS— H.P. EA. <br /> 3 L4VATORY�WASH BASIN� BOILERS — H.P. [A. <br /> ], SHOWER GAS FIRED A.C.UNITS--iONNAGE EA. <br /> 1 KITCNEN SINK 8 DISP. FORCED RIR SVSTEMS— B.T.U. M EA. <br /> ], DISHWASHER WALL HEATERS— B.T.0 M <br /> L4UNDRV TflAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASMER EVAPORATWE COOLERS <br /> 1 V/ATER HEATEH CLOTHES DRYERS <br /> URINAL 3 VENTILATION FAN <br /> DRINKING FOUNTAIN FANGE HOOD <br /> j F�OOF DRAIN QQ_ AIR HANOLING UNIT— C.F_M. <br /> VACUUM BREAKERS STGVE —WO00 <br /> POOF DRAINS— RAINLEADERS ]. METAL FIREPLACE R CHIMIIEV 'I SO <br /> (� SINK(SERVICE— BAH,ETCJ FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i 38 00 SUB TCTAL f 16 SO <br /> PERMI? f PERMIT f <br /> TOTAL FEE S 3H OO TOTAL 1'EE f 16 SO <br /> SIDE YARDSETBAGK STREETSETBACK REAR YARO SETBACK PLAN CHECH NUMBER PLAN CMECK FEE <br /> 1' and 5' 86/15910 FEE 313.95 RECEiPT��°. <br /> USE ZONE LOT ARf.A VACANT SITE ---���� <br /> FEES V/�LUATION FEE <br /> R-4 6U66 Sq. Ft. �� �VES �}� — <br /> TVPE OF CONST, OCCUFANCV GROUP NO.OF OW�LLING UN�TS <br /> V-N S-2 O BUILDINa s 1i0,000. 983 00 <br /> SIZE OF BLUG. NO.OF STOpIES MAX.OCG. LOAD — <br /> 7.339 Sq. Ft. 20 PLUMBING 38 00 <br /> FIRE20NE BASEMENT FIRESPPINKLERS MLCHANICAL ZB SO <br /> REOUIRED <br /> YES O � <br /> APPRqVALS BY DATE OiMER <br /> L ENVIRONMEN7A1.CHECK LIST PENA�TY U.�C. <br /> 2.BUILDINGPLANS � SEC.3CJ lal <br /> 3.FIREHYDRANT �J TOTAL 537 50 <br /> 4.FIFE PROTECTION S15T� PEHMIT VALIDATIDN <br /> i 15.GRADING WNEN PROPEHLY VALIOATE�pN THl"�$��jC��7H15�'iQ�7f�PF�itj1T_ � <br /> {,,,fi.DRAINAGE � � �� li / L Z� U l' J <br /> yJ.ENVIRONMENTALIMPA TATEMEMi � <br /> cn � '� <br /> t.J.MEALTH0ISTRICT , .. _ ' <br /> 6APPLICATIQN AOC.6Y PLANS CHECKED BY APPR.POR ISSUANCE BY . . . � I I �� ' <br /> 6, �' D � <br /> c- , : (-,y . , <br /> �_' ".- AEF <br /> .. , _, �: .. . i �.. � <br /> •� ADDRESS FILE <br />