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theEcergrecn '�` r��N�T�UCTION '' � R <br /> CITY OF p ERM IT <br /> ��ver�tt PERMIT NO. OHE65 <br /> CITY HALL 259�8745 � COMBINATION Ix�tBUILDING ❑ MECHANICA'_ ❑ PLUMBING <br /> EVERETT.VlA 98201 <br /> AIFILADDRE55 GiY 21P PMOI .. <br /> OWNER 98203 252-7029 <br /> William P. Brust 4916 College Everett — <br /> qFGHITEGT OP OESIGNER MAIL ADORE55 <br /> QTY 21P PMONE <br /> GENERAL CANTRALTOR <br /> IAAIL ADORE55 dTY 21P PMONE LIGENSE! • <br /> Same Z�p PHONE UGENSC� <br /> MECHANICAL GONiRACTOP <br /> MAIL FODRE55 ��N <br /> MAII ADORESS <br /> GITY ZIP PHJNE LIGENSC r <br /> PLUMBING CONiRACTOR <br /> GtA55OF WOFK <br /> ❑NEW VADDITION ❑ALTERA110N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ARAGE <br /> VALUATI0�1 OF WOFK <br /> 56 , 160. 00 <br /> CESGNiDE WOfiK <br /> constx'uct Single Family Garage <br /> PPOPOSED USE OF BUILDING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> Single Family Garage PLICATION AND KNC'VJ THE SAME TO BE TRUE AND CORRECT. <br /> LEfJ�OESCRIPTION OF PROPEFTI'�SHOW BELOW�R ATTACH FOUhCAPIE51 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> WESTRIDGE TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> �oT 67 eia"_oF HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NUT <br /> PR METOGIVEAUTHORITYTOVlOLATEORCANCELTHEPRO� <br /> VISION OF ANY OTHE�1 STATE OR LOCAL IAW REGULATING <br /> CONSTR TION OR THE PERF CE OF CONSTRUCTION. <br /> ����//J� or,Te <br /> SIGNAiURE OF ONTRAyn�yti^A Ofil AGENT <br /> :JB AODHEcS X ' ,�—� �7 �,...._ / 4--f/-� <br /> 4916 College ,�„ <br /> MECHANICAL <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> --�----- <br /> �ip, TYPE OF F�XTURE QR IT£t_. I FEE N0. <br /> �""�----�� AIR COND.UNITS—H.P.EA. <br /> WATER CLOSEi QOILET) --�� -- --- qEFRIGERATION UNITS—H.F.EF� <br /> dATHTUB BOILERS—H.P.FA. <br /> LAVATORY(WASH BASIN) _ GAS FIRED�C.UNITS—TONNAGE EA. <br /> SHO�"1ER FORCEp qIR SYSIEMS—B.T.U. M EH. _ <br /> KITCHEN SINK S DISP. y�q��HEATERS—g�T��� M - <br /> DISHWASHER — UNITHEATERS—BT.U. M <br /> LAUNDRYIRAY EypppRATiVE COOLERS <br /> CLOTHES WASHER CLOTHES DRVEFF -- <br /> WATER HEAiER - VENTILAiION FAN <br /> URINAL qANGE HOOD -- <br /> DRINKING FOUNTAIN qIR HANDLING UNIT— (..F.M. <br /> FLOOR DRAIN S10VE <br /> VACUUM BREAKERS METAL FIflEPLACE&CHIMNEY <br /> FOOh DRAINS—RAINLE1DERS <br /> SINK(SERVICE—BAR.EiC) <br /> SUBTOTAL f <br /> SUB TOTAL pERMIT S <br /> PERMIT s TOTAL FEE s <br /> 70TAL FEE f pLAN('HEGK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK P80/8 G 6 5uMOER FeE4 0 .6 3 C dP"NO. <br /> g�i:�n9 <br /> �� VACANS_SITE VAlUAT10N FEE <br /> USE ZONE LOT AREA ❑yE5 ���F70 FEES <br /> TYPE OF CANST. OIX:UPANCY GROUP NO.OF D`A'FLLING UNITS <br /> V-N M-1 & B-4 BUILDING g6160.00 62 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> 22 ' X40 ' Z <br /> FIRE ZONE BASEMEt7T FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES f' <br /> pppROVALS <br /> BY OATE OTHER <br /> PENALTY U.B C. <br /> 1. ENVIRONMENTALCHECKLIST SEC.303(a) <br /> 2. BUILDINGPLANS TOTAL 62 50 <br /> 3. FIRE HYDRANT <br /> PEHMIT VALIDATION <br /> 4. FIRE PROTECTIOK�YSTEM WHEN PROPERLY VALIDATED(IN THIS�P��IO NIS IS�O R PER�TO _— � <br /> 5. GRADING � � <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMC�JT , , '� ��� a� <br /> , . . . . . �. � � i � <br /> B. HEALTH DISTRICT , . �„ � � <br /> • i <br /> APPLICATION ACC.BY PLAN;'CHECh.-O DY APPR.FOR ISSUANCE BY , , . . <br /> V.C. <br /> _ ? _�:'; � �'� <br /> ADDRFSS FILf_ <br />