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. . , - <br /> rheE�'civeoF _ y'VONSTRUCTI01�� � <br /> everett PERMIT p�RMIT NO. 06952 <br /> CITV HALL 259�9745 <br /> eveaen,wn eezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADOPE55 CITY IIP PHONE <br /> Steven G. Brown 2501 Euclid 98203 355-6387 <br /> ARCHITEGT Oq DESIGNER MAIL qDPPE55 CITV 21P PHONE <br /> GENERAL WNTRALTOR MAIL ADDRE55 CRV 21P PHONE LICENS'_♦ <br /> Same <br /> MECMANICALCONTRACTOR MAILAODRE55 �ITV 21P PHONE LICENSEI <br /> PWMBINGCONTRlCTOR MAILAOORE55 CITY IIP PMCNE LICENSE� <br /> ClASS OF WORK <br /> ❑NEW ❑ADDITION A'XALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> f 2�00�.�� <br /> OESCRIBE WORK <br /> Convert single family residence to Duplex <br /> PROPOSED USE OF BUIIDING ' . <br /> Duplex I HEREBY CERTIFY THAT t HAVE READ AND EXAMINED THIS AP- <br /> �e�nioescRiPnor+oFrRoeearvisNoweeiowoennncnFouacoviEsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 23 BLOCIL1?OF Pinehurst Div. A TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFiED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR C;ANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNATURE OF CONiRACTOR OR AUfHOR¢ED AGENi DATE <br /> zsoi su�iia x,;"-'�`''—�, .�,—___ ii/is/�9 <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT PEE <br /> 1VATER CLOSET(TOILET) AIR COND.UNITS—H.R[A <br /> BATHTUB RErRIGERATION UNITS—H.P.EA <br /> LAVATORV pYASH BASIN) BOILERS—HP.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED nlq SYSTEMS—B.T.U. M EA. <br /> DISNWASHEH WNLL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT HEATEI�S—B.T.U. M <br /> C�OTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLO'HES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FVUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDUNG UNIT— GF.M. <br /> VACUUM BRFAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR.ETC) <br /> SUBTOTAL SUBTOTAL S <br /> PEflMIT 5 PERMIT f <br /> TOTALFEE f TOTALFEE S <br /> SIDE 1'ARG SETBACK STREE7 SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIFT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> L7VE5 ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCV GROUP NO.OF DWELL'NG UNIiS <br /> BUILDING $ O�J 00 <br /> S12E OF BLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVAL:t BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2. BUILDING PLANS S[C.303(a� <br /> t� 3. FIRE NVDRAN7 a TOTAL 00 00 <br /> oa <br /> �, � 4. FIRE PROTECTION SYS�1 PERMIT VALIDA710N <br /> r WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> I �. •5. GRADING�� <br /> � .�_s.�DaAi e-. � Environmental @Ke�S%$%K Checklist not N <br /> required, Bob Lnadles 11/15/79 � <br /> i �V17. ENVI M AL IMP STATEMEN7 Single Family residence existing and only � <br /> B. HEAL ig ict � sheetrocking needed for conversion to a � <br /> , �'' AppiIQqFION R�.BY • LANS CHECKED BV APPq.FOR ISSUANCE BY Duplex, � <br /> � ,,b .. n . Fee ifdS%M�KilBX collected on Permit #6926. <br /> • � :m• 11/9/79 <br /> _ � <br /> , . —' ADDRESS FILE <br />