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d�zE�'crveOF � � CONSTRUCTl�►.. <br />�vere�t PERMIT PERMIT N0. 1�73� <br />CITY HALL 253�8745 <br />EVERETT, WA,'i0201 ❑O COMBINATION � BUILDING X� MECHANICAL � PLUMBING <br />OYINER MPI� ADDFESS GITY ZiP PMONE <br />D.K. Doph Jr. 5113 23rd Avenue West Everett 98203 355-1850 <br />"__..__.._,......���.��� unu aooPE55 CITY ZIP PMONE <br />GENERALCONTflAGTOR MAILAOOPESS CITY ZIP FMONE LICENSEM <br />Doph Enterprises <br />MEGHANICAL CONTflAGTOR MAIL FOOFE55 CITY Z�P PHONE LICENSE X <br />P;IIMBING CONTRACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE X <br />,`� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />5 %2����.�� <br />Construct Duplex <br />7Wc� Linit Apaztment <br />�o'r 3 BLOCK_OF Short Plat 16-83 (A.F. <br />41 Plat of Beverly Acre Tracts <br />7416 Lower Ridge Rpad <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />¢ WATERCLOSET�TOILEf) <br />2 BATHTUB <br />Q LAVATORY(WASH BASIN� <br />SHOWER <br />2 KITCHENSINKBDISP. <br />2 DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />2 WATER HEATER <br />URINAL <br />DRINKING fOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />TOTAL FEE <br />BH% 5' I 20' <br />R-2 <br />V-N R-3--M <br />969�OGq. Ft. NO.OFSTC <br />tlGt S <br />None <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILOIhG PLANS <br />3. FIRE HYORANT <br />4. FIRE PROTECTION SYSTEM i <br />S.GRP.OING <br />6. DRAINAGE <br />7,EP!VIRONMENTALIMPACTSTATEMENT <br />8. HEALTH �ISTRICT � � <br />STG <br />J 12 28 4 <br />FEE <br />I HEREBY CERT�FY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />207 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI'r'H <br />251 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING O�� A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLP,TE <br />OR CANCF.L THE PP.OVISIONS OF ANY OTH[R STPTE OR <br />LOCAL LA ULATING CONSTRUCTION OR THE <br />X RFORM C � O'S.'`7.�s%�_' N. <br />SIGNATURE O C R OR A O 0 GENT OATE <br />S <br />s 36 00 <br />REAR YARD SETBACK <br />io� <br />VACANT SITE <br />,Y�(ES i::NO <br />NO. OP DWELLING UNII <br />i <br />MA%.00Q LOAD <br />CHF.CKE06Y IAPPR. <br />4"N'ti <br />NO. TYPE OF cOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCE� AIF SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UI!IT HEATERS — B.T:J. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />z VENTILATION FAN <br />2 RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL PIREPLACE 8 CHIMNEY <br />PIREPLACE INSEflT <br />HEAT PUMP <br />PLAN <br />85/14734 <br />FEES <br />BUILDII:G <br />PLUM8ING <br />MECHANICqL <br />OTHER <br />PENALTY <br />TOTAL <br />PEFMIT VALI[ <br />WHEN PROPE <br />R ISSUANCE BY <br />LC <br />ADDRESS PILE <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEE S <br />Z13.Z0 PLANCI <br />FEE y$j;���. <br />VALUATION <br />S�z,000. <br />FEE <br />RECEIPT NO. <br />�tinas <br />FEE <br />349 00 <br />36 00 <br />24 00 <br />� VALIDATED (IF�fHIS �SPACE) THIS IS l�l�(i PE'�,d;T =ci- <br />_ . . . � .. . __— .�1 <br />1'-"' <br />V' <br />ii' 1 � . . . Y-�� <br />,; j <br />,<,: � <br />. .. ... . ;.i <br />; �5 <br />H'~T] <br />H �� <br />� <br />Uy � <br />C�] <br />iQ 2 <br />�y H <br />K � <br />O � <br />[�] H <br />� <br />N <br />� <br />. � <br />� <br />� <br />H <br />� <br />H <br />� <br />