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d�e L:ver,�rrrn <br />�r,�. � �ONS�'RUC�T<« r. <br />everett PERMIT PERMIT N0. 1�9�7 <br />CI7V MA� L 259�87a5 <br />evenen, wa sazai � COMBItdATION � BUILDING ❑ MECHANICAL �§C PLUKIBING <br />OWNEq MARAO�RESS GITY ZIP PMONE <br />tailliam VanMec}ielen 710 Madison Everett 98203 353-0585 <br />hqCHREGT OF OESIGNER MAIL AOORESS CIiY ZIP PHONE <br />GENEFAI LONiRqCiOR MFIL AO�RE55 CITY ZIP PMONE LICENSE ♦ <br />LaFrance Construction P.O. Box 4160 Wenatchee 98801 509-663-6842 <br />MEC'IANICFL CONTRACTOR IAqll. ADDRESS CITY ZIP PHONE LICEYSE / <br />LAFhAC187N0 <br />PLUMBING f,ONTf1ACTOR MAIL AOORE55 LITY ZIP PHONE UCENSE ♦ <br />s <br />DESCRII <br />PFOPO� <br />IEGAL <br />E88' 9 <br />lOT _ <br />JOB f01 <br />❑ NEW ❑ ADDITION }� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVE/FIflEPLACE INSERT <br />4650.00 <br />remove wall, relocate window, install <br />) USE OF BUILOING <br />�.in.n vr rn�rem � pnUw tltLOW OF ATTACH FOOR C01 <br />eiocK_oF Beverly Hills Div. 5 <br />�t�� <br />710 Madison <br />PLUMBING <br />NO. TYPE OF FIXTU <br />WA7ER CLOSET (701LEn <br />� BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASIIER <br />LAUNORVTRAY <br />CIOTHES WASHER <br />WATEfi HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — flAINLEADERS <br />SINK (SERVICE — BAR, ETCJ <br />ITEM <br />SUB TOTAL <br />PEHMI7 <br />TOTAL FEE <br />SI�E YARD SETBAGK STREET SETBACK <br />N/A N/A <br />USE ZONE LOT AREA <br />R-2 N�p <br />TVPE OF GONST. OCCLIPANCY GROUP <br />V—N g_3 <br />SIZE OF t3LDG. NO. OF S70RIES <br />N/A 1 <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS �-' <br />3.FIREHY�RANT �p <br />4. FIRE PROTECTION SYSTE7q <br />5. GRADING � <br />6.DRFINAGE �� <br />� 7.ENVIRONMENTALIMPACLSTATEMENT <br />c <br />; 8� HEALTH DISTRICT � <br />� APPLICATION ACC. BY PLANS CHE <br />� <br />�� . � JEF <br />- -� <br />:_J <br />S lA <br />S <br />S 10 <br />REAR YARD StTBA <br />N/A <br />VACANT SITE <br />::YES y,j¢O <br />NO. OF OWELLING <br />1 <br />MA%.00Q LOAD <br />=1RE SPRINKLEHS <br />3EQUIRED <br />YES XEiO <br />BY OATE <br />BY � APpR. FOR ISSUANCE BY <br />r window, partial sidino, bathroom fixtures <br />I HFREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KPiOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF I.AWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERM�T UO[S NOT PRESUME TO GIVE AUTHORlTY TU VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OP. <br />LGCAL LAW REGULATING CON3TRUCTION OR THE <br />PERFORMANCE OF CQN 'fRUCTION. <br />SIG1 TURF� QF ,COrNTR/ACTOR O AU HORIZED AGENT � DATE <br />X /�U�}`� 1.�• �19 � ��ti...�,�_c�. 1/16/86 <br />MECHANICAL `' � C <br />NO. TYPE OF EOUIPMF.NT FEE <br />AIR COND. UNITS — H.P. EA. —� <br />REFRIGEH�ITION UNITS — H.P. EA. <br />BOILEFS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNA(iE EA. <br />FORCED A�., SVS7EM5 — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEA7ER5 — B.T.U. Ivt <br />EVAPORATIVE COOLEqS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIH HANDLING UNI7 — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CNIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE S <br />ECK <br />FEE <br />rEES VALUATION <br />RECElPT NO. <br />YEE <br />BUILDING E 46�i0. 50 50 <br />PLUMBING 10 00 <br />MECHANICAL <br />OTHER <br />PENAITY U.B.C. <br />SEC. 3031a) <br />TOTAL 6� 60 <br />PEHMIT VALIDAiION <br />WHEN PROPERLY VALIDATED (IN TH�SrSPAGE) THIS 18 �IJ(i P�ERj�A�T j'Y.. <br />l 7U h U �� CF <br />�' <br />i�1 <br />r. <br />� �, �....u('�� � s-� <br />i'. � !I <br />ADDR�SS f-ILC <br />� ! .l,',il �,:� <br />