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MR <br />CONSTRUCTION <br />e*&G <br />PERMIT <br />PERMIT N0. 06393 <br />CITY HALL 259.0745_ <br />*BET UIrUq��ix� CQMBINATION ® BUILDING ® MECHANICAL ® PLUMBING <br />YY YY 6 UU 66 �L LL 66 <br />OWNER <br />MAIL ADDRESS CITY r.IP PeCNE <br />Michael W. Mueller 3422 <br />I. <br />Hoyt Everett 98201 252-1434 <br />AACI IITECT OR DESIGNER - <br />MAIL ADDRESS Cltt ZIP PHONE <br />GENERAL CONTRACTOR <br />P & E Construction <br />MAIL ADDRESS CITY ZIP PHONE LKENSEI <br />MECHANICAL CONTRACTOR <br />MAIL ACDAESS C-Y ZIP PHONE LICENSE <br />PLUMBING CONFRACTOR <br />MAIL ADDRESS — <br />CITY Z!P PHONE LKENSE I <br />CLASS OF WORK <br />❑NEW ®ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 10,000.00 <br />DESCRIBE WORK <br />add second story to 1SJ <br />story dwelling on existing foundation <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DES'AIMION OF PROPERTY (SHOW BELOW OR ATTACH FOURCOPIE51 <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />N>5-20-�, 82 Everett <br />Loi—BL ° <br />Division "A.+ <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />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 CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION C�j THE PERFORM CE OF CONSTRUCTION. <br />_ <br />JOB ADDRESS <br />SIGNAT L01 RAC 1 OR AUL' IZ AG DATE <br />3422 Hoyt Avenue <br />X 7-23-79 <br />PLUMBING <br />MECH NICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />I <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />AIR COND. UNITS — H.P. EA. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS— H.P. EA <br />LAVATORY (WASH BASIN) <br />2 <br />U0 <br />BOILERS — H.P. EA. <br />1 <br />SHOWER <br />2 <br />00 <br />GAS FIRED A . UNITS —TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.II. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYEF3 <br />URINAL <br />1 <br />VENTILATION FAN <br />2 <br />00 <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.'A. <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETCJ <br />SUB TOTAL <br />6 <br />100 <br />00 <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />6 <br />TOTAL FEE f <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />79/474 <br />FEE 26.00 <br />NO, <br />USE ZONE <br />LOT AREA <br />VACANT SA�TTE <br />NE <br />41587 <br />OYES <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />V-N <br />R-3 <br />1 <br />— <br />SIZE OF BLDG. <br />BUILOWG <br />�0,000. <br />52 <br />00 <br />_ <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRE <br />MECHANICAL <br />2 <br />00 <br />❑YES <br />iN0 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECKLIST - <br />PENALTY <br />U.B.C. <br />2. BUILDING PLANS <br />SEC. 303 (a) <br />3. FIRE HYDRANT �O <br />TOTAL t( <br />60 <br />00 <br />_ <br />I <br />4. FIRE PROTECTION SY <br />PERMIT VALIDATION - <br />•' 5: GRADING <br />WHEN PROPERLY VALIDATED UN THIS $PA jM <br />i / xIs is <br />•" 1 .. DRAI E <br />ENVIR5UMAL IMPAtoftTATEMENT <br />Cy') <br />B. HEALQDISTRICT m <br />YO!UR RECEIPT (D <br />APPLICAIKN BY LANS CHECKED BY <br />APPR. FOR ISSUANCE <br />AE at <br />THANK YOU C: <br />3o" <br />!ce ri V , c . <br />,• , <br />O m <br />73a79. <br />(� <br />ADDRESS FILE <br />