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r. <br /> die£�rr�rec�� <br /> ever�t� � �ONST�UCTI� P � <br /> PERMIT PEIiMITNO. 1Ci:� .`� 3 <br /> CITY NALi 259-8745 <br /> eve�=_rr vdr.sezoi k� COMBINATION � BUILDING �CJ MECHANICAL � PLUMBING <br /> OWNER lA�11LAODRESS Gif ZiP PHONE <br /> �z Dujardin Development P.O. Hox 5308 Everett 9820G 334-5018 <br /> ARCHIiECT OF�FSIGI:ER 'AniL ADORESS QiY ZIP PMONE <br /> GENERAL CONTRFCiOF MAIL AD�RESS LITY ZIP PMONE UCENSE u <br /> Same <br /> DUJARDC211RL <br /> MECHANICaLCONiRAGTOR MAIIAp�RE55 CITY 21P PHONE LILENSEN <br /> PLUh.BING CONTPfCTOR MAIL ADORE53 CITY 21P PHONE LICENSE/ <br /> CLA55 OF WORK <br /> C�}GF.W ❑ A�DITION ❑ ALTERATIGN ❑HEPAIR ❑ DEMOLITION � FENCE ❑ SIGN O WOOD STOVFJFIREPLACE INSEFT <br /> VALUATIGN OF WORK <br /> = 40,000.00 _ _ <br /> oescaise wcR�; <br /> Construct Single Family Residence <br /> PFOPOSED USE OF BUILDING <br /> Sin le Famil REsidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> AfPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �EGAL DESCRIPiiON OF PPOPERTV�SHOW BELOW OR ATTAG9 FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANC��S <br /> �o. 8 BLOCK_OF Intercit Park PRD GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHEH SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> Z 13 28 4 LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br /> Fd PERFOR NCE OF C i. TRUCTION. <br /> JOB ADDRESS SIGNAI GONTRACTO A MORIZF�AGENT DAiE <br /> 7tk]tgXgdtpt&iffrdBK�CXX�Y,X&C 111 Intercity Avenue X � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYP F E IPMENT FEE <br /> WATEflCLOSET(TOILET� AIR COND. UNIT — H.P. EA. <br /> 2 BATMTUB REFRIGERATION UNITS— H.P. EA. <br /> 2 LAVATORY(WASH BASIN) BOILERS— HP.EA. <br /> 1 SHOWER Z �p GAS FIRED A.C. UNITS— TONNAGE EA. <br /> 1 KITCHEN SINK&D!iR FOqCED AIR SVSTEMS— B.T.U. M EA. <br /> 1 DISHWASHER 2 �� WALL HEATERS— B.T.U. M <br /> LAUNDRYTFAY UAITHEATERS— B.T.U. M <br /> ], C!OTMES WASHER 2 �Q EVAPORATIVE COOLERS <br /> 1 WATER HEATEfi 2 OO CLOTMES DPYERS Q <br /> URINAL z �ENTILATION FAN r_ <br /> DFINNING FOUNTAIN 1 FIANGE HOO� 4 S <br /> FLOOR DRAIN A�R HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE — WOCD <br /> ROOF DRAINS—� RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY � SO <br /> SINY.(SEflVICE — BAR, ETQ) FIREPLACE INSERT <br /> MEAT Pl1h7P <br /> SUB 70TAL 'a 22 00 SUB TOTAL S 27 _SQ <br /> PERMIT 5 PERMIT f <br /> TOTAL FEE S zo TOTAL FEE f 22 SO <br /> SIDE YARD SETBACK STREET Sc78ACK FEAR YARD SETBACK PLAN CHECK NUMBER PLAN ChIECN FEE <br /> S� � 83/12698 �EE Bd51C RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> .:YES .:NO FEES VALUATION FEE <br /> iYPE OP CONST. OCCUPANCV PROUP NO.OF DWELLING UNITS <br /> V—N R-3 1 <br /> SIZC OF 9LDG. NO.OF STORIES MAX.OCG LOAD BUILDING g ¢O�OOO. _ 23B OO_ <br /> 1790 Sq. Ft. 1 fj PLUMBING ZZ Q� <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> RE�UIREO z2 SO <br /> YES YES O <br /> '� APPflOVALS BY �ATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENA�Ty U.B.C. <br /> SEC.303�aJ <br /> 2.BUILDING PLANS �� <br /> 7.FIREHVDRANT � TOTA� i.;'2 SO <br /> 4.FIRE PROTECTION SYSTEIvb PERMI VALIDATION � <br /> i GRA�ING � �� �VHEF��ROPERC4-VALIOAYED pN THUS�SP E)THI I VQ P IT � <br /> 8.DRAINAGE / �' �� �� ,�• �� �� F <br /> Po 7J�NVIqONMENTALIMPACT�STqTEMENT �� <br /> r p <br /> 8:HEALTH DISTRICT ��-� �,:1_C C I I T �I FT � <br /> , 1 '� C,_'•^ <br /> APPLICATION ACC. BY ;PLANS CHECKED BY APPR. FOR ISSUANCE BY ..� �'�, U � �� �� ' <br /> r' STG7 �n HWM LC �• 1 �.i jr`'<<��i i . �J <br /> r r� <br /> _ � ! 'j � '��i� 0'i <br /> . _ . , _; l,� �'t <br /> � <br /> ..� . ..`i`..._._. � ..i. <br />