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rhe ErerKYr�n �-r., , C 0 N ST R U C�'^`rJ N "� <br />everett PERMIT PERMIT NO. �_53�t� <br />CITV HALL 259�B7d� <br />EV'cRETT,WA982fi1 � COMBINATION � BUILDING � MECHANICAL � PLUMBING <br />OWNEA MAIL AODRE55 GTY 21P PMONE <br />Ron �l�g 3116 113th Place S.W. Everett 98204 775-0451 <br />ARLMITEGT OR pESiGNER AIFIL AOURE55 CITV ��P PMONE <br />GENERAL CONTqAGTOR MAIL AUDPESS CITY ZIP PMONE LICENSF � <br />Harry G. Martin 7311 Yew Gverett 98203 353-9187 <br />MECNnNIWLCONTflACTOR MAILADORE55 dtV 21P PMONE UCENSE� <br />n�n xo oc z�a an <br />PLUMBING GONTRAGTOR MAII ADONC55 p7Y ZIP PNONE UGENSE � <br />ClA55OF WORN <br />�FlEW ❑ ADDITION ❑ ALTEFiAT10N ❑ REPAIP ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIHEPLACE INSERT <br />f 72,000.00 <br />�ESCRIBE WORK <br />Construct 3�p�7�ry(}�apG�y(�9W[3�I)pH{ Duplex <br />PROPOSEO USE OF Bl11LDING <br />9�[7�fatCd�4X�X Duplex <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACM FOUR COPIES� <br />13 3 North Heverly Park #2 <br />LOT __ BIOCN _OF <br />. y, ee <br />Y6285 <br />�oe nooaess - <br />6719 A& B Highland 1�12, <br />PLUMBING <br />NO. TYPE OF FIXTUHE OR ITEM FEE <br />4 WATERCLOSE7�701LEn B <br />2 enrHrue 4 <br />�S LAVA70RY(WASHBASINI 8 <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WP7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF ORAINS — RAINLEAOERS <br />SINK �SERVICE — BAR, ETQ) <br />SUB TOTAI <br />PEHMIT <br />TOTAL FEE <br />.PD SETBACK STREETSETBA� <br />S� 9n� <br />: 36 <br />S <br />S '1� <br />R-2 10,800 Sq. Ft. :7{�s .-,No <br />CONST. OCCUPANCVGROUP NO.OFDWEL <br />V-N R-3, M-1 2 <br />3{.DG. NO. OF S70RIES MAX. OCQ LC <br />3 a�2 n�- z <br />IE OASEMEN7 FIRE SPRINKL <br />none RE4UIRED _ <br />APPROVALS BY <br />t. ENVIFONtAENTAL CHECK UST <br />2. BUILDING PLANS <br />J.FIREHVOFANT �.� <br />a. FIpE PROTECTION SVSTEM'� <br />5. GRADING <br />B:DAAINAGE �. <br />7:{NVIRONMEN7ALIMPACTSTATEMENT <br />SHEALTH DISTRICT � - <br />PPLICATION ACC. BY PLANS CHECM <br />c:= -� JEF <br />� <br />FOR <br />I HEREBY CERTIFY 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 />GOVERNING THIS TYPE OF WORK WILL DE COMPLIED V':i �H <br />WHETHER SPECIFI[D HEREIN OR NOT. THE GAANTING OF A <br />PEFiMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAWiRFy2iULATING CONSTRUCTION OR THE <br />PERFORMAN�E,bF CONSTRUCTION. <br />SIGNATURE O CfJ Z�ACTOR OR} UiNORIZE'D A/GENJT �TE <br />X ��/Jr L�iY /i 3��'C <br />� <br />MECHANICAL � <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERAiION UNITS — H.P. EA. <br />BOILERS — Ii.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE [A. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIF NANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPIACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT S <br />TO7AL FEE S <br />N CHECK NUMBE(i � <br />85/15838 FEEZ13.20 <br />FEES VALUATION <br />CK FEE <br />$fjF�l�T NO. <br />FEE <br />eui�oirvc 92,000. 349 00 <br />PLUMBING — 36 00 <br />MECHANIGAL i% OO <br />OTHER <br />PENALTY U.B.C. <br />SEC. 903 (a) <br />rora� 412 00 <br />PERMIT VALIOhTION <br />WHEIJ PROPERLY VALIDATED QN TH)SS�P.�E) THI;r 1$ �I uR PERMIT ap <br />�`� �� 3 S 'i ll � cP ; <br />� <br />� � 1 f.�7 <br />� 6. 0 �� �- `� � � .-: <br />i. I <br />ADDRE55 FILE <br />