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`�" ��'`�"�"`�`�" � CO N ST R U CT' 1 N <br /> cn. o� � <br /> everett PERMIT PERM�r No. 14145 <br /> CITY HALL 259�B7a5 � <br /> EVERETT,WA98201 � COMBINATION �j BUIIDING ❑ MECHANICAL ❑ PLUMBING <br /> OIYNER MPIL ADDRESS CITY 21P PMONE <br /> April Colburn 3418 Norton Avenue Everett 98201 <br /> AFCMITECi OR pE51GNER MAIL qODRE55 GITY 21P PMONE <br /> GENERAL CONiRAGTOR MAIL AODRE55 GRY ZIP GMONE LICENSE I <br /> D G Construction 13812 34th Avenue N W Marvsville 98270 652-9789 <br /> ME^.NFWGAL CONTRAGTOR MAIL AD�FE55 CITY ZIP PNONE LICENSE� <br /> DGCON*242C4 _ <br /> PLUMBING CONTRAGTOR IdAI�ADDRE55 pTY 21P PHONE LICENSE• <br /> CLA55 OF WOAN <br /> ❑NEW ❑ ADDITION ❑ ALiERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUAIION OF\YORK <br /> S <br /> OESGNIBE WORN <br /> PROPOSE�USE OF 6UILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IWAL OESCHIPiION OF PROP.flTY�SMOW OELOW OR ATTACH FOUP COPiE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �i23-24 827 Everett Div. H GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOi_BLOC1(_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL REGULATI CONSTRUCTION OR THE <br /> PERFOR A CE OF CON RU 'fION. <br /> JOB ADDR[55 StGNATUP OF NTRAGTOB OR A T EO AGENT �ATE <br /> 3418 plorton Avenue X 11/9/89 <br /> i <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEflCLOSET�TOILEn AIR COND.UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. �_ <br /> SHOWER GAS FIRED A.C. UP'.TS— TONNACaE EA. <br /> KITCNEN SINK 8 DISP. FORCED AIR SYSTEMS — B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT MEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRY[RS _ <br /> URINAL VENTILATION FAN _ <br /> DRINKING FOUNTAIN RANGE HOOD z <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. C: <br /> r <br /> VACUUM BREAKERS STOVE —K'OOD _ ~ <br /> ROOF DRAINS— RAINLEADEflS 1 METAL FIREPLACE& CMIMNEY � <br /> SINK(SEflVICE— BAR, FTC.) FIREPLACE INSEHT <br /> HEAT PUMP <br /> H F- <br /> y r. <br /> SUBTOTAL S SUB TOTA� S 7 SO � ��_ <br /> PERMIT S PERMIT 5 10 00 � �� <br /> TOTAL FEE S TOTAL FEE S 17 50 CC <br /> SIDE YARD SET�ACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHF.CK FEE �y r. <br /> FEE RECEIPT NO. p �� <br /> USE ZONE LOT AREA �ACANT SITE FEES �ALUATION FEE - <br /> . .VES �.NO ~ <br /> F <br /> TYPE OP CONST. OCCUPANGV GROUP NO.OF DWELLING UNITS �y ' <br /> BUILDING S [-� � <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD y ~ <br /> t <br /> PLUMBING K <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL 17 50 � ; � <br /> REOUIRED <br /> . YES ��. .NU .� ' <br /> APPROVALS �Y DA7E OTHER <br /> � <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.30J lal <br /> 2.BUIL�ING PI.ANS 17 50 <br /> J.FIRE HYDHANT TOTAL ' <br /> [ <br /> 4.FIFE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATED pN THIS SPACE)iM151S�OU�1 PERMIL_ �j <br /> � <br /> 6.DRAINAGE � <br /> 7.ENVIRONAIENTALIMPACTSiATEMENT �j' <br /> B MEALTH DISTRICT �� �� � ' �� � +--` <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR. FORISSUANCE BY � .� � <br /> i'.::DIiESc 191i1 ' <br />