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�ihrl:��eicrren i �ONSTRUCTIO�! <br /> c� , o <br /> everett PERMIT PERMIT NO. 13t�4� <br /> CITY HQLL P�9�B7<5 � <br /> r7 Fvm=_[Y._�VAj9AP01 ;� QOMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OIYNEP MAIL ApOPE55 GiV 21P PMONE <br /> Norman Pasche 6715 Olympic Drive Everett 98203 353-3794 <br /> � ARf,H1iELi OR DESIGNEN MAIL FDOAE55 CIiY ZIP PHO�lE <br /> GENERAL CONiRPCTOP MAIL PDORESS CITY 21P PMONE UCENSE� <br /> B & R Construction P.O. Box 20167 Seattle 98102 329-2382 <br /> MECHRNICAL CONiRACTUR MAIL ADORE55 CITY ZIP PMONE LICENSE� <br /> BRCON**193QS <br /> PLUMBING GONTRACTOR MAIL ADDPE55 CI1Y ZIP PMONE LIGENSE� <br /> GLRSSOf WORK <br /> ❑NEW ❑ ADDITION �({ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD SiOVF1FIREPLACE INSERT <br /> VAWATION OF N'OPR <br /> y 7400.�0 <br /> �ESCRIBE WORN <br /> Frame workshop-remodel bathroom and relocate laundry facilities <br /> PROPOSED USE OF 6WLDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRI DESGRIPiION OF PROPERTY ISMOW DEIOW OR NTTACM FOl1R GOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 12 10 Beverly Hills Div. 2 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> • iot_eiocn_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 STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNATURE GONTRAGTOR R AUiHOR¢ED AGENi OPiE <br /> 6715 Ol}nnpic Drive X �-/� �G�-"�--" �— — �' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1lhTERClOSET(TOILET) AIR CO4D.UNITS— H.P. FA. <br /> BATHTUB Z OO REFRIGERATION UNITS—M.P.EA. <br /> 1 LAVATORY(WASH BASIN� Z OO BOILERS—H.P. EA. <br /> 1 SMOWER Z OO GAS FIFED AD.UNITS—TONNAGE EA. <br /> KITCHEN SINN 8 DISP. FOFCED AIP SYSTEMS— B.T.U. M E�. <br /> DISHP�ASHER WALL MEATERS— B T.U. M <br /> LAUNORY TPAY UNIT MEATEPS— B.T.U. M <br /> CLOTMESWASHER 2 � EVAPORAiNECO0LER5 <br /> WATEfl HEATER Z OO 1 CLOTHES ORVERS 4 SO <br /> UPINAL VENTILATION FAN <br /> ORINKING FOUNTAIN HANGE MO00 <br /> FLOOR�RAIN AIR MANDLING UNIT— C.F.M. <br /> VACUl1M BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADEFiS METAL FIREPLACE 8 LNIMNEV <br /> SINN(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEATPUMP <br /> SUB TOTAL 3 12 00 SUB iOTAL f Q SO <br /> PERMIT f PENMIT f <br /> TOTAL FEE S 12 00 TOTAL FEE S Q SO <br /> SIDE YARD SETDAGK STREET SETBACK REAR YAPD SETBACK PIAN CHECK NUMBEfi PLAN CNECN FEE <br /> 5' 20' 20' 84/13644 FEE 44 53 'f�SFq'gt No. <br /> USE 20NE l01 AflEA VACANT SITE <br /> R-2 <br /> VES Xf�/0 FEES VALUATION FEE <br /> TYPE OF WNST. OCCl1PANCY GROUP NO,OF�WELLING UNITS <br /> V-N R-3 1 puaoir+c f7400. 68 50 <br /> SIZE OF BI.DG. NO.OF STORIES MA%.OCC.LOAD <br /> N�A 1 N�A PLUMBING ZZ OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAI �} SO <br /> REOUIRED <br /> YES NO <br /> APPflOVALS BY UATE OTMER <br /> L ENVIR011MENTAL CMECN LIST PENALTV U B.C. <br /> — SEC.303�a� <br /> 2BUILDINGPLANS TOTAL BS OO <br /> 1FIREMYDRANT � � <br /> d.FIRE PROTECTION SYS PERMIT VALIOATION <br /> �, S.GRADING _ \NNEN PROPERLV VALIUATEO pN THIS SPACE�THIS I$YOU�P�PM1T__� <br /> ; � ' � �I ��I <br /> . �'. ) <br /> I ..-6.ORAINAGE "--"' � <br /> , 7.ENVIRONMENTALIMPACTSTATEMENT �. � <br /> � B.HEALTNOISTRICT " � <br /> r-AP?LICATION ACC.BY �, � PLANS CMECKED BY APPF.FOR ISSUANCE BY '� �� � <br /> ''- STG � - HWM LC � - <br /> � I - , . <br /> ,�GJF'f.S:: ; II L <br />