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the Evergree <br />clry ofn CONSTRUCTION. �..... <br />everett PERMIT PERMIT NO. 0657 7 <br />CRY HALL9 8745 <br />EVERETT WAA 9820+201 ® COMBq5.1 <br />INATION BUILDING C� MECHANICAL CX7 PLUMBING <br />OWNER <br />MaL aooREss cl• zm vr.ur+t <br />James Gaffney Const. Inc. 9502 190ti Avenue S.E. 98203 337-7608 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP PHONE <br />..I - <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CRY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE UCENSEI <br />j5m a ❑ADDITION ❑ALTERATION <br />VALUATION OF WORK <br />S 102,000.00 <br />DESCRIBE WORK <br />❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />Construct four unit apartment <br />PROPOSED USE OF aUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Four Unit Apartment <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGALOEscRlvrloNOPPROPERTYISHowBnowoRAnacHFouRcoPlEs) <br />LOT BLOCK 821D- Everett Div. A <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />11 ME OGIVNOT. THE GRANTING OF A PERMIT OEAUTHORITYTOVIOLATEORCANCELLTHE ES ROT <br />Lot 12 less the N 3.75' of the E 14' and all of IPRES <br />Loot 13 <br />'VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />TRUCTION OR THE JJ'7ERFORMANCE OF CONSTRUCTION. <br />'IGNA URE OF CONTRACiOR`A MORI .Ni ', DATE <br />/ <br />JOB ADDRESS <br />3421 A B C D Wetmore Avenue <br />MECHANICAL <br />'itoiI— <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />` <br />NO. <br />TYPE OF EtlUIPMENT <br />FEE <br />N0. <br />AIR COND. UNITS - H P, EA. <br />8 <br />WATER CLOSET (TOILET) <br />8 <br />00 <br />REFRIGERATION UNITS <br />BATHTUB <br />00 <br />BOILERS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />GAS FIRED AC. UNITB -TONNAGE FA. <br />SHOWER <br />FORCED AIR SVS1tMS - B T.U. M EA. <br />4 <br />KITCHEN SINK & DISP <br />8 <br />00 <br />WALL HEATERS -B"' M <br />DISHWASHER <br />UNIT HEATERS - B T.U. M <br />4 <br />B <br />COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />1,1UNDRY TRAY <br />4 <br />WATER WAS -TER -4EVAPORATIVE <br />WATER HEAT_ <br />4 <br />URINAL <br />4 <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE -- BAR. ETC.) <br />SUB TOTAL f 40 00 <br />0 <br />SUB TOTAL <br />PERMIT f <br />PERMIT <br />f <br />00 <br />TOTAL FEE { 40 00 <br />TOTAL FEE <br />SIDE YARC SETBACK STP.EET SETBACK <br />$ <br />REAR YARD SETBACK <br />PLAN CHECK FEE <br />PLAN CHECK NUMBER RECC IPT NO <br />FEE <br />5' 20' <br />20' <br />% 7 188.5 412494 <br />USE ZONE <br />R-3 <br />LOT AREA <br />15947.5 Sq. Ft. <br />VACANT SITE <br />XNES ❑No <br />FEES <br />VALUATION <br />FEE <br />- <br />TYPE OF7YPE OF CO , <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />102,000. <br />290 <br />00 <br />V-N <br />R-1 <br />4 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />72 <br />00 <br />40' X6O' <br />2 <br />14 <br />FIRE SPRINKLER <br />REQUIRED <br />PLUMBING <br />FIRE ZONE <br />BAS'.MENT <br />MECHANICAL <br />40 <br />00 <br />3 <br />none <br />EYES MO <br />OTHER <br />— <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />_ <br />PENALTY <br />SECLVBC3A lal <br />2. BUILDINGPLANS k n <br />TOTAL 402 00 <br />3, FIRE HYDRANT N <br />4. FIRE PROTECTION SYSTEAM <br />PERMIT WHEN PROLIDA70N <br />A <br />PLPLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5227 $ Z 9 0. 0 0 <br />5. GRADING <br />7 'J O a -_ e) <br />I L J � <br />L( <br />q DRAINAGE <br />ENVIRONLSEN14 IMPACT aATEMENT <br />YCVR RECEIPT cc <br />HEALTH MSTI71®f c <br />' " <br />; RECEIPT <br />� LICATPONjNC"Y oNS CHECKED BY <br />APPEL FOR ISSUANCE BY <br />+ I v {J _. THANK YOU <br />C� Ell I V.C. <br />,� <br />