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.--- <br /> (i�aEvergreen � � /�Vl�n������^ <br /> ey�r�CITY OF PE���T <br /> �+ PERMIT N0. Og57O <br /> �. <br /> CITV HALL 25B�87d5 � CONIBINATION �IX BUILDING ❑ MECHANICAL ❑ PLUMBING _ <br /> EVERETT.VJA 9820t cHou� <br /> CIIY Z�N <br /> �nni�nooeess gg005 454-82�1 <br />� ov�Nea Bellevue <br /> The Evans Co. 1952 130th Avenue N .E. c Y Z�p r��oNe <br />� � n�na nooaEss <br /> AHCHITECT OR 0[`AGNER <br />' CITY ZIP PNONE L�GERS' • <br /> AIpIL ADJRE55 <br /> GENERALCONiRiGTOR — <br /> Z�p PHONE UCE��SE� <br /> S am e GITY <br /> MECHANICALCON7RAGTOP <br /> �nna�oonEss <br /> Z�P PHONE UGEIJS[� <br /> h1AIL PDDFESS CITV <br /> PLUMBING CCNTflACTOR <br /> GlASS OF W7RK <br /> ❑NEW ❑ADDITION ❑F�7EPATION �1EPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATIOII OF WORK <br /> S 5�0. �� _— <br /> �ESCRI83�vORN <br /> Ventilation in foundation area, masonary work on eaet side of buildin <br /> PPOPOSEDUSEOF�UILOING I HEREBY CERTIFY THNT I HAVE READ AND EXAMINED THIS AP� <br /> apartment pLICATION AND KNOW ?HE SAME TO BE TRUE AND CORRECT. <br /> �EGAi.DESG�iPTIONOF PROPERTY(SHOW�ELOW ORATTACH FOURCAPIES) ALL PROVISI�JNS OF IAWS AND ORD�NANCES GOVERNING THIS <br /> State TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> �ot B�aK�°F HEREIN OR NOT. THE GRANTWG OF A PERMIT DOES IJOT <br /> 1 S ONS OF�ANY OTHER STAT'OOR OCAOLRI.AW NEGULAT NG <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�ACTION. <br /> sicrionatoFcor+r�ucroaoanun+oaizeoncer+T ��26�81 <br /> JOB A�CRE55 � � ��_ <br /> 425 45th Street S.W. (Elm Street Bldg. X �, <br /> MECHANICAL — <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> PEE NO. <br /> yp, TYPE OF FIXTURE OR ITEM qIP CONO.UNITS—H P.EA. <br /> WP.TER CLOSET(TOILET) REFRIGERATION UNITS—H.P.EA <br /> BATH7UB BOILEPS—HP.EA. <br /> LAVATORY IWASH BASM) GAS FIRED A.C.UNITS—TaNNAGE EA. <br /> SHOWER FORCED AIR SYSTEMS—B T.U. M EN. <br /> KITCHEN SINK 8 DISP. Wq��HEPTERS—6.T.U. M <br /> DISHWASHER UNIT HEATERS—B.T.U. M <br /> I.AUNDR�TRAY EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER NFATER VENTILATION FAN <br /> URINAL RANGE NOOD <br /> DFINKING FOUNTAIN qIR HPNDLING UNIT— C.F.M. <br /> FLOOR DRNIN STOVG <br /> VACUUM BREAKEFS METAL fUiEPLACE&CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK ISERVICE—BAR,EiC.) --' <br /> SUeTOTAL S <br /> SUB TOTAL pERMIT S <br /> PERMIT S TOTAL FEE S <br /> TOTAL FEE 5 PLAN CHECK FEE <br /> SIDE YARD SETBACK STFEET SETBACK REAR YAFD SETBACK PLAN CHECK NUMBER FEE RECEIPT N0. <br /> VACANT SITE VALUA'fIDN FEE <br /> USE ZONE LOT AREA C]YES ❑NO FEES <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF PWELLING UNITS $ 1 O O O <br /> OUILDING <br /> SIZE OF BLDG. NO.OF STOF7�ES MAX.00C.LOAD <br /> PLUMBING <br /> FIflE SPRINKLERS <br /> FIRE ZONE I BASEMENT REOUIRED MECHANICAL <br /> C7tES ❑NO <br /> BY pATE OTHER <br /> qPPHOVALS U.B.C. <br /> PENALTY SEC.3031a) <br /> t. ENVIRONMENTALCHECKUST ZO 00 <br /> 2. BUIIDING°LANS TOTAL <br /> 3. FIRE HYDRANT pEHMIT VALIDATION <br /> 4, FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(W THIS SPACF)THIS�S YOUR PERMIT^ — � <br /> 5. GRADING I ' ', � � �� I r, I� �, <br /> �� � <br /> G. DRAINAGE � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT . � i - � <br /> 8. HEALTH DISTRICT . . i � <br /> qPPR.FOR ISSUANCE BY � <br /> APPLICATION ACC.BY PIANS CHECKED BY � � <br /> . i <br /> ^f�nnECS f"�, .. <br />