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� � � . C�NSTRUCTION i • . <br /> rrK E�e.�.e.n <br /> . cm oF ` <br /> everett PERMIT pERMiT N0. 0�408 <br /> cm Hn«2ss�e�as <br /> EVERETT.WA 98207 ❑ COMBINATION Gc�c BUfLDINO . ❑ MECHANICAL ❑ PWMBING . . . . <br /> MPII ADDRES CI7Y 21 PHONE <br />. OWNER 98201 252-0652 <br /> Dean I Gordon 2403 6th Street <br /> ARCHITECT OR�ESIGNER MAII A��PE55 <br /> CITY 21P PMONE <br /> GENEFA��ONTRAf:TOR <br /> IMIL AOORE55 CITY 21P PHONE LICF.NSE I <br /> SaIRE Z�p PHONE LICENSE• <br /> MFCHANICALCONTRACTOR <br /> MRR AO�PESS ��TY <br /> PW MBING CONTRACiCR <br /> AIAfIADDRESb CI'.T ZIP PHONE LICENSE� <br /> CIA&S O�K'OPK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �ENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> £ 20�.�� <br /> OESCPIBE WORN <br /> replace existing feace <br /> PqOPOSED USE OF Bl11LDING <br /> residential I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED THI • <br /> LEGAL OESCRIPiION OF PROPEflTT(SHp9!BELOW OP ATTALN FOURCOPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Le ion Park #2 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioi 79 e�oc�_oF q TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIVE.4UTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNF RE F GONTRAGTOR OR H IZE E�li OATE <br /> JOB PDDRE55 X � ,u � -�� 5/6/80 <br /> 2403 6th Street <br /> MECHANICAL <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> AIR COND.UMTS—HP.EA. <br /> WATER CLOSET(TOILET) <br /> REFRIGERATION U�l1T5—H.P.EA <br /> B�QHTUB BOILERS--HP.EA. <br /> UVATORV(N�ASH JASIN) <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOWER <br /> FORCED AIR SYSTEMS—B.T.U. M EA. <br /> KITCHEN SINr:8 DISP. M <br /> \VALL HEATERS—B.T.U. <br /> DISHWASH[R <br /> — UNIT HEAiERS—B.i.l!. M <br /> LAUNDRY TRI1Y EVAPORATIVE COOLERS <br /> CLOTHES WA:iHER — CLOTHES DRYERS � <br /> WpTER HEATI3R V[NTILAf10N FAN <br /> URINAL — pqryGL HOOD I, <br /> DRINKING FGUNTAIN CF.M. <br /> AIR HANDLING UNIT— <br /> FlOOR ORAIW STOVE . <br /> VACUUM BRIdAKERS <br /> METAL FIREPIACE 8 CHIMNEY _ <br /> ROOF DRAINS--RAMLFADERS <br /> SINK ISE9VIf,E—BAR.ETC.) _ � <br /> SU950TAL 3 <br /> SUB-lOTAL �' PEHMIT S <br /> PEHMIT : <br /> TOTALFEE 3 <br /> 70TAL FEE 5 p�pN CHECK FEE <br /> SIDE YARD SETBAf,K STREET SETBACK FENR VNRD SETBACK PLAN CHECK NUMBER FEE RECEIP�N0. <br /> LOT AREA VACANT SITE VALUATION FEE <br /> USEZONE uYES ❑NO FEES <br /> TYPE OF CONSt. OCCUPANCY GROUP NO.OF DWELLING UNITS _ S OO <br /> PUfIDING S 2��.0� <br /> SIZE OF BLDG NO.OP SiORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIFE ZONE BAoEMENT FIR[SPRINKLERS MECHANICTL <br /> HEOUIRED <br /> CiY:S ilNO <br /> �� BY OATE �THER <br /> APPROVALS <br /> PFNALTY U.BC. <br /> 1. ENVIdONMFNTNLCHECKLIST SEC.3031a) <br /> Z. BUIIDING PlANS TOTAL S 00 <br /> 3. FIRE HYDRA'NT <br /> PERMIT VALIDATION ���� ��Oeo„T O �� <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERL��A�IDATED pN THIS i IS IS 0���-��O <br /> 5. GPADING ; . . � Q. <br /> 6. DR4INAGE _ � ��' <br /> � E ENTAL IMPACT STATEMENT YO U F REC E I O <br /> e. HEP.LTHDISTRICT THnNK YOU <br /> AP�LICATION ACC.BY PLA�S CHECKED BY APPR.FOR ISSUANCE BY <br /> � � 6 �nY 8O <br /> ADDRESS FILE <br />