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I® <br /> CONSTRUCTION E <br /> everett. PERMIT PERMIT NO. 3421 <br /> CITY HALL 251 h14" <br /> tj FvFRETTIVJ'I LgMT [gX CU B <br /> OMBINATION UILDING LJ MECHANICAL PLUMBING <br /> U ZIP PHONE <br /> CI r <br /> MAIL ADORE55 <br /> OWNER r V 98204 - <br /> /, C 75111 SF Evezet ZIp PHONE <br /> LAUREN ES' W,_P SMO ].- MAa ADDRE — crtr <br /> ARLNITECT OR DESIONEN <br /> ADDRESS <br /> CITY ZIP PHONE IICEN:iE1 <br /> GENERAL C04TRACTOR <br /> LAURENCE W. ROMO MAIL ADORESB arr <br /> 21P PHONE LICENSE I <br /> MECHANICAL CONTRACTOR <br /> MAR ADDRESS <br /> CITY ZIP PHONE LICENSE 1 <br /> PLUMBING CONTRACTOR <br /> CLASS OF <br /> IS NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN [3WOOD STOVE/FIREPLACE INSER <br /> VALUATION OF WORK -�_�- <br /> L 63,000.00 <br /> DESCRIBE WORK <br /> SIX <br /> pGP -- <br /> PROPOSEO USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Rental units APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEDAL DESCRIPTION OF PROPERTYISMOW BELOW OR ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> l (see attached) GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> Parcel LOT 33 BL.CK_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 LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. DATE <br /> SIONA E OF CONTRACTOR OR UTf191Ni AGENT - -S <br /> JOB ADDRESS X q . O <br /> 311 A 6 B - 60th St SE MECHANICAL <br /> PLUMBING TYPE OF EQUIPMENT FEE <br /> FEE . <br /> NO• <br /> NO. TYPE OF FIXTURE OR ITEM AIR GOND.UNITS- H .EA. <br /> 2 WATERCLOSET(TOILEn 4 00 REFRIGERATION UNITS-N.P.EA <br /> 21 BATHTUB 4 00 BOILERS- H.P.EA. <br /> 2 LAVATORY(WASH BASIN) GAS FIRED A.C.UNITS•-TONNAGE EA. <br /> SHOWER 4 00 FORCED AIR SYSTEMS-B.T.U. M EA. - <br /> 2 KITCHEN SINK 6 DISP. 4 00 WALL HEATERS- S T.U. <br /> 2 DISHWASHER UNIT HEATERS- B.T.U. M <br /> LAUNDRYTRAY 4 00 EVAPORATIVE COOLERS <br /> 2 CLOTHES WASHER 4 00 2 CLOTHES DRYERS <br /> 2 WATER HEATER 2 VENTILATION FAN - <br /> URINAL - 2 RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING <br /> FLOOR DRAIN STOVE-WOOD <br /> VACUUM BREAKERS METAL FIREPLACE 6 CHIMNEY <br /> M <br /> ROOF DRAINS- RAINLEADERS FIREPLACE INSERT <br /> 5114K(SERVICE- BAR,ETC.) HEAT PUMP _ <br /> H H. <br /> SUB TOTAL 6 24 09- <br /> SUB TOTAL <br /> 0SUBTOTAL f 28 )0U) <br /> PERMIT S _ N <br /> PERMIT f TOTAL FEE f 2 00 <br /> TOTAL FEB f 28 1 00 PLAN CHECK fEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PIAN CHECK NUMBER FEE 199.55 RECEIPT NO. <br /> AREA <br /> 20 £t 84/13427 93211-- f. <br /> 5 £t ft <br /> USE 20NF LOT AREA VACANT SITE FEE VALUATION FEE <br /> B -_ <br /> 13456 res No <br /> TYPEOFCONST. CUPANIC OR UF; NO.OF DWELLING UNITS 322 00 F <br /> V-N R-3 2 BUILDING '63 000. <br /> SIZE OF BLDU. NO.OF STORIES MAX.OCC.LOAD PLUMBING 28 00 <br /> 34'x68' 1 - FIRE SPRINKLERS 24 00 O G <br /> FIRE ZONE BASEMENT REQUIRED MECHANICAL <br /> n0 YES IV OTHER <br /> APPROVALS BY GATE U.B C. t*J ri <br /> PENALTY SEC.003(a) Ul <br /> 1.ENVIRONMENTAL CHECK LIST I- <br /> 2.BUILUING PLANS , _ TOTAL 374 00 I <br /> 3.FIRE HYDRANT PERMIT VALIDATION <br /> a.FIREPROTECTION SYSTEM WHEN PROPERLY VAUDATED(IN THif{ PACE(THIS 15}'OVRJPyRMIT--- 1 . <br /> 5.GRADING J !, 1 J L L l 11 <br /> S.DRAINAGE (1)- ^ IP <br /> � <br /> 7.ENVIRONMENTAL IMPACTBTATEMCNT T <br /> . <br /> B.HEALTH DISTRICT <br /> -7PPI ICA510, 4CC. <br /> BY LANS CHECKED BY APPiI.FOR ISSUANCE BY <br /> O <br /> eb C 4 hwm lc <br /> -1 <br /> 7 1 lug 84 <br /> ` (� ADDRESS FILE <br />