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rr <br />r <br />L <br />T"e1PCR�,°9 _ r '^ONSTRUCTION <br />everel t PERMIT PERMIT NO.08743 <br />CIT ALL'259074s <br />EVER TT:WA 08201 X COMBINATION BUILDING L MECHANICAL ff PLUMBING <br />Robert W. Brokaw 501 <br />Colby <br />98201 <br />258-1109 <br />HITECCT0 <br />DTIZEB <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />; <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />a" <br />ZIP <br />PHONE LICENSE F <br />Summit Western Inc. <br />501 Colby <br />98201 <br />258-1109 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE LUNSE E <br />223-01-41446 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE IF <br />CLASS OF WORK <br />Qi&W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE DEIGN ❑GARAGE <br />VALUATION OF WORK <br />E 125,000. <br />BE WORK <br />Construct Duplex <br />PROPOSED USE OF BUILDING <br />Duplex Condominium <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALLPROVISIONS OFLAWS AND ORDINANCES GOVERNING THIS <br />DOPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />�-I� REIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />(RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X 1/7/81 — <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COMB) <br />2 1 Beverly Hills Div. N2 1 <br />LOT BLOCK_Oc <br />the West 64.24' of the South 116.74' <br />Lot A2 R 6-28-5 <br />JOB'ADDRESS <br />1519 A F B 63rd Street S.E. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE _ <br />4 <br />WATER CLOSET OIL <br />8 <br />00 <br />AIR LAND. UNITS - M.P. EA <br />4 <br />BATHTUB <br />a <br />00 <br />REFRIGERATION UNITS - H P. EA <br />LAVATORY ASH BASIN) <br />a <br />nn <br />BOILERS - H P LA. <br />SHOWER <br />GAS FIRED A C. UNITS - TONNAGE EA, <br />2 <br />KITCHEN SINK 6 DISP <br />2 <br />FORCED AIR SYSTEMS - S.T.U. M EA. <br />D& <br />DISHWASHER <br />WALL HEATERS - B 1 U M <br />LAUNDRY TRAY <br />UNIT HEATERS - B 1 U M <br />2 <br />CLOTHES WASHER <br />4 <br />00 <br />EVAPORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />00 <br />2 <br />CLOTHES DRYERS <br />9 <br />00 <br />URINAL <br />4 <br />VENTILATION FAN <br />12 <br />00 <br />DRINKING FOUNTAIN <br />2RANGE <br />HOOD <br />FLOOR DRAIN <br />AIR HANDLING UN = C F M _ <br />VACUUM BREAKERS <br />I <br />ISTOVE <br />ROOF DRAINS - RAINLEADERS <br />1 2 <br />_ <br />1 METAL FIREPLACE i CHIMNEY <br />9 <br />00 <br />SINK(SERVICE - BAR, ETC <br />SUBTOTAL <br />40 <br />00 <br />SUBTOTAL f <br />52 <br />00 <br />PERMIT <br />f <br />-_ <br />PERMIT f <br />TOTAL FEE <br />.I <br />40 <br />00 <br />TOTAL FEE <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />80/8558 <br />PLAN CHECK FEE <br />1 LE RECEIPT NO. <br />Basic <br />USE ZONE <br />R-2 <br />LOT AREA <br />VACANT SITE <br />XIYES ❑NO <br />FEES <br />- <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />COCUPANCY GROUP <br />R-3 <br />NO, OF DWELLING UNITS <br />2 <br />BUILDING <br />S125c000. <br />451 <br />004 <br />SIZE OF BLDG. <br />61' 2"x66' 6" <br />NO, OF STORIES <br />1 <br />MAX. 001 LOAD <br />PLUMBING <br />40 <br />00 <br />FIRE ZONE <br />BASEMENT <br />yes <br />FIRE SPRINKLERS <br />PREOUSIRED <br />XUD <br />MECHANICAL <br />52 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC. <br />SEC. 303(e) <br />Z. BUILDING PLANS <br />TOTAL <br />543 <br />00 <br />3. FIRE HYDRANT rnA <br />A. FIRE PROTECTION SYSTEM, <br />5.GRADING - GO <br />PERMIT VALIDATION I�� 0 <br />PROPERLY VAL'7Elf IS V ATED (IN THIS SP I 4IT <br />* Refer to Permit 118558-Reflects the Cr. <br />balance due On Building Permit onl f <br />1; - (� is <br />cc <br />. <br />I �, C <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACYSTATEMENT <br />S,MEALTHpISTAiIar t <br />%APPLICATIOWACG. Y <br />00 _i <br />S'aLNS CHECKED BY <br />o V.C. <br />APPR. FOR ISSUANCE BY <br />-r U <br />