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L <br />drc Everereen <br />"O NSTR U CTIO N <br />everett <br />PERMIT <br />PERMIT NO. 11885 <br />CITY HALL 25"745 <br />EVERETT, WA 98201 <br />COMBINATION XW BUILDING L. MECHANICAL <br />PLUMBING <br />OWNER <br />MAIL ADDRESS City <br />PHONE <br />GARY $ JUDY <br />DUNSTON 1525 - 74th Everett <br />WA 353-loan <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />III'- PHONE <br />GENERAL CONTRACTOR <br />Three Lakes <br />MAIL ADDRESS CITY <br />Construction <br />ZIP NE LICENSE F <br />50V4616 <br />6523 - 171st <br />nohomi ch the QA2gn <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY TH RE E LQC201 P4 PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE F <br />CLASS OF WORK <br />❑ NEW <br />❑ ADDITION ❑ ALTERATION MEPAIR ❑ DEMOLITION ❑ FENCE <br />❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />1 3,400.00 <br />DESCRI AK <br />WE n1ow, oil <br />furnace <br />PROPOSED UP OF BUILDING <br />Res ldence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />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. <br />810 CONT TOR OP AU7 ORIZ AGENT DATE <br />X 1/ULA_ 4/14/91 <br />LEGAL DESCRIPTION OF PROPERTY 'SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT 7 BLOCK 2 OF Plat of Park City Addn <br />to -Beverrly Par <br />JOB ADQPE#SiS <br />1 4Z - 7 4 t h <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET( TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS —H.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINKS DISP. <br />FGRCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — S.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPCRATIVE COOLERS <br />WATI HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT —C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />oil furnace <br />4 <br />0 <br />SUB TOTAL { <br />PERMIT f <br />SUB TOTAL 1 <br />PERMIT { <br />4 <br />O <br />TOTAL FEE { <br />TOTAL FEE 1 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RFCEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />YES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />1 3400, 00 <br />SIZE OF BIDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />YES NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 503 (A) <br />2. BUILDING PLANS <br />J.FIREHYDRANT <br />TOTAL <br />49 v0 <br />X. FIRE PROTECTION 6YSTYM <br />c <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS SPACE)uE)THIS f 604TEOT—L(]� <br />C J� (DO <br />�--� <br />YOUR R E C E I PT K A <br />THANK YOU <br />S.GRADI'S.. <br />DRA NA" <br />Or ENVIRO EI L IMPA�tTATEMENT <br />IS HEALTST T 0 <br />PPLICAT O14 BY <br />L" O m <br />LANE CHECKED BY <br />APPR. FOR ISSUANCE BY <br />LNC <br />J <br />0 <br />ADDRESS FILE <br />1 4 APR 8 3 <br />