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CCASTRUCTI© IV <br /> everett PERMIT PERMIT NO. 14 183 <br /> CITY HALL 2598745 r MECHANICAL ❑ PLUMBING <br /> EVERETT.WA 98207 ❑ COMBINATION X, BUILDING <br /> � 21P P4UNE <br /> MAIL AD1REss 35;•6537 <br /> OWNERISVCrett – p1I0NE <br /> Marlene Mechem 301 77th Place S.W. clTr Z,p <br /> RES' <br /> ARCHITECT OR LSIGNER —­PNONE LICENSE E <br /> CITY <br /> ZIP <br /> GENERAL CONTRACTOR MAIL ADORESS Milwaukie Oreaon 97222 503-222-532 <br /> 2093 Oak Grove Blv- ZIP PHONE LICENSEE <br /> Contractors Exchange clTr <br /> MA--iI ADDaEss CONTRB1770N <br /> MECHANICAL CONTRACTORLICENSZ E <br /> GITr <br /> ZIP PHONE <br /> MAIL AODRE6S – <br /> PLUMBINO CONiRAGTOR '— <br /> C3 WOOD BTOVFJFIREPLACE IIJSERT <br /> CLASS 0 REPAIR ❑ DEMOLITION ❑ FENCE 13"'ON <br /> ❑NEW ❑ ADDITION ❑ ALTERATIC N ( <br /> VALUATION OF WORA <br /> t 5,000.00 <br /> GESCRID— E WO �[/I M7JVG <br /> repair fire damiZoOF age <br /> I HAVE READ AND EXAMINED THIS <br /> PROPOSED USF OF BUILDING 1 HEREBY CERTIFY THAT <br /> Single FBmilyResidence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DEXRIPTA1N OF PROPERir ISHOW BELOW OR ATTACH FOUR COP'ESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT _BLOCK_-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 /> PERF RM N E OF CONSTRUCTION. DATE <br /> SIDNA R O 40 TRACTOR OR AUTHORIZED AGENT IrIX 11/20/84 <br /> JOB ADDRESS x <br /> SIRX 301 77th. Place S.W. MECHANICAL <br /> FEE <br /> PLUMBING FEE NO. TYPE OF EQUIPMENT <br /> NO. TY FIXTURE OR ITEM AIR CORD.UNITS–N.P.EA. <br /> WATER C (TOILET) REFRIGERATION UNITS–H.P.EA. <br /> BATHTUB BOILERS– H.P.EA <br /> LAVATORY(WASH BASIN) GAS FIRED A.C.UNITS–TONNAGE EA. <br /> I SHOWER FORCED AIR SYSTEMS– B.T.U. M EA. <br /> KITCHEN SINK 8 DISP. WALL HEATERS– B.T�� M <br /> DISHWASHER UNIT HEATERS– B.T.U. M <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> GLOTHESWASHER -- CL01 HES DRYERS <br /> WATER HEATER VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN Ain HANDLING UNIT– C.F.M. _— <br /> FLOOR DRAIN STOVE–WOOD <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEY -- <br /> ROOF DRAINS– RAIL LEADERS FIREPLACE INSERT ter" <br /> SINN(SERVICE– BAR,ETC.) HEAT PUMP _ <br /> M <br /> _--t BUB TOTAL <br /> BUD TOTAL f PERMIf fH <br /> PERMIT ff H <br /> TOTAL FEE A F <br /> TOTAL FEE f PLAN CHECK FEE <br /> NUMBER <br /> SIDE YARD SETBACK STREET SETBACK REAS YARD SETBACK PLAN CHECKFEE RECEIPT NO. <br /> VACANT SITE VALUATION FEE <br /> USEZONE LOT AREA FEES H f. <br /> ;'.YES NO O a <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS BUILDING f$,OGD. 50 50 F <br /> MAX.000.LOAD —'�— <br /> SIZE OF BLDG. NO.OF STORIES F4UMUING <br /> FIRE SPRINKLERS MECHANICAL y f� <br /> BASEMENT K <br /> FIRE ZONE REQUIRED �--- r, <br /> YES NO OTHER <br /> APPROVALS BY DATE U.B.C. IMI.� rt <br /> PENALTY DEC.903 IA) 50 50 y P1 <br /> 1.ENVIRON K LIST fh*7I <br /> 2.BUILDING PLANS TOTAL r I <br /> 3.FIRE HYDRANT PERMIT VALIDATION yFRMIT _ (� <br /> A.FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED LIN THIS�PAFEI THIS I$YOVR Ob <br /> J UU <br /> 5.GRADING r <br /> B.DRAIN __ E <br /> -77--ENVIRONMENTAL IMPACT STATEMENT <br /> 8.HEALTH DISTRICT <br /> APPLICATION ACC.BY PLAN9 CHECKED BY APPA.FOR ISSUANCE BY <br /> r <br /> ADDRESS FILE <br />