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rl <br />me ITon CC NSTRUCTION <br />everett PERMIT PERMIT NO.0-7610 <br />CITY HALL" <br />ALL 25974s PLUMBING <br />EVERETT. WA 9:201 COMBINATION BUILDING �[>k MECHANICAL X <br />GWNER MAIL ADDRESS CITY -' :•. ••. <br />821 Associates 855 106th Avenue N.E. Bellevue 98009 453-5454 <br />AgLHITECT OB DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />pY.nc <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />LICENSE F <br />MECHANICAL CONTRACTOR <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE, <br />CUSS OF W011K <br />5%EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN 0 GARAGE <br />VALUATION OF WORK <br />s 198,700.00 <br />construct 1L wnL C. rLpmL L. HJtl <br />PWPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />12 Unit Apartment <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PRGPEBTY (SNOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_O; <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />13-28-4 <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />RUCTIO PERFORMANCE OF CONSTRUCTION. <br />C 13-28-4 <br />610NA E OF CONY TOR O HORIZE.D AGENT DATE <br />.IOR ADDRESS Building HEIReo <br />8515 5th Avenue West <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET OILE <br />AIR CONE. UNITS - H P. EA. <br />12 <br />BATHTUB <br />24 <br />00 <br />REFRIGERATION UNITS - H P. EA <br />LAVATORY ASH BASIN <br />BOILERS - H.P. EA <br />GAS FIRED AC UNITS - TONNAGE EA <br />SHOWER <br />24 <br />00 <br />FORCED AIR SYSTEMS - B T.U. M EA <br />12 <br />KITCHEN SINK S DISP. <br />24 <br />00 <br />WALL HEATERS - BT U M <br />12 <br />DISHWASHER <br />UNIT HEATERS - Ulu M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />_ <br />CLOTHES WASHER <br />24 <br />00 <br />CLOTHES DRYERS <br />12 <br />WATEF. HEATER <br />12 <br />VENTILATION FAN <br />24 <br />00 <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C F M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />12 <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />36 <br />0 <br />ROOF DRAINS - RAINLEADERS <br />SINK ISERVICE -BAR. ETC. <br />BUS TOTAL <br />SUB TOTAL S <br />96 <br />00 <br />PERMIT <br />S <br />PERMIT 1 <br />DTF— <br />iAL FEE <br />6 1AA nEwTOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />5' <br />201 <br />201 <br />FEE RECEIPT NO <br />7254 <br />USEZONE 3 <br />LOT AREA 9. 3 <br />TE <br />KNES VACANT ISINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$198,700. <br />435 <br />00 <br />V—N <br />R-1 <br />12 <br />SIZE OF BLDG, <br />N0. OF STORIES <br />AIAK. DOC. LOAD <br />7,948 Sq. Ft. <br />2 <br />40 <br />PLUMBING <br />144 <br />00 <br />FIRE ZONF <br />BASEMENT <br />FIIREEUSP SPRINKLERS <br />EC0J19v0 <br />HANICAL <br />96 <br />00 <br />3 <br />n0neIR <br />YES <br />ER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />[PENALTY <br />SEC 303 (a) <br />AL <br />675 <br />05 <br />3. FIRE HYDRANT N <br />A. FIRE PROTE�ION SYSTEM <br />gHINyPfL�PjLRj�' <br />PERMIT VALIDATION <br />YA�.IDATn(iF! THIS SPACE) THIS 15 Y M <br />1�6 GRADING <br />4 L <br />—+� <br />q u (J 2427 S 5.0 <br />Q.cb <br />-'b DRAINAGE <br />T, ENVIR EARL IMPAM%TATEMENT <br />U R RECEIPT YO,U R RECEIFTo <br />HEALTH 191TSCT <br />. <br />' A N K YOU THANK Y O U <br />MTppLICAT OUl BY <br />LANS CHECKED BY <br />APPR. FOR ISSUANCE Btu" <br />C <br />H.W.M. <br />' <br />I♦ <br />I I MAY AY <br />ADDRESS FILE <br />2 1 VAT 80 <br />