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the <br />``�R OF F"-C-0NSTRUCTI0?J-, '00 <br />everett PERMIT PERMIT NO. 12805 <br />CITY HALL 25M745 <br />EVERETT, WA 98201 ❑ COMBINATION U BUILDING ❑ MECHANICAL [:1 PLUMBING <br />OWNER MAIL ADDRESS DIIY ZIP PHONE <br />Jerry H. Carlson 4321 Rucker Avenue Everett 98203 252-3767 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />PLUMBING CONTRACTOR MAIL. ADDRESS CITY ZIP PHONE LICENSE 4 <br />❑ NEW ❑ ADDITION ]a ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />s 6050.00 <br />Remod P_l PYTFt'irt[T YPtIfL{r chnn <br />PROPOSED USE OF BUILDING J <br />commercial <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 LAVYS 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 />PERFO MANCE O 0 TRUCTION. <br />CIGN OF CONTRA R O /UTHORIZED AGENT DAT T <br />X _717117 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 5-6 BLOCK of Replat of South Park <br />— <br />JOE ADDRESS <br />4321 Rucker Avenue <br />PLUMBING <br />ME ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />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 SINK & DISP. <br />FORCED AIR SYSTEMS — 8.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — 6T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER 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 d CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />SUB TOTAL i <br />PERMIT <br />i <br />PERMIT i <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />83/12805 <br />PLAN <br />FEE 36.73 <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />EYES , NO <br />FEES <br />VALUATION <br />TYPE OF CONST. <br />V—N <br />OCCUPANCY GROUP <br />B-2 <br />NO. OF DWELLING UNIT"S <br />BUILDING <br />$6050. <br />62 <br />50 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />62 <br />5O <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WMFN PROPERLY VALIDATED UN TM{6 6MCE) TNI�I$tYQUIj'P�Fj�11i (,(J <br />17 <br />i IJ b L ) (J `CO <br />CO <br />I) n D I'I r„{ <br />Ri r!� C <br />1. <br />I 7 1 Y O U <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />CC. BY <br />APPLICATION AS <br />?CAN CHECKED BY <br />DAB <br />APPR. FOR ISSUANCE BY <br />DAB <br />r <br />ADDRESS FILE <br />