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4504 BROADWAY 2018-01-02 MF Import
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4504 BROADWAY 2018-01-02 MF Import
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Last modified
12/20/2019 9:29:52 AM
Creation date
1/24/2017 8:50:44 AM
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Address Document
Street Name
BROADWAY
Street Number
4504
Imported From Microfiche
Yes
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1hr Ecrr�recn i�, �O N ST R U CT I O I�, � <br /> C.ttv O� <br /> everett PERMIT PERMIT NO. 14OHO <br /> CITY NaLL 259�87a5 <br /> EVCRETT,WA 98201 � COMBINATION � BUILDING � MECHANICAL � PLUMBING <br /> OWNER MA:!.ADOFE55 GITY ZIP PNONE <br /> Evergreen Funeral Home 4505 Brondw�y Everett 98203 252-7273 <br /> ARGHRECT OR DESIGNER MAIL ADDRE55 CITY ZIP PMONE <br /> GENE9ALCONTRACTOR MAILADORE55 GTY ZIP PNONE LICENSE� <br /> Srme <br /> MEGMRNICRL CONTflRLTOR MAIL ADpHE55 CITY ZIP PMONE LICENSE M <br /> PLIIMBING CANTRRCTOR MAIL RDDRE55 GITY ZIP PMONE UCENSE I <br /> C1A55 OF WORK <br /> O NEW I� ADDITION �J ALTERATION ❑REPA�R ❑ DEMOLITION ❑ FEtJCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALVATION OF WORK <br /> S 1SO�OOO.00 <br /> DESCFIBE WORK <br /> Remodel existinq building and construct 1300 Sq. Foot addition <br /> PROPOSED lISE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVF READ AND EXAMINED THIS <br /> Funeral Home APPLICATION AND KNOW THC- SAME TC� BE TRUE AND <br /> LEGALDESCRIPIIONOFPPOPERTY�SMOWBELOWORAT?ACMFOURCO71E5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOLN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.TfiE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTf10RITY TO VIOLATE <br /> OR CANCEL THE PROViSIONS C� ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSIi�U TION OR THE <br /> PERr MA OF COhSTRUCTION. <br /> JOB AOORESS $IGNA ❑ Oi ACTOR OR AU7HOR12E0 GENT UnTE <br /> 4505 Broadway X � ] /���`-� <br /> PLUMBING MECMANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> [ <br /> WA7ER CLOS[T�TOILEn AIR COND.UNITS - H.P. EA. � <br /> 6ATHTUB F7EFRIGERATION UNITS- H.P.EA. <br /> 2 LAVATORY�WASHBASIN� 4 OO BOILEHS - H.P. EA. <br /> SMOWER GAS FIRED A.C.UNITS- TONNAGE EA. <br /> KITCMEN SINK 8 DISP. FORG:D AIR bVSTEMS - B.T.U. M En. <br /> DISHWASMER WALL HEATERS- B.T.U. M <br /> +.AUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> j WA7ER f1EATER 2 �� CLOTME,^,DRVERS <br /> URINAL 2 �ENTII.AiION FAN <br /> DHINKING FOUNTAIN FANGE MOOD <br /> FWOF DR41N AIR HANDLING UNIT- QF.M. <br /> VACUUM BREAKERS STOVE - WOOD <br /> ROOF DRAINS- RAINLEAOERS 1 METAL FIREPLACE 8 CHIMNEY <br /> 2 SINK(SERVICE- 9AR, ETC.) 4 OO PIREPLACE INSERT <br /> HEAT PUMP <br /> sue rora� s 14 00 sue rorn� s 3 0 <br /> PEPMIT S PERMIT S <br /> TOTALFEE f 14 00 TOTAL FEE S 13 50 <br /> SIDE YARD SETBACK STREET SE7BACK REAR VARD SETBACN PLAN CHECK NUMBER PLAN CMECK FEE <br /> N/A N/A N/A 84/14080 FE�62.70 7��2�PTN0. <br /> USE ZONE LOT AFEA VACANT SI7E <br /> R-1 i'VES $7p0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-2.1 O BUILOING S 150,000. S58 00 <br /> SIZE OF BLDG. t�0.OF STORIES MA%.OCC.LOAD <br /> 7160 Sq. Ft. 1 335 PLUMBING 14 00 <br /> FIRE ZONE BASEMENT pE0U5RER�INKLERS MECHANICAL 13 SO <br /> YES XKO <br /> APPROVALS BY DATE OTH[q <br /> L F.NVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a1 <br /> 2.BUILDING PLANS <br /> 3.FIREIiYDRANT TOTAL 58$ 50 <br /> 4.FIRE PROTEC710N SYSTEM PERMIT VALIOATION <br /> WNpN PPOPERL AUOA7E0 pN 7 SPACE)TH19;IS YALLN flEAN�T � <br /> S.GRADING rY -- �' �. . . , l l. �. � <br /> �6.DRAINAGE � <br /> � <br /> 7.ENVIPONMENTALIIAPACTSTATEMENT d. <br /> _B.HEALTH DISTRICT ' � ,�_L. . I i�I � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE 9Y � � ' ' <br /> : 1'�: �1 <br /> - STG � JEF LC <br /> ' <br /> ADDRESS FILE <br />
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