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ergreen <br />11: <br />AR.PLICATION FOR, , <br />.,ONSTRUCTION ` ' <br />ierett PERMIT <br />T. OF COMMUNITY DEVELOPMENT SLRVICES <br />Y HALL 259-8745 <br />' ERETT, WA98201 XCOMBINATICIN ❑ BUILDING <br />❑MECHANICAL <br />❑PLUMBING <br />PERMIT NO. <br />IWNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Luther Child Center Box 2097 <br />Everett <br />98203 <br />258-4521 <br />ARCHITECT OR DESIGNER MAIL ADDRE SS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE IT <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE E <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE S <br />Rucker Avenue Plumbing Everett <br />CLASS OF WORK <br />❑)NEW ZADDITION NALTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />S 8,500 <br />! DESCRIBE WORK Remodel existing building to change use from planned laundry room into kitchen - <br />din;na area and add 300 so. ft. dry food storaee wine. <br />PROPOSED USE OF BUILDING <br />Kitchen <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />4GNRE OE CONTRACTOR R AUTHORIZED AGENT DATE V G <br />,L' (z- 7-O --7 I <br />t - <br />LEGAE. DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK -Of <br />Attached <br />JOB ADDRESS <br />709 46th Street I. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF <br />&QUIPMENT <br />FEE <br />WATER CLOSET (TOLIET) <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 -BTU. M EA <br />DISWASHER <br />WALL HEATERS-B.T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.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- CF.M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAI NLEADE RS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE -BAR, ETC) <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTALFEE <br />S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />-Eh ?-- <br />r <br />STREET SETBACK <br />�^ <br />!�/F7 <br />REAR YARD SETBACK <br />%�25F-' <br />PLAN CHECK NUMBER <br />—7113 <br />f <br />PLAN <br />FLEW Z.O <br />CHECK FEE <br />RITIPT NO. <br />1S <br />USE ZONE <br />( <br />LOT AREA <br />VACANT SITE <br />❑YES L41,E6 <br />FEES <br />VALUATION <br />FEE <br />+ <br />TYPE OF <br />tj <br />OCCUPANCY GROUP <br />I <br />NO. OF DWELLING UNITS <br />BUILDINGO. <br />58a»Q• <br />�. O <br />O` <br />SIZE OF OLDG. <br />/ qx a 1 <br />NOF STORIES <br />l <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />3 <br />BASEAIEN7 <br />[it UROOMS <br />i�G❑QSIRE�O <br />FIRE SPRINKLERS <br />MECHANICAL <br />APPROVALS <br />I -BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />( <br />PENALTY <br />U.BC <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />3. FIRE HYDRANT <br />a FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) 1HIS IS YOUR PERMIT <br />5 GRADINGILXCAVA N0N & ( I I ARING'GRUBBING <br />NAGE <br />7. <br />7 ENVIRONMENTAL <br />ENVVIRONRON MENTAL IMPACT STATE NT <br />8. HEALTH DISTRICT <br />APPI ICATION A(.(: IIY PLANS CHECKED BY <br />