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CITY OF L, I PRO I ■ BV%.# I IVII <br />' r <br />everef PERMIT PERMIT NO. 07105 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Luther Child Center Box 2097 Everett 98203 258-4521 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />CLASS OF WORK Ip <br />❑NEW DIADGITION s]ALTERATION ❑REPAIR ❑DEMOLITION ❑FENC.E ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />f 8,500.90 <br />DESCRIBE WORK <br />Remodel existing building to change use from planned laundry room into kitchen. -dining area and <br />Mr0SMOtEW-VUILM--rynq <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORIT TO VIOLATE OR CANCEL THE PRO. <br />VISION OF ANY OTHER S TE OR LOCAL LAW REGULATING <br />CONK CTION ON <br />ER ORMAN E OF CONSTRUCTIOJOB <br />SIG T OF CONTRA RI E GENT DATE <br />xi <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK_OF <br />31-29-5 <br />ADDRESS <br />709 46th Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF—EQUIPIMENT <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 8 DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHFR <br />WALL HEATERS - B.T.U. 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 - C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20 <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />7105 <br />PLAN CHECK <br />FEE 31.20 <br />FEE <br />RECEIPT NO. <br />45715 <br />USE ZONE <br />ET-1 <br />LOT AREA <br />VACANT SITE <br />LIVES OW <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-1 <br />NO. OF DWELLING UNITS <br />I <br />BUILDING <br />$ 8,500.00 <br />48 <br />GO <br />SIZE OF BLDG. <br />14'X21' <br />NO. OF STORIES <br />1 .fi <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />3 <br />BASEMENT <br />1.�*�i <br />FIRE SPRINKLERS <br />REQUIRED <br />DYE No <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />48 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Lr <br />7290 <br />-- <br />r- <br />� r <br />'YOUR RECEIPT <br />1\E�' E �PT C <br />TMNIK YQ11 <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />':?,!�80 <br />