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everett !- PERMIT j� JC) <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑COMBINATION ® BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRE S5 CITY ZIP PHONE <br />Luther Child Center 4526 Federal Everett, NA 98203 258-4521 <br />CT OR DESICNIR <br />MAIL ADDRESS <br />PHONE <br />Charles Moran & Associates, 7301 Beverly Lane Everett, 14A 98201 353-2888 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />PIVMRI SC CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f <br />CI ASS OF WORN <br />R( NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\ML!ATION OF WORK <br />, 300,000.00 <br />DFSCNINI WORK <br />Erect new two story office building <br />PROPOSEDUSE DI BUDDING <br />Office space <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION 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 THL PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X 4' 6-30-80 <br />I EGAL DISCRIPTION OE PROPIRTY PHOWN BELOW OR ATTACH FOUR COPIISI <br />101 BLOCK -OF <br />_L <br />TOR ADDRESS <br />4526 Federal - Ev.rett, 11A <br />PLUMBING <br />MECHANICAL CHART lyE. MORGAN, Architect <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOLIET) <br />Q <br />AIR CONE) UNITS—H P EA <br />BATHTUB <br />REFRIGERATION UNITS—H P EA <br />I. AVATORY (WASH BASIN) <br />BOILERS —HP EA <br />SHOWER <br />GAS FIRED AC UNITS —TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS—B T U M EA <br />DISWASHER <br />WALL HEATERS —BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS —BTU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />! <br />DRINKING FOUNTAIN <br />02 <br />02D <br />RANGE HOOD _ <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —RAINLE ADERS <br />METAL FIREPLACE & CHIMNEY <br />';INK (SERVICE —BAR, FTC 1 <br />SUR TOTAL <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />- TOTAL FEE f <br />G <br />SIDE YARD SETBACK <br />16PtWdAtc <br />STREET SETBACK <br />QA06WY <br />REAR YARD SF IBACK <br />ir- <br />PLAN CHICK NUMBER <br />78dc� <br />PLAN <br />FEE <br />si <br />CHECK FEE <br />i�`q zZP <br />USE ZONE <br />to— <br />LOT AREA <br />VACANT SITE <br />❑YE5 541410 <br />FEES <br />VAlUA710N <br />FEE <br />TYPE <br />EEyOF CONST <br />OCCUPANCY GROUP <br />pJ- Z <br />NO OF DWIHING UNIT' <br />BUILDING; <br />SIZE OF flIOG <br />9.7J !8 <br />NO Of STORIES <br />'EN <br />MAX OCC IOAO <br />r <br />NUMBING <br />> <br />4i <br />FIRE ZONE tEMENT <br />3 <br />fitDRGM IOS <br />FIRE SPRINKLERS <br />REQUIRED <br />[lYfS P9CPO <br />MECHANICAL <br />A►PROVAL$ <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />, <br />PI MALTY <br />UBC <br />SEC 303(a) <br />F <br />7 BUILDING PLANS <br />TOTAL <br />/wG <br />L4-J <br />O <br />3 FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />S GRADINLII XC AVAIION R CH ARINGIGRUHHING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9 <br />