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CITY OF <br />everett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />PERMIT <br />0 COMBINATION U BUILDING ❑ MECHANICAL <br />PERMIT NO. 07840 <br />❑ PLUMBING <br />OWNER _ MAIL ADDRESS CITY ZIP PHONE <br />Luther Child Center 4526AIFederal Everett 98203 P2Dr58-4521 <br />Annpp.qq CITY <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Same <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />5tI}pEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN ❑GARAGE <br />s 300,000.00 <br />Erect two story orrice <br />Duiiuiriy <br />PROPOSED USE OF BUILDING <br />Office <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 LOWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />U* BLOCK_OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOF'ITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER :TATE OR LOCAL LAW REGULATING <br />L 31-29-5 <br />CONSTRUCTION ORRE PURFORMANCE OF CONSTRUCTION. <br />SIGN TU OF CONTRACT O OR UTHORIZEQ AGENT DATE <br />X r <br />JOB ADDRESS <br />4526 Federal <br />MECHANICAL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGUIPMEN <br />FEE <br />NO. <br />WATER CLOSET TOILET) <br />BATHTUB <br />2 <br />AIR CONE. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA <br />BOILERS H.P. EA. <br />11 <br />LAVATORY (WASH BASIN) <br />GAS FIRED AC. UNITS -TONNAGE EA. <br />D <br />SHOWER <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS -B.T.U. M <br />- <br />DISHWASHER <br />UNIT HEATERS -B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS - <br />WATER HEATER <br />6 <br />VENTILATION FAN <br />2 <br />URINAL <br />RANGE HOOD <br />_ 1 <br />DRINKING FOUNTn,'.V <br />`'� <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />r� <br />STOVE <br />VACUUM BREAKERS <br />RAINLEADERS <br />'� <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS - <br />SINK (SERVICE - BAR, ETC) <br />1 <br />SUB TOTAL <br />52 00 <br />SUB TOTAL f 12 On <br />PERMIT <br />f <br />PERMIT f <br />f 12 00 <br />TOTAL FEE <br />STREET SETBACK <br />f 5 <br />REAR YARD SETBACK <br />TOTAL FEE <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />SIDE YARD SETBACK <br />SPECI L PROPERTY <br />US <br />PERMIT <br />RECEIPT NO. <br />80/7840 FEE381.SS <br />49264 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES TVFEES <br />VALUATION <br />FEE <br />R-1 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />V-1 Hr. <br />B-2 <br />0 <br />BUILDING <br />$300,000 <br />587 <br />00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />348 <br />PLUMBING <br />52 <br />00 <br />351' x185' <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUI <br />MECHANICAL <br />12 <br />00 <br />3 <br />OYES O <br />OTHER <br />APPROVALS <br />BY <br />Ifw DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C. <br />SEC.. 303 la) <br />2. BUILDING PLANS °� <br />TOTAL 6 51 00 <br />3, FIRE HYDRANT N <br />4. FIRE PROTECTION SYSTEM <br />�{.HF�N�F Piz PERMIT VALIDATION <br />�Y VALIDA'I nIIN THIS SPACE) 7 IIS IS YQU� PF ITa O O <br />N5. GRADING <br />7 <br />i. <br />N6. DRAINAGE-,, <br />00 <br />:1RECEIPT •I'� I:.I R RhCEIr� <br />CD <br />7. ENVIRONMENTAL IMPAB+-STATEMENT <br />4 � <br />B. HEALTH DISTRICT <br />S,"� (` Y �; U ;;I', i'V R (- ' U <br />�APPLICALON ACC. BY <br />LANS CHECKED BY <br />APPq. FOR ISSUANCE BY <br />C= <br />HWM <br />HWM <br />.1� <br />Z % i+U"; 6U <br />ADDRESS FILE <br />UU <br />