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the EvcTYOF C(14STRUCTION `P <br />everett PERMIT PERMIT No. 08196 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION Ri BUILDING ❑ MECHANICAL ❑ PLLIIW131NG <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Luther Child Center 4526 Federal Everett 98201 258-111c_ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Solis Builders 7514 Juniper Drive 98203 353-2331 <br />MECHANICAL CONTRACTOP MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # <br />❑NEW ❑ADDITION QALTERATION <br />T 8,000.00 <br />Vto Kroc WIJHr <br />General Remodel <br />❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />PROPOSED USE OF BUILDING <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 AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTH TATE OR LOCAL LAW REGULATING <br />CONST ION R E P FOR OF CONSTRUCTION. <br />SIGNA RE 0 ONT TO R A THO D AGE# DATE <br />X 9/4/CO <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK_OF — <br />JOB ADDRESS <br />4526 Federal <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />_ <br />_ <br />SHOWER <br />GA:; FIRED A.C. UNITS — TONNAGE FA. <br />KITCHEN SINK P. LISP. <br />FORCED AIR SYSTEI IS — B.T.U. IA EA. <br />_ <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYEPS <br />URINA!. <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — GEM. <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE G CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />_ <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />S1 <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />80/8196 <br />PLAN CHECK <br />FEE <br />28.60 <br />FEE <br />RECEIPT NO. <br />_ <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION'S <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />s 8, 000. <br />44 <br />DO <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />._ <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />OYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B.0 <br />SEC. 3031.i <br />I <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />44 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMWHEN PROPERLY IVVA'LIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />7 1 9 7 $ 0 4 4.0 0 -rn <br />r-I <br />YCrU-R REGEIPTC0 <br />CD <br />THANK YOU <br />, <br />5DRAINAGE <br />'. ENVIRONMENTAL IMPACT STATEMENT <br />HEALTH DISTRICT <br />'PLICATION ACC. BY <br />FLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />