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CITY OF <br />everett <br />CITY HALL 259.8145 <br />EVERETT. WA 98201 <br />`I <br />PERMIT <br />❑ COMBINATION ki BUILDING ❑ MECHANICAL <br />PERMIT NO. 08196 <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Luther Child Center <br />4526 Federal <br />Everett <br />98201_ 258- 11t <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />Solie Builders <br />MAIL ADDRESS <br />7514 Juniper Drive <br />CITY ZIP <br />PHONE LICENSE <br />98203 <br />353-2331 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE / <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE / <br />❑NEW ❑ADDITION (24LTERATION OF. -PAIR ❑DEMG_1T!ON ❑FENCE ❑SIGN ❑GARAGE <br />S 8,000.00 <br />General Remodel <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PUCATION 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 - STATE OR LOCAL LAW REGULATING <br />CONST ION R E PL FORMA OF CONSTRUCTION. <br />SIGN RE 0 Ni TO R A THO D AGE DATE <br />X 9/4/80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK -OF <br />JU9 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 CONTI. 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 DISK <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />_ <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 />SUBTOTAL <br />SUBTOTAL S <br />PERMIT S <br />PERMIT f <br />TOTAL FEE f <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />80/8196 <br />PLAN CHECK <br />FEE 2B.60 <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 8,000. <br />44 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />[]YES ❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />- <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />h 44 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />i, <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS eYOUR'IPE'1RMIT <br />7 1 0 7 W O '1 4. 0 0 —� <br />CT) <br />YO-UIP, RECEIPTa) <br />' HAN YC u <br />5. GRADING <br />M <br />5. DRAINAGE i <br />S <br />'. ENVIRONMENTAL IMPACT STATEMENT <br />U <br />HEALTH DISTRICT <br />'PLICATION ACC. BY <br />PLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BV <br />ADDRESS FILE - 3 StP 30 <br />