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trio Evereeen <br />CITY OF <br />ewrett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />WNSSTRUCTION <br />PERMIT <br />❑ COMBINATION FA BUIL.UING ❑ MECHANICAL <br />PERMIT NO. 06862 <br />❑ PLUMBING <br />MAILALI ESS <br />CITY <br />71. <br />PHONE <br />OWNER <br />Justin Brost P.O. <br />Box 2222 <br />Everett <br />98203 <br />355-1700 <br />ARCHITECT OR DESIGNER <br />MAIL 41DRES.: <br />CITY <br />ZIP <br />PHONE <br />IIAI, AODAESS <br />CITY <br />ZIP <br />PHONE LICENSE/ <br />GENERAL CONTRACTOR <br />Brost Development Co. <br />Inc. <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE/ <br />MECHANICAL CONTRACTOR , <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE/ <br />PLUMBING CONTRACTOR <br />S ❑NEW ❑ADDI",.Ov ❑ALTERATION El REPAIR DEMOLITION ❑FENCE El SIGN ❑GARAGE <br />WORK <br />1 f '1 residence <br />17emollsh sing a aDli y <br />PROPOSED USE OF BUILDING <br />I <br />PLICATION <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />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 OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION THE E F ANCE OF CONSTRUCTION. <br />SIC, %NNE Oy�NT OR H AGENT GATE <br />X <br />2 <br />LEGAL DESCRIPTION OF PROPERTY (SNOW BELOW OR ATTACH FOUR COPIES) <br />11' Monson Add. ALL <br />OT aLOGK_oF — TYPL <br />JOB ADDRESS <br />5730 Fleming <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOIL-'r.VIR <br />BATHTUB <br />FEE <br />MECrIANICAL <br />NO.T TYPE OF EQUIPMENT <br />COND. UNITS - H.P. EA. <br />FEE <br />— <br />— <br />9E =RIGERATION UNITS - H.P. EA <br />BOILE— <br />SRED H.P. EA. <br />FD A.C. UNITS -TONNAGE EA. <br />LAVATORY (WASH BASIN) <br />SHOWER <br />RTCHEN SINK & DISP. <br />t;:,S <br />u,I <br />; JRCED AIR SYSTEMS - B.T.U. M EA. <br />— <br />DISHWASHER -- <br />- <br />UP ':'EATERS - BIT .U. M <br />LAIINDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN _ <br />FLOOR DRAIN - <br />VACUUM BREAK_RS <br />ROOF DRAINS - RAINLEADERS <br />EV, ^ORATIVE COOLERS <br />CLC1'a2S DRYERS <br />- <br />VENT 4 ATIOK iP.N <br />BANS- 'OOD <br />AIR HA;'nLING C'+IT - C.F.M. <br />STUVE — <br />METAL FIPEPLACE &CHIMNEY <br />-' <br />SINK ISEPVICE - BAR, ETC.) <br />TOTAL <br />FEE <br />$ <br />$ <br />f <br />SUBTOTAL <br />- <br />SUB <br />— <br />PERMIT 3 <br />PERMIT <br />TOTAL <br />_ s <br />.` <br />TOTA.E <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />SIDE YARD SETBACK <br />STREET GEBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />USE ZONE I <br />LOT Al' A <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />_— <br />TYPE OF CONST -OCCUPANCY GROUP <br />SIZE OF BLDG. NO. OF GPORIES <br />FIRE ZONE BASEVE.jT <br />APPROVALS <br />1. ENVIRONMENTAL CHECKLIST <br />NO. OF DWELLING UNITS <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ONO <br />BY DATE <br />BUILDING <br />$ <br />00 <br />00 <br />PLUMBING <br />_ <br />MECHANICAL <br />-, <br />- <br />OTHER <br />� <br />PENALTY <br />U B C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />00 <br />3. FIRE HYDRANT <br />_ <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLI V.-IDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />! p 1. 's t1 A O. A !l <br />CO <br />YOU r~;EeEiFrCD <br />THANK Y O U <br />5. GRADING <br />#� <br />6. DRAINAGE �!1 <br />- <br />T ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />