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CITY OF V\ ■V 1 I1 <br />everett PERMIT PERMIT N0. 06862 <br />CITY HALL 259.6745 <br />EVERETT. WA 98201 ❑ COMBINATION RR BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Justin Brost P.O. Box 2222 Everett 98203 355-1700 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE <br />Brost Development Co. <br />Inc. <br />MECHANICAL CONTRACTOR <br />MAII. ADDRESS <br />CITY ZIP PHONE <br />, <br />LICENSE I <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY LIP PHONE <br />LICENSE <br />❑NEW ❑ADDITION ❑ALTERATION OREPAIR Q%EMOLITION ❑FENCE 2SIGN ❑GARAGE <br />E <br />UESCRIBF. WORK <br />Demolish single family residence <br />PROPCSED USE OF BUILDING <br />- <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 OTHER STATE OR LOCAL LAW REGULATING <br />ANC c OF CONSTRUCTION. <br />CONSTRUCTION THVHAGENT <br />SIGNATURE O NT OR DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />11 Monson Add. <br />LOT BLOCK —OF <br />JOB ADDRESS <br />5730 Fleming <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTUS.'c OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERAI ION 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 — B.T.U. <br />LAUNDRY TRAY <br />BI <br />.' <br />UNIT HEATERS — B.T.V. <br />CLOTHES WASHER <br />- <br />�: <br />EVAPORATIVE COOL'WATER <br />HEATER <br />i <br />CLOTHES DRYERS <br />UR114AL <br />VENTILATION FAN <br />MC.F,M: <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — <br />VACUUM BRFAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />— <br />_ <br />SUB TOTAL <br />SUB TOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE S <br />TOTAL <br />FEE S <br />SIDE LARD SETBACK <br />_ <br />STREET SETBACK <br />ROAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CPNST. <br />OCCUPANCY GROUP <br />NO. CF DWELLING UNITS <br />BUILDING <br />$ <br />00 <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 />REOUIRED <br />❑YES ONO <br />- <br />MECHANICAL <br />APPROVALS <br />BY <br />OTHER <br />G <br />h <br />1. ENVIRONMENTAL CHECK LIST <br />_DATE <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. DUILDIIJG PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />00 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 8 41 f O O 0 O O "O <br />,6 00 <br />(D <br />YOUR RECEIPT o <br />i H!V4K YOU <br />5. GRADING <br />6. DRAINAGE <br />T EMRROIJMENTAL IMFACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />FLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE 18 OCT .79. <br />