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the EWersrnn <br />CITY OF <br />evereff <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />1 <br />"PONSTRUCTIOK' <br />PERMIT <br />rN COMBINATION ® BUILDING ® MECHANICAL <br />PERMIT NO. 14837 <br />® PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />John Schilaty 1716 Terrace Snohomish 98290 568-1150 <br />1 hi ECT OR DESIGNER MAIL ADDREUS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE I <br />Jim Hesseltine <br />P.O. Box 615 <br />Snohomish <br />98290 568-9301 _ <br />MCCHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />HEssEJH247BB <br />PLUMBING CON TRACTOR <br />FAILADDHESS <br />CITY <br />ZIP PHONE LICENSE <br />X3 NEW l) r.OD'TION ❑ ALTERATION ❑ REPAIA ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALVATIQ OF.VIF.1: _-�� ---- <br />DESCROEWOHK •-. <br />rnnalcnTct ❑nn1eY <br />PROPOSED USE OF BUILDING <br />Two Unit Apartment <br />I HFREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNINO THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFq*MANA OF CONS O . <br />SIG OF TRACT O HOR12 ➢IT DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />2 6 Beverly Hills k4 <br />LOT_BLOCK_OF_ <br />L 6 28 5 <br />JOB ADDRESS 5823 <br />SM A & B Fleming Street <br />PLUMBING <br />MECH NICAL <br />NO. <br />TYPE OF FIXTURE Oli ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />4 <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />2 <br />BATHTUB <br />4 <br />' <br />1 <br />REFRIGERATION UNITS - H.P. EA. <br />4 <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />$ <br />SHOWER <br />a <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />2 <br />KITCHEN SINK& DISP. <br />FOCE RD AIR SYSTEMS - B.T.U. M EA. <br />2 <br />DISHWASHER <br />4 <br />On I <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />2 <br />CLOTHES WASHER <br />A <br />QA <br />EVAPORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />no <br />2 <br />CLOTHES DRYERS <br />URINAL <br />4 <br />VENTILATION FAN <br />17 <br />On <br />DRINKING FOUNTAIN <br />2 <br />RANGE HOOD <br />Q <br />On <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />36 <br />00 <br />SUB TOTAL f <br />30100 <br />PERMIT <br />S <br />PERMIT f <br />TOTAL FEE <br />f <br />36 <br />00 <br />TOTAL FEE $1 <br />30 <br />00 <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />2C' <br />PLAN CHECK NUMBER <br />85/14837 <br />PLAN <br />FEE 242.45 <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />R-2 <br />LOT AREA <br />VACANT SITE <br />XXES . NO <br />FEES <br />VALUATION <br />.76844 <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />2 <br />BUILDING <br />' $60,0.30. <br />373 <br />00 <br />SIZE OF BLDG. <br />704 Sq. Ft. <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />B <br />PLUMBING <br />36 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />:_YES CINO <br />- <br />MECHANICAL <br />30 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />(I. B.CEC. <br />S. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />439100 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM ' <br />5.GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />— <br />? <br />qqr <br />t-'I <br />.. . <br />- <br />WDRAINAGE00 <br />7:ENVIRONMENTALIMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />`- EB <br />PLANS CHECKED BY <br />- 'JEF <br />APPR. FOR ISSUANCE BY <br />LC <br />Y� <br />J <br />i� <br />ADDRESS FILF <br />1 . ; <br />