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the Evergreen <br />CITY 01� <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />CONSTRUCTIQ"l <br />PERMIT <br />❑ COMBINATION J� BUILDING MECHANICAL <br />PERMIT NO. 13224 <br />PLUMEING <br />OWNER MAIL ADDRESS CITY P PHONE <br />City of Everett 3002 Wetmore Everett 98201 259-8701 <br />ARCHITEOT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTR�_fOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION IYALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f 3,200.00 <br />Relocate existing stairway <br />PROPOSED USE OF BUILDING <br />X1hXXKXy Library <br />I HEREBY 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 />GOVERNING THIS TYPE OF WORK VCtI.L BE COMPLIED WITH <br />WHETHER SPECIrIED HEREIN OR NOT. THE GRANTIN : L)F A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHEP STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF C01 ACTOR OR AUTHORIZED AGENT DATE <br />X 4/12/$ <br />LEGAL DESCRIPTION OF PROPERTY ISMOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />JOB 5C7pFIF255ROyt Avenue <br />LL //UU <br />PLUMBING <br />MECFI 10'1. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CCND. UNITS — H.P. EA, <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <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 — WOOD <br />FOOF DRAINS — RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL i <br />SUBTOTAL f <br />PERMIT f <br />PERMIT $ <br />TOTAL FEE. $ <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />84/13222 <br />PLAN <br />FEE 2U3 <br />CHECK FEE <br />GYWT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />--,YES C:NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 3200. <br />44 <br />50 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />IBASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />.YES NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />44 <br />$0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYS i EM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THjSISPACCEI THI$ IS OO.00IT •_.;i <br />lh� BCD J �'- <br />' J <br />L 1 ! <br />r I <br />U <br />5. GRADING <br />B. DRAINAGE <br />7. ENVIRONMEN'i AL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PI ANS CHECKED BY <br />1 <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />n <br />1.; �f 0 4 <br />