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[1 <br />the EvergreenCITYOF CONSTRUCTION <br />everett PERMIT PERMIT NO. 08993 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 COMBINATION 12xBUILDING U)MECHANICAL ®t PLUMBING .I <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />RAN Enterprises 5731 153rd Place S.W. Edmonds 98020 743-5891 <br />ARCHITFCI OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same GE RA LC *320JH <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEI <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />V' n 1 nEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S 364,000.00 <br />DESCRIBE WORK <br />construct 17 Unit Apartment <br />PROPOSED USE OF BUILDING <br />17 Unit Apartment <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ATTACH FOUR COPIESI <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />15 LOCK-, of Beverly Hills Div. #4 <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />wT <br />HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE C•l CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />G 6 28 5 <br />CONSTR TION OR THE PE FORMANCE OF CONSTRUCTION. <br />SIGNATUP FCONIR CTOR OR AU RI2E0 AGENT DATE <br />5 /28/ B 1 <br />JOR ADDRESS <br />5631 Highway Place <br />MEL'H AL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />17 <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P EA <br />17 <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS I IRED AA. UNITS — TONNAGE EA. <br />_ <br />17 <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />17 <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />_ <br />3 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />17 <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />17 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />76 <br />50 <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE R C'AIMNEY <br />SINK (SERVICE — BAR. ETC) <br />SUBTOTAL <br />210 <br />00 <br />SUBTOTAL $ <br />141 <br />00 <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />S <br />210 <br />00 <br />TOTAL FEE z <br />141 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />51 <br />10, <br />201 <br />81/8993 <br />FEE 622.70. <br />0, <br />RECEf�IPTy781 <br />USE ZONE <br />LOT AREA <br />SITE <br />VACANTONO <br />)fk <br />FEES <br />VALUATI <br />FEE -� <br />B-2 <br />15000 Sq. Ft. <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 369,000 <br />1093 <br />00 <br />V-N <br />R-I <br />17 <br />SIZE OF BLDG <br />NO, OF STORIES <br />MAX. OOC.LOAD <br />331 xl8l. 5 <br />2 <br />34 <br />PLUMBING <br />210 <br />00 <br />FIRE ZONE <br />BASEMENT <br />REQUIRED SPRINKLERS <br />MECHANICAL <br />141 <br />00 <br />C1YES xam <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />— <br />TOTAL <br />1444 <br />CO <br />3. FIRE HYDRANT <br />— <br />a. FIRE PROTECTION SYSTEM <br />r T <br />_ <br />PERMIT'VALIOATIONWHEN PROPERLY VALIDATED (IN THIS IS YO .M j <br />5. GRADING <br />�.1.I Cr <br />6. DRAINAGE <br />7. STATEMENT <br />. I <br />' a <br />_ENVIRONMENTAL4MPACT <br />B. HEALTH DISTRICT' <br />C: <br />U <br />APPLICATION Acc 6Y <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />HWM, <br />I u I <br />I <br />1 <br />I <br />1 <br />1 <br />J <br />4 ._. L I_. I L I <br />