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The Lkergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />-CONSTRUCTIOI <br />PERMIT <br />L� COMBINATION d BUILDING . MECHANICAL <br />PERMIT NO. 13566 <br />KI PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />Janice K. Dawson <br />2804 Grand Avenue <br />Everett <br />98201 252-0320 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONL <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE. <br />LICENSED <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE Y <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />4 .. 0r 1-- ❑ NEW ❑ ADDITION XX ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WOPK <br />$ 2,000.00 <br />DESCRIBE WORK <br />tPnanf- imnrnvament <br />PROPOSED USE OF BUILDING <br />Commercial <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 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 />PERFORMANCE OF CONSTRUCTION. <br />SIG URE OF CONTRACTOR OR THORIZEO AGENT DATE <br />� 6/28/64 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />2804 Grand Avenue <br />PLUMBING <br />M HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR GONG. UNITS - H,P. EA. <br />BATHTUB <br />REFRIGERATION 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 IS DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <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 />6 <br />F.00R DRAIN <br />12 <br />00 <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />1 <br />SINK (SERVICE - BAR, ETC.) <br />2 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />14 <br />00 <br />SUB TOTAL S <br />_ <br />PERMIT <br />$ <br />3100 <br />PERMIT S <br />TOTAL FEE <br />$ <br />17 <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />_YES CNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />s2,000. <br />32 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />17 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIR=D <br />YES NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECN LIST <br />PENALTY <br />SEC. C303(B) <br />_ <br />2. BUILDING PL iNS <br />TOTAL <br />49 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />V5.GRADING <br />PERMIT VALIDATION A% �� � <br />WHEN PROPERLY VALIDATED (IN THE 6P E) TMI I Y IL_ "Al <br />'- • FT <br />I Ij <br />'01.DRAIN1. <br />�- 7. ENVIRONMENTAL impAa STATEMENT <br />B. HEAI.rH'DISTAICT 'J <br />__ PLICATION ACC. BY ,_. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />