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dkV EVeranrn <br />CITY OF <br />everett <br />CITY HALL 2596B745 <br />EVERETT, WA 98201 <br />C.016STRUCTI01 r <br />PERMIT Puts r No. 0660Z, <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL DRY Alf r.nn.c <br />John Ackek 2019 Rainier Everett 98201 252-8487 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />Owner 2019 Rainier Everett 98201 252-8487 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK MEW <br />EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []FENCE ❑SIGN ❑GARAGE <br />f 200. <br />aT ah S thick <br />PROPOSED USE OF BUILDING <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 />LEGALDESCRIPTIONOFPROPERTY(SHOWBELOWORATTACHFOURCOPIES) <br />9-10 BLOCK 417F Capitol Hill <br />Add. <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT <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 />GO RUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />StG AT EO,CONTR R AUTHORIZED AGENT �D�ATE <br />8 —2 / —7 9 <br />JOB ADDRESS <br />2019 Rainier <br />X <br />HANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />. UNITS - H P. EA <br />ATION UNITS - H P. EA <br />BATHTUB <br />H P. EA. <br />LAVATORY (WASH BASIN) <br />A.C. UNITS - TONNAGE EA. <br />VW <br />_KITCHEN <br />SHOWER <br />IR SYSTEMS - B T U M EA.DISHWASHER <br />SINK Z OISP. <br />- B T.U. MLAUNDRY <br />_TERS <br />ERS - B T.U. M <br />TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C F.M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS - RAINLEADEIIS <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL >< <br />SUBTOTAL <br />f <br />PERMIT <br />S <br />_PERMIT <br />TOTAL FEE S <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />$ <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FZE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />LINES TONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELL114G UNITS <br />BUILDING <br />5 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. DOC LOAD <br />PLUMBING <br />FIRE ZONE <br />ZONE -_P�LCHANICAL <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />FIVES ❑NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.1. <br />SE C. <br />SEC.. (a) <br />2. BUILDING PLANS <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) ;HIS IS fifi0 5 l�61 O �N• <br />o <br />5. GRADING <br />' f <br />CD <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />ypu R RECEino <br />8. HEALTH DISTRICT <br />TK. & k Yb U <br />ISSUANCE BY <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR <br />. <br />I an I I <br />FILE <br />