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the ELrtgreen <br />CITY OF <br />everett <br />CITY HALL 2%8745 <br />EVERETT, WA 98201 <br />OIONSTRUCTIOI* • <br />PERMIT PERMIT NO. 13862 <br />Ei COMBINATION 0 BUILDING a MECHANICAL ® PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Maltby Tank In Barge 5500 South 1st Street Everett 98203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />Dwellings General Contractors 4715 74th Place N.E. Marysville 659-1723 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # <br />MEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR. ❑ DEMOLITION ❑ FENCE 0 SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 240,000.00 <br />Construct 72' x 40' wood frame buildina <br />PROPOSED USE OF BUILDING <br />Office - One Living Unit <br />1 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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X C /0 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />4-5 27 Town of Lowell <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />5416 South 1st Avenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />6 <br />00 <br />3 <br />AIR COND. UNITS — M.P. EA. <br />1 <br />BATHTUB <br />2 <br />OO <br />REFRIGERATION UNITS - H.P. EA. <br />3 <br />LAVATORY (WASH BA31N) <br />6 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />3 <br />KITCHEN SINK S DISR <br />6 <br />QO <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAV <br />UNIT HEATERS - B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />APORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />00 <br />1 <br />RYERS <br />4 <br />50 <br />URINAL <br />3 <br />ON FAN <br />9 <br />00 <br />DRINKING FOUNTAIN <br />1 <br />OD <br />4 <br />50 <br />FLOOR DRAIN <br />ING UNIT - C.F.M. <br />KFIREPLACEINSERT <br />VACUUM BREAKERS <br />OOD <br />ROOF DRAINS - RAINLEADERS <br />1 <br />EPLACE 6 CHIMNEY <br />7 <br />50 <br />SINK (SERVICE - BAR, ETC.) <br />INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />28 <br />00 <br />SUBTOTAL $ <br />43 <br />50 <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />S <br />26 <br />00 <br />TOTAL FEE f <br />43 <br />50 <br />SIDE YARD SETBACK <br />USE ZONE <br />B-2 <br />TYPE OF CONST. <br />V-N <br />SIZE OF BLDG. <br />5804 Sq. Ft. <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />84/13862 <br />PLAN <br />FEE 508.95 <br />CHECK FEE <br />RECEIPT NO <br />LOT AREA <br />VACANT SITE <br />XXFS NO <br />FEES <br />VALUATION <br />FEE <br />OCCUPANCY GROUP <br />B-2, R-3 <br />El OF DWELLING UNITS <br />1 <br />BUILDING <br />S 249,000. <br />783. 191100 <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />32 <br />PLUMBING <br />28 <br />00 <br />FIRE ZONE BASEMENT <br />}'e5 <br />APPROVALS <br />FIRE SPRINKLERS <br />REOUIR <br />YES 0 <br />MECHANICAL <br />43 <br />50 <br />OTHER <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />TOTAL <br />854 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />6. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />STG JEF <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPATE) THI919YOURJ PERMIT_ <br />•' a^ <br />cr, <br />U . <br />_ <br />APPH. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE <br />