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UIC EI,ergreen <br />CITY OF - CC-1STRUCTION - <br />everett PERMIT PERMIT NO. 07591 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />James Eccles 5408 South 2nd Avenue 98203 259-2712 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />Same <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE IF <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />❑NEW ❑ADDITION ❑ALTERATION }REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />$ 150.00 <br />re -roof bathroom area <br />PROPOSED USE OF PUILDING <br />residential <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TPUP AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 REGULATIN13 <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC110N. <br />SIGNATUP.OFCONTPACICRORAOTHORIZEDAGENT DATE <br />X Ly—/t <br />LEGAL GEEC1,.PHON OF PROPERTY ISHCW BELOW OR ATTACH FOUR COPIES) <br />26 Plat of Lowell <br />LOT RLooL.oF <br />JOB ADDRESS <br />5408 South 2nd Avenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_N`0__.j <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CONE). UNITS — H.P. EA. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS —HIP .EA <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. FA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 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 />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM ORLAKE^S <br />STOVE <br />ROOF DrAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SER1'ICE -- PAR, ETC.) <br />_ SUBTOTAL <br />SUBTOTAL f <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 150.00 <br />5 <br />00 <br />512E OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />AYES LINO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />5 <br />DD <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS'IOUH PERMIT <br />18 7 <br />J <br />1'�rll n PT <br />— <br />. <br />5GRADING <br />— <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />