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2 <br />rFLCTY`OF ^ONSTRUCTION <br />✓erett PERMIT PERMIT NO.09794 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION xk BUILDING !__ MECHANICAL LJ PLUrFBING <br />OWNER VA ALDRESS Gil, ZnPHONE <br />Edward Diamond 3G25 Rucker Avenue Everett 98201 252-1106 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE I ICENSE It <br />Same <br />MAIL ADDRESS CITY ZIP PHONE LICENSE f <br />PLUMBING CONTRACT OR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />UNEW k1hDDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑CTGN ❑GARAGE <br />VALUATION OF WORK <br />s 74,r004r40 58,900.00 <br />DESCRIBE WORK <br />Construct Second Story Addition <br />PRnMCFn IMF nr Rwl nun <br />Veterinary Clin <br />LEGAL DESCRIPTI. `, OF PROPERTY (SHOW BELOW OR <br />LOT13-16 BLOCK 12 of Friday' <br />R 30-29-5 <br />3625 Rucker Avenue <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 />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 REGULATING <br />CG.JST70.7', <br />CTION OR THE RFORM NCE OF CONSTRUCTION. <br />$IGNATURCONTRACTOR OR AU H0"?( AC T DATEJ12 la <br />PLUMBING <br />MECHA AL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />2 <br />WATER CIBSET(TOILET) <br />4 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />BAT P U9 <br />2 <br />REFRIGERATION UNITS - ILP. EA <br />2_ <br />LAVATORY (WASH BASIN) <br />4 <br />00 <br />BOILERS - H.P. EA. <br />_ <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />2 <br />KITCHEN SINK & DISP. <br />4 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. I" _ <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />2 <br />VENTILATION FAN <br />6 <br />00 <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL <br />14 <br />00 <br />SUBTOTAL <br />$ <br />6 <br />UO <br />PERMIT <br />S <br />PERMIT <br />$ <br />TOTAL FEE <br />S <br />TOTAL <br />FEE <br />$ <br />6 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />81/9794 <br />PLAN CHECK <br />FEE 222.95 <br />FEE <br />RECEIPT NO. <br />54885 <br />USEZONE <br />B-I <br />LOT AREA <br />15080 SQ. Ft. <br />VACANT SITE <br />(DYES rAW <br />FEES <br />VALUATION <br />FEE <br />288 <br />5 <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />B/2-Rf3 <br />NO. OF DWR LING UNITS <br />BUILDING <br />& R0T000. <br />- <br />343 <br />00 <br />_ <br />SIZE OF BLDG. <br />B I x51 16 N <br />NO. Of STORIES <br />2 <br />MAX. OCC. LOAD <br />PLUMBING <br />14 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREO <br />nYES @4o <br />MECHANICAL <br />6 <br />00 <br />— <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U EEC <br />SEC. 303 (R) <br />2. BUILDING PLANS <br />TOTAL <br />36� <br />BB <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION 308 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />21.45 overpayment on plan check fee <br />dele-t-,d'from building permi_ fee. <br />310.00 <br />- 2 1 . 45 <br />288.55,' <br />14.00 <br />6.00 <br />55 <br />cr) <br />6. DRAINAGE <br />ENVIRONMENTAL IMPACT STATEMENT <br />_7. <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />308.5� <br />W <br />ADDRESS FILE <br />