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the 13re <br />CITY OF <br />PONSTRUCTION <br />F <br />everett PERMIT PERMIT NO.08734 <br />CITY HALL 9-8 <br />EVERETT, WAA 98201 El COMBINATION kt BUILDING ❑ MECHANICAL ❑ PLUMBING <br />0T <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Brian Olson 6978 Evergreen Way 98203 353-4533 <br />ARCHITECT OR DESIGNER MAIL AD[ dSS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />James E. Stoa 1520 128th Street Seattle SIT CIA JE 31OLT <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />nEW ❑ADDITION ❑ALTERATION ❑REPAIR El DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />35,000.00 <br />$ <br />_ <br />DESCRIBE WORK <br />re -new Permit #6454 <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TF'IS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK —OF <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 />CONS OR THE PERFO MANCE OF CONSTRUCTION. <br />ATUR TOR OR AUTH NT ATE <br />1/5/81 <br />JOB ADDRESS <br />2215 49th Street S.E. <br />X / <br />PLUMBING <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />SET QOILET) <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />(WASH BASIN) <br />M <br />GAS FIRED A C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />NK & DIBP. <br />B.T.U. M <br />ER <br />UNIT HEATERS — B.T.U. M <br />RAY <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— RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />SUB <br />TOTAL $ <br />SUBTOTAL <br />S <br />PERMIT <br />$ <br />PERMIT <br />$ <br />TOTAL <br />FEE f <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />L]Y SNT SITE LINO <br />FEES <br />VALUATION <br />FEE <br />H71 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED SPRINKLERS <br />MECHANICAL <br />❑YES ❑NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />71 <br />00 <br />3. F,RE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />re -new Permit #64;49 3 0 71. 0 0 <br />5. GRADING <br />6. DRAINAGE <br />N <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />CIO <br />.. -� ;II <br />- �J <br />8. HEALTH DISTRICT <br />APPLICATION ACC. 0V <br />PLANS CHECKED BY <br />APPR. <br />FOR ISSUANCE BY <br />ADDRESS FILE <br />R: - 2 ,i;ud i 1 <br />