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A <br />L <br />IA et <br />'CONSTRUCTION <br />I I,, L,I <br />everett PERMIT PERMIT NO.09039 <br />CITY HALL 259.8745 tL-T <br />EVERETT. WA RR2D1 RCOMBINATION is BUILDING k.i MECHANICAL Agl PLUMBING <br />OWNER MAIL ADDI+ICITY ZIP PHONE <br />Robert W. Brokaw 501 Colby Avenue Everett 98201 257-4077 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE I ICENSE IF <br />Summit Western Inc. 501 Colby Avenue Everett 259-4077 SO HH IW *201Q6 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />❑NEW XiADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />6 90,000.00 <br />Remodel single family residence into <br />LOT II BLOCK -OF <br />North Beverly Park 81 <br />29 63rd Street S.E. <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR ON AUTHORIZED AGENT DATE <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />4 <br />WATER CLOSET(TOILET) <br />B <br />00 <br />AIR COND UNITS - H P. EA, <br />2 <br />BATHTUB <br />4 <br />00 <br />REFRIGERATION UNITS - H.P. EA <br />4 <br />LAVATORY ASH BASIN <br />B <br />00 <br />BOILERS - H P EA. <br />2 <br />SHOWER <br />Q <br />00 <br />GAS FIRED AC. UNITS - TONNAGE EA. <br />KITCHEN SINK A DISP <br />4 <br />FORCED AIR SYSTEMS - 6 T.U. M EA. <br />2_ <br />DISHWASHER <br />A <br />Mn <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />A <br />no <br />UNIT HEATERS - B.T.U. M <br />2 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />00 <br />CLOTHES DRYERS <br />no <br />URINAL <br />1 4 <br />VENTILATION FAN <br />12 <br />00 <br />DRINKING FOUNTAIN <br />2 <br />RANGE HOOD <br />9 <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />2 <br />METAL FIREPLACE 8 CHIMNEY <br />9 <br />00 <br />SINK (SERVICE - BAR. ETC. <br />BUS TOTAL <br />SUBTOTAL f <br />PERMIT i <br />PERMIT t <br />TOTAL FEE IT <br />44 <br />TOTAL <br />FEE <br />39 <br />00 <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />81/9039 <br />PLAN CHECK <br />FEE 261.9 <br />FEE <br />RECEIPT NO <br />53031 <br />USE ZONE <br />R-2 <br />LOT AREA <br />21513 Sq. F <br />VACANT SITE <br />J]YES JfKO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />N0, OF DWELLING UNITS <br />2 <br />BUILDING <br />f90F000. <br />403 <br />00 <br />SIZE OF BLDG, <br />5219"X871 <br />NO. OF STORIES <br />1 <br />MAX. OCC.LOAD <br />PLUMBING <br />44 <br />00 <br />FIRE ZONE <br />BASEMENT <br />Yee <br />FIRE <br />R7EOUIRF <br />LYES <br />6PRE�INKLERS <br />NO <br />MECHANICAL <br />39 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC 3031a) <br />2. BUILDING PLANS <br />TOTAL <br />486 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />-.6. GRADING <br />PERMIT VALIDATION <br />WHEN PIIDPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT MM <br />�i �i. I: �,� --- 3 D S A O 3.0 O -� b <br />(� <br />0% <br />CD <br />1 J <br />'6 DRAINAGE <br />- <br />ENVIRONMENTAL IMPACTSTATEMENT <br />HEALTH DISTRICT <br />-APPLICATION ACC. BY <br />PLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />.IA <br />AaDhri�F 1E <br />