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the EYerRreon <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />'.I.ONSTRUCTIOV <br />PERMIT <br />❑ COMBINATION J� BUILDING ❑ MECHANICAL <br />PERMIT NO. 14885 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY 21P PHONE <br />Gene Closser 4212 Rucker Everett 98203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />Star Home Improvement <br />5314 2nd Street South <br />Everett 98203 <br />353-9278 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE A <br />STAR 177 <br />RP <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE-0 <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIG:: ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />T "XXXXXX 6,500.00 <br />Construct retaining wall <br />PROPOSED USE OF BUILDING <br />I 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 CF ANY OTHER STATE OR <br />LOCAL WqAULATIN CONSTRUCTION OR THE <br />PERFOR A C ST UCTION. <br />SIGNATURE NNAU OBIZET AGENT DATE <br />X 5/23/85 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 7 BLOCK 207E South Park <br />JOB ADDRESS <br />4212 Rucker <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />GF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />_TYPE <br />AIR COND. UNITS - M.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <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 BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RA:NLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINS (SERVICE - eAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />S <br />SUB TOTAL S <br />PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD SET13ACK <br />51 <br />STREET SE'. BACK <br />201 <br />REAR YARD SETBACK <br />10, <br />PLAN CHECK NUMBER <br />85/14885 <br />PLAN <br />FEE <br />40.63 <br />CHECK FEE <br />RECEIPT NO. <br />�- 78352 <br />USEZONE <br />B-2 <br />LOT AREA <br />6190 Sq. Ft. <br />VACANT SITE <br />;.YES XXNG <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$ 6500. <br />62 <br />50 <br />SIZE OF BLDG. <br />N/A <br />NO. OF STORIES <br />N/A <br />MA%. OCC. LOAD <br />N/A <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES O <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />Us C. <br />3 SEC. 03 (a) <br />2. BUILDING PLAITS <br />TOTAL <br />62 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT LO <br />00 <br />D� <br />�. <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPR. FOR ISSUANCE BY <br />LC <br />APPLICATION ACC. BY <br />EB <br />RE, VS CHECKED BY <br />JEF <br />L m. <br />.J <br />ADDRESS FILE <br />