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the L'cTYrO CITY OFF O N ST R U GT 10 N` <br />CI <br />everett PERMIT PERMIT NO. 07211 <br />CITY HALT. 2513 8745 <br />EVERETT, WA 90201 ❑ COMBINATION ❑ BUILDING I MECHANICAL Ix PLUMBING <br />OWNER <br />John D. Cullen 1407 63rd <br />ARCHITECT OR DESIGNER <br />MAR ADDRESS city JU' <br />98203 355'638B <br />MAIL ADDREL`. CITY ZIP <br />GENERAL CONTRACTOR MAII. ADDRESS CITY ZIP PHONE LCENSE / <br />Jerry Finke dOO8 Gracelane 98203 334-3351 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />PLUMBINGCONTRACTOR <br />MAIL ADDRESS CITY ZIP {HONE LICENSE• <br />CLASS OF WORK <br />ONEW ❑ADDITION El Al TE{IATIUN ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />PROPOSED USE OF BUILDING <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE #,ND CORRECT. <br />ALL PROV;SIONS 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 />SIGNATUR fCONIgACT qdl /� 0A/DEPTT DAY <br />X l�llx G <br />LEGAL DESCRIPTON OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK —OF <br />JOB ADDRESS <br />1423 63rd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />2 <br />AIR COND. UNITS - N.P. EA <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN) <br />2 <br />BOILERS - H P. EA <br />SHOWER <br />GAS FIRED A UNITS - TONNAGE EA <br />1 <br />KITCHEN SINK A DISP <br />2 <br />00 <br />FORCED AIR SYSTEMS - B T U M EA <br />- <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HFATTRS - B 7 U M <br />LAUNDRY TRAY <br />UNIT 'if ATERS - B.7 U. M <br />1 <br />CLOTHES WASHER <br />2 <br />OO <br />1 EVAPORATIVE COOLERS <br />WATER HEATER <br />2 <br />00 <br />1 <br />1 CLOTHES DRYERS <br />_ <br />URINAL <br />IVENTILATION <br />FAN <br />D7INKING FOUNTAIN <br />RANGE HOOD <br />3 <br />00 <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - PAIN, EADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR, ETC) <br />SUBTOTAL <br />1 141 <br />00 <br />SUBTOTAL f <br />PERMIT <br />$ <br />PERMIT f <br />TOTAL FEE <br />$1 <br />14 <br />00 <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FFF. <br />FEE <br />RECEIPT NO <br />FEE <br />14 00 <br />8 00 <br />22 00 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />i.IYES (IND <br />FEES <br />VALUATION <br />TYPE OF CONET <br />SIZE OF BLDG <br />O(':UPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />NO. OF STORIES <br />MAX DOC. LOAD <br />PLUMBING <br />FIRE ZONC BASEMENT <br />APPROVALS <br />FIRE SPRINKLI.HS <br />REOUIRED <br />AYES I�NO <br />MECHANICAL <br />_ <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C <br />SEC 303 (a) <br />2. BUILDING PLANS <br />' <br />TOTAL <br />3 FIRE HYDRANT <br />4 FIRE PROTECTION SYST" <br />'5. GRADING' <br />6. DRAINAGE O <br />7. ENVIRO*I@AL IMPACT STATEMENT <br />a HEALTTbIdWNCT ... <br />.F�APPLICA* BY LANS CHECKED BY <br />tOM n m V.C. <br />-c <br />m <br />CAI I <br />PERMIT VALIDATION <br />K'nl N PROPEHLY V111DAILD (IN THIS SPACE) THIS IS YOUR PERMIT 19. <br />0 O O —� <br />CV <br />YOUR RECEIPTo <br />APPR. FOR ISSUANCE BY THANK YOU <br />I <br />+ FHB kId <br />ADDRESS FILE <br />