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the EverRr-en <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />>0INSTRUCTIO(`/ <br />PERMIT <br />R) COMBINATION BUILDING X MECHANICAL <br />PERMIT NO. M <br />ON <br />J PLUMBING <br />OW An <br />MAIL ADDRESS <br />CITY <br />ZIP <br />98203 <br />PHONE <br />255-0572 <br />George McGladrey <br />1706 63rd Street <br />Everett <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CItY <br />ZIP <br />PHONE <br />CITY <br />ZIP <br />PHONE LICENSE / <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Same <br />CITY <br />ZIP <br />PHONE LICENSE / <br />MECHANICAL CONTRACTOR <br />MAIL ADORCSS <br />MAIL ADDRESS <br />City <br />ZIP <br />PHONE LICENSE/ <br />PLIIME INGCONTR, CT)R <br />LLA58 OF WORT( <br />fikIEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑ DEMOLITION ❑FENCE ❑ SIUN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF 0 TK <br />/ 57,000.00 <br />Single Family xesiaence <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROF ER; (SHOW BELOW OR ATTACH FOUR OOPoESI <br />2 North Beverly <br />Park Div. <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />20-2� <br />LOT_ OCK�_<1F <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 OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />R 6-28-5 <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACIOR OR AUTHORIZED AGENT DATE <br />� 7/25/83 <br />JOB ADDRESS <br />1706 63rd Street S.E. <br />MECHANI AL <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. TYPE OF EQUIPMENT FEE <br />_ <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />4 <br />00 <br />REFRIGERATION UNITS - H.P. EA, <br />2 <br />RAT HTUB <br />3 <br />LAVATORY(WASH BASIN) <br />6 <br />00 <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />1 <br />KITCHEN SINK 6 DISP. <br />2 <br />00 <br />WALL HEATERS - B.T.U. M <br />1 <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />LAUNDRYTRAV <br />1 <br />CLOTHESWASHER <br />EVAPORAI IVE COOLERS <br />1 <br />WATER HEATER <br />CLOTHES DRYERS <br />10- <br />URINAL <br />3VENTILATION <br />FAN <br />DRINKING FOUNTAIN <br />I <br />RANGE HOOD <br />G <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />1 <br />STOVE -WOOD <br />ROOF DRAINS - RAINLFADERS <br />METAL FIREPLACE A CHIMNEY <br />RINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />�� 2 6 <br />0 <br />_ SUB TOTAL f <br />_ PERMIT f <br />f 25 SO <br />PERMIT f <br />TOTAL FEE <br />f 26 00 <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PUN CHECK FEE <br />FEE JIECFJPT N0. <br />51 201 <br />20' <br />83/12197 197.6 616 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />F7EEE <br />R-2 <br />:fjlS C'NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 57,000. <br />304 <br />00 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA):. OCC. LOAD <br />6 <br />PLUMBING <br />26 <br />00 <br />1717 Sq. Ft. <br />2 <br />— <br />FIRE ZONE <br />BASEMENT <br />gEOU7FIFSRED PR'NKLERS <br />MECHANICAL <br />25 <br />50 <br />OTHER <br />none <br />YESNP <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303(11) <br />2. BUILDING PLANS T <br />TOTAL 3 5 5 5 0 <br />3. FIRE HYDRANT AJ+ <br />4. FIRE PROTEOTION SYST <br />VA1� A( <br />WH+IjpRSF TZIDATAN THyS�SE) THIS ICJ ,Ue,,L <br />�4 <br />GRADING- <br />V <br />.'UR RECEIPT <br />' R 1'O. U R R E C E I PT '-- <br />DRAINAG M <br />ENVIRONME LIMPA TATEMENT <br />LTHEDI <br />�. NEALTND6tAICT <br />•I ., . N YOU THANK Y O U <br />pepPL1 . BY <br />IIA <br />LANE CHECKED BY <br />APPR. FOUR BY <br />O In <br />HWM <br />TIC <br />`gT% <br />QA <br />z <br />0 <br />--I <br />rn <br />m <br />L L JUL D j <br />ADDRESS FILE <br />