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'hc�'°c'��" Cr''NSTRUCTiON � ^ <br />CITY OF <br />everett P�RMIT PERMITNO. 221 � � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION f� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAD�RE55 • CIiY ZIP VIIOAE <br />John and Jane Beck 5105 Colbv Ive Fverett e820'� �52-60�7 --- <br />TENRNT AIFIL r100f1E$G CITY ZIP 1'MONE <br />353-2789 <br />ARCMIiFCiORDE5IGNER AIqILA��RE55 CITY ZIP PNONE <br />MECMr1NICAL CONTPnPUn <br />PLUMBING CONTRRGTOR <br />CLASS Of WORN <br />fl NEW ❑ ADDITION <br />AIqIL R�pRE55 <br />MRIL A�DRE55 <br />MAIL AOORE55 <br />L�1 ALTERATION <br />CITY ur• ...v�.< <.....�._. <br />CITY <br />CIiY <br />❑ REPAIR ❑ DEMOLITION <br />ZIP PHUNE LICENSE• <br />ZIP <br />UCENSE � <br />❑ BUILDING RELOCATION <br />I CONTACT PERSCN nND PNONE NO IF OTHEP THAN nBO�e <br />CONTF.AC7 PRiCE OF WORK: � 16 � 000. 00 <br />OESCRIBE WORN RND SOUME FOOTRGE INVOIVED <br />Alter sinqle familv residence to d o�ex — <br />PROPJSED USE OI BUILOING <br />Duplex <br />lE Wl DESCRIPTiON OF PPOPERTY �SNOW OELOW OR ATTACH fOUR COPiE51 <br />ior—e�ock—o� See Attached <br />aos no qcss <br />�27 Heverly Yicex <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />1 Al1NDRV TRAV <br />UNI�AL <br />ORINKING FOUN7 <br />FLOOR ORAIN <br />BACKFLOW CREVI <br />ROOF DRAINS — I <br />SINK ISERVICE — <br />ifiJNT SETBGCN <br />20 <br />USE ZONE <br />R-2 <br />;Vff Of Cq1SIFUCIION AI <br />V-N <br />512E Of OLDG <br />lllfi <br />OCCUFANCYLOAD <br />N/A <br />ONACC OY <br />S.Ii. <br />Lane <br />!ll�' <br />SUBTOTAL <br />PEPMIT <br />TOTAL FEE <br />�ERR SETBACK <br />20 <br />LOT ARER <br />1��500 <br />IYfF Of LONSIRIICLO'IACipAI <br />R3{% V-N <br />40 OFSTORiES <br />N/A <br />FIRE SPPINnLERS PEOD <br />7 YES .7CN0 <br />PLANS <br />J.W <br />S <br />S <br />S <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPI <br />WC — A/HNDLG UNITS — ht.P. <br />FORCEO AIR SYSTEMS — BS,U. <br />UNIT HEATERS — B T.U. <br />CLOTHES DRVEPS <br />VENTILATION FAN _ <br />RANGEHO00 <br />WAThRHE4TER <br />WOODSTOVE <br />METAL PIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />HEAiPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />SIpESET�A6K PLANCHECNNUM9EM <br />5 89/22177 <br />vncnNrsrce FEES <br />❑ vES Zl NO <br />����;<�rroo�oNiliiMcuwis BUILDING <br />R-3 z p�UMBING <br />pASEMENT <br />VES ❑ NO MECHANICAL <br />HEiG�rtueaTnnoN OTHER <br />28 <br />S7ATE BUILDING SURCHARG <br />ST!�.iEENERGVSURCHARGE <br />CITY OF EVERETT pUOLIC WORNS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLYY <br />PERMITS EXPIRE IF WORK IS NOT CPMMENf:ED WITHIN pDDflESS FILE <br />18U DAYS OR CEASES FOR MO.'1E THAN 180 DAYS. <br />M <br />M <br />111 <br />E SRCH <br />� <br />S <br />S <br />RECEIPT NO. <br />IS <br />179 <br />2�1 l7 <br />