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'h`'.,', of rONSTRUCTI®N <br />everett PERMIT PERMIT NO. 13211 <br />259-8810 <br />G DEMOLITION O COMBINATION ❑ BUILDING xjkMEChANICAL i_1 PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CT' ZIP <br />Michael D. Callahan 405 Beech St. Everett 98203 355-7938 <br />TENANT MAIL ADDRESS CRY ZIP PHONE <br />ARCHITECT OR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE R <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE• <br />Owner <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSER <br />CUM OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SOUARL FOOTAGE INVOLVED <br />Install insert _. <br />PROPOSED USE OF BUILDING <br />SFR — <br />LEGAL DESCRBW IOV OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT-- SLOCK. _ OF _— <br />JOB ADDRESS <br />4uo F".,I, 0�. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOI LET) <br />NC - AIMNDLG UNITS - M.P. <br />BA HTUB <br />FORCED AIR SYSTEMS - B.T.U. M EA <br />LAVATOHY(WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />_ <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES M USHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 6 CHIMNEY <br />DRINKING FOUNTAIN <br />1 <br />FIREPLACE INSERT <br />in <br />Inn <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - EAR, ETC) <br />.� <br />BUB TOTAL <br />f <br />SGAK6i0f <br />PERMIT <br />f <br />PERMIT <br />TOTALYEE <br />f <br />TOTAI:fA11213G11 <br />E <br />FRONT SETBACK <br />REAA SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />RE&.11 $3 <br />__ <br />. WEIPT NO <br />USE ZONE <br />LOT AREA <br />VACAN181TE <br />LI YES ❑ NO <br />FEE <br />BUILDING CODE <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYR OF CONSTRUIU)N ARMABLE <br />TYPE OF CV+III "JIM ACTUAL <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCVLOAO FIRE SPRINKLERS RED•) <br />❑ YES ONO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />_ <br />APPLICATION ACC BY <br />S. H. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />T01AL <br />30 <br />00 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FII E 23211 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />