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t <br />�� <br />CITV OF EVEHETT <br />CONSTRUCTION <br />PERMIT <br />�rm t Nu eri M <br />6BPA Numbet� <br />Iaeua Dste� 04 O1 92 <br />Job Addre��� 61 0 AOORRIOCE BLVD <br />Ownar Tensnt <br />SMITH JACK L. <br />6120 �ROOKRIDGE BLVD <br />EVEAETT WA 98203 <br />355-2980 <br />General Contrector Plumbing Cuntrector <br />Type of Permit� HECHANICAL <br />Heetlnq Syatem� NONE <br />WSEC Code� N Contract Price� 175 <br />Deecription of Works 6AS LINE TO DRYER <br />Leqal Oeeeription/ <br />Property IDs <br />Proposed Uae of 8uilding� SINGLE FAMILY itESIDENCE <br />r� <br />co�y <br />Archltect/Deeigner <br />Mnchanlcel Contrector <br />WASHINGTON NATURAL Gl1�J <br />112 SE EVEItETT MALL WAY <br />EVERETT WA 90204 <br />355-3331---- <br />WASHING285CB <br />Contact Person <br />........""'.....�....e...""':..�....a........ae...aa.......� .................."' <br />PLUHBIN6 MECHANICAL <br />Qty Type of Fixture Fee Qty Type of Eq�ipnent Fee <br />1 cA5 PIPINO <br />MECNANICAL EQUZPMENT FEE 15.00 <br />MECHANICAL PERMIT FEB 15.00 <br />Sub Totsl Sub Totsl $30.00 <br />�......."'..��..���..���..�e�..��.��v...�...���."'�..ea..�e�..."""""""'...�. <br />6ETBRCR FOOTAOE OCCUPANCY Vecent Site? TYPE OF CONSTRUCTION <br />Front 0.0 Loed No. Dwelling unite� Alloweble� <br />Reer 0.0 Group Size of Bldgs Actuali <br />Sidel 0.0 / Storiee Size af Cerc Uee Zone: <br />Side2 0.0 Baeement7 Height Limit� Fire Sprinkler Req'd? <br />Lot Sc Reaeon For Flre Sprinkleres <br />-----'--------------'--'------------------------'-----------------------------'----- <br />Plene Approved 8y� Plan Check Receipt No: Fee� FEE <br />Clty of Everett Locel <br />Selee Te■ Code Se 7105 <br />FEG TYPES CONSTRUCTION VALVATION <br />Building <br />Pl�mbing <br />Mechenlcel <br />Electticel <br />5prinkler <br />other <br />St. Bldg . Surcherge <br />Public Worke <br />Additlonel Plan Check Fee <br />TOTAL <br />30.00 <br />$]0.00 <br />Permite expire Lf work not commenced within 180 daye or ceaeee more than 18U daye. <br />-) ;,,., i�,,i -11 <br />,_�� � , <br />CI �--- <br />A�:�:� _, ,992 <br />CIT\' Oc E�: i i J.1 � <br />g�ila'"n ._. .' <br />H 36189,- <br />