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INSTRUCTION <br />PERMIT PERMIT NO. 27627 <br />❑ DEMOLITION 0 COMBINATION XQ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS CITY ZIP PHONE <br />The Boeing Co. PO BOX 3707 M/S OF-76 Seattle. WA 98124 342-5848 <br />TENANI MAILADDRESS CITY ZIP PHONE <br />ARCHITECT OR DE SIGNER MAILADDRESS CITY ZIP PHONE <br />The Austin Co. 11015 - 47th Ave W Everett 98204 290-9172 <br />GENERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSEI <br />Ownei <br />MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSEI <br />CUSS OF WORK <br />❑ NEW ❑ ADDITION X® ALTERATION C REPAIR ❑ DEMOLITION 0 BUILDING RELOCATION <br />CONTACT PERSON AND PHONE N0. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK S )3&&'00Q = 37,500.00 1 Leonard Astemborski 266-3563 <br />Install ventilation exhaust for CIC <br />PROPOSED USE OF BUILDING <br />Airplane assembly <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) 09/13/91 2:50PM 00008898 I-ItJ <br />LOT_ BLOCK _ OF / <br />000027627 <br />SLOG <br />FLN CH <br />CASH to. Of) <br />JOB ADDRESS <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 (TOILET) <br />_ <br />AfC - AMNDLG UNITS - H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS - B.TU. M EA, <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS -B.T U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />_ <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE f CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC.) <br />SUB TOTAL <br />III <br />SUB TOTAL <br />f <br />PERMIT <br />f <br />PERMR <br />f <br />TOTALFEE <br />f <br />TOTAL FEE <br />S <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />91 27627 <br />FEE <br />TO BE BILLS <br />RECEIPT NO. <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />a VALUATION oDE <br />FEE <br />BUILDING <br />f 37 SO OO <br />336 <br />50 <br />TYPE OF CONSTRUCTKNI ALLOWABLE <br />TYPE OF CONSTRUCTION <br />ACTUAL <br />NO lK DNELLING UNIiS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD F19E SPRINKLERS REO'0 HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FON SPRINKLERS <br />OTHER <br />Plan check fpp <br />218 <br />7 <br />STATE BUILDING SURCHARGE <br />4 <br />5O <br />STATE ENERGV SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />SM <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />5591 <br />73 <br />,I„ALAI nnne=nl V vAl <br />In Aren rwc <br />Ie W^II0 eonwr <br />nnu• rnvr Lll L. ���.v��w .. n.. w <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 27627 <br />/ <br />160 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE <br />