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CITY OF EVERETT <br />,oONSTRUCTION <br />*259-8810 PERMIT PERMIT NO. 28020 <br />❑ DEMOLITION <br />❑ COMBINATION XRI BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAILADDRESS <br />CITY <br />ZIP PHONE <br />The Boeing Co. <br />Po Box 3707 M/S OF-76 Seattle, <br />WA 98124 <br />342-5878 <br />TENANT <br />MAILADDRESS <br />CITY <br />ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAILADDRESS <br />CITY <br />ZIP PHONE <br />Coffman Engineers <br />1601 - 5th Ave #900 Seattle, WA <br />98101 <br />623-0717 <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP PHONE LICENSER <br />WEstvent Inc. 505 <br />- 3rd Ave S. Seattle, WA 98134 <br />767-5005 <br />MCKIN*342NO <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP PRONE LICENSE <br />PL UMBING CONTRACTOR <br />MAILADDRESS <br />ZIP PHONE LICENSE A <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION f13 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK $ 15,000.00 I Leonard Astemborski 266-3563 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install corrosion inhibitor compounds ventilation <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CUPIES) <br />LOT_ BLOCK <br />JOBADDRES9 <br />Issued llhs l -Tbe <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 />A/C - AHNDLG UNITS - H. P. <br />BATHTUB <br />FORCED AIR SYSTEMS- B.T U MEA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />_ <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE S CHIMNEY <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR GRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -BAR, ETC) <br />— <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />S <br />PERMIT <br />$ <br />PERMIT <br />S <br />TOTAL FEE <br />Sl <br />1 <br />TOTAL FEE <br />S <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />91 28D2 <br />FEE <br />TO BE BIL <br />RECEIPT NO <br />D <br />USEZONE <br />LOTAREA <br />/ACANTSITE <br />❑ YES ❑ NO <br />FEES <br />tlUVAALN�OICNOE <br />FEE <br />BUILDING <br />$ 15,000.00 <br />162 <br />00 <br />TYPE OF CONSIRUCTIONALLOAABLE <br />TYPE OF -CONSTRUCTION <br />ACTUAL <br />a <br />Iq OF DAEIIItq UMLB <br />PLUMBING <br />SIZE OF RLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES O NO <br />MECHANICAL <br />OCCUPANCY LOAD FRESPRINKLERS REG O HEIGH• LIMITATION <br />ES ❑ NO <br />REASON FOR SPRINKLERS <br />CODE <br />OTHER <br />Plan check fee- <br />lQ5 <br />-3-Q <br />STATE BUILDING SURCHARGE <br />STATE ENERGY 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 />wwpAl oanpFal v vAi <br />InATFn THIS <br />IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 28020 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. �'I"1"I '') I' ' <br />