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��� <br />CITY OF <br />everett <br />259-8810 <br />'", C'`�NSTRUCTION � � <br />PERMIT PERMITNO. _ 2676'+ <br />❑ DEMOLITION ❑ COMBINATIGN ❑ 9UILDING ❑ MECHANICAL j{�{PLUMBING ❑ SIGN <br />OWNEH MFILADLRESS GITV 21P PHONE <br />Alderwood Pump Station 6003 Evergreen Wav Everett 93203 <br />TENPNT MAILAOORE55 CITY ZIP PMONE <br />ARCHITECTORDESIGNER MAILADORE55 CITY ZIP PHONE <br />GENERALCONTRACTOF MAILAODRE55 CITY 21P PMONE LICENSE• <br />MnILA00NE55 CITY 21P PMONE LICENSEM <br />PLUM8ING CONTqACTOR MAIL NO�RE55 GITY ZIP P110NE LICENSE � <br />Flagnolia Contractors 1614 W Dravis Seattle 98119 284-4600 6tar,�oCi132ox <br />CUSS GF WORK <br />H$ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONiACT PERSON AND PHONE NO. �F OTMER TNAN ABOVE <br />CONTRAC7 PRICE OF WORK: $ <br />DESCRIPE WORK AND SOUnPE FODTAGE INVOLVEO � <br />7bilet room in pump station #0002E�764 <br />PLEG 550.00 <br />MECH t21.5D <br />PROPOSEDUSEOFBUILOING CHECN SYL.SO <br />Pump station <br />LEGAL �ESCRIPTION OF PROPERTY �SHOY! BELOW OF ATTACH FQUR COPIES) <br />LOT.— BLOCN— OF <br />JUB nUDNES° <br />6003 : <br />PLUMBING <br />NO, j TYPE OF FIXTUHE OR <br />LAVAYORV <br />KiTCHEN SINK 8 UISP. <br />DISHWASfiEF <br />V1liNDRY TAAV <br />CLOTHES WASHER <br />URR�AL <br />j FLGOR DRAIN <br />j BACKFLGW PREVEN'ERS <br />Q ROOF 6RAINS — RAINLEP.DcRS <br />� SI�,'K"SER410E—BAR,ETC.) <br />USE ZONE <br />i1VF OP COh57FAC710N ALLOWA <br />9ZE Of fiLDG <br />OCCl1VANCY!OA� <br />REASON FOR SPRMkLERS <br />APPUCATION ACC. BY <br />SUBTOTAL <br />PERMIT <br />TO7ALFEE <br />REARSETBACK <br />LOT AFEA <br />IYPE DF LONSiIIUCPCH ACiUPI <br />N0. OF STORIE$ <br />FIRE SPRINNLERS RA'� <br />] YES p NO <br />FEE <br />� <br />f <br />S <br />sioe sEroncK <br />VRCAhT SITE <br />❑ VES ❑ NO <br />BASEM1IENT <br />❑ VES ❑ NO <br />HEIGMT LII.IITATION <br />CITY OF �VERETT <br />LOCALSALFS <br />TAX CODE IS <br />MECHANICAL <br />NO. TYPE OF EU". <br />A/C —lvHNDLG UNI7S <br />FORCED AIR SYSTEMS .T.0 <br />11NIT HEATERS — B.T.U. <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATER HEA7ER <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />�.NUMBEF FEE <br />FEES B ve° <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STA-E BJILDING SURCHARG <br />STATEENERGYSUPCHARGE <br />PUBLIC WORKS <br />C7.T�:1 <br />$ <br />M <br />M <br />FEE <br />� <br />S <br />S <br />RECEIPT NO. <br />THIS IS YOUR PERMIT <br />PER�AITS EXFIRE IF WORK IS NOT CGlNMENCED WITHIN ApDRESS FILE 2 6 7 6 4 <br />780 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />