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"1e CITY <br />O �ONSTRUCTIOW everett PERMIT PERMIT NO. _ 22556 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION C3; BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Mike Mastro Seattle 323-5393 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Kussmar. Assoc. <br />12337 - 30th Ave. NE <br />Seattle <br />98125 <br />367-7177 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Pacific Pools <br />13649 NE 126th Place <br />Kirkland <br />98034 <br />741-7770 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />PACIFP372NO <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />IS NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK:$ Jack Giogetti 747-7770 <br />INVOLVED <br />Swimming pool only <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK __ OF <br />See attached <br />JOB ADDRESS <br />10710 Everereen Wav <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 — A/HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B.T.U. M <br />SHOWER <br />CLOTHES DRYERSI <br />KITCHEN SINK d DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD+ <br />_ <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />iI <br />URINAL <br />METAL FIREPLACE A 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 />SUBTOTAL <br />S <br />SUBTOTAL <br />S <br />PERMIT <br />S <br />PERMIT <br />$ <br />TOTALFEE <br />S <br />TOTALFEE <br />$ <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />89/22556 <br />FEE <br />111.15 <br />RECEIPT NO, <br />23345 <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE <br />BUILDING <br />(�gypp ), <br />`7F�S�iI)fJ 08�1 <br />TYPE OF CONSTRUCTION ALLOMARLE <br />V-N <br />TYPE OF CONSTRUCTION ACTUAL <br />Iff <br />°'^"C`' <br />NOO <br />R-1 <br />NO.OF OWFLLING UNITS <br />PLUMBING <br />I0=2556 <br />SIZE OF BLDG <br />POOL <br />NO. OF STORIES <br />BASEMENT <br />❑ YES Q NO <br />MECHANICAL <br />BLDG S342 <br />.00 <br />OCCUPANCY LOAD FIRE SPRINKLERS RED I. <br />❑ YES ffNO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />CKCH $3 <br />.SD <br />STATE BUILDING SURCHARGE <br />4 <br />0 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />JW <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />WUCU DOnDC01 V VA <br />vni ID DC <br />In ATCn TWC IC <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 22556 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />