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rne Eti�� <br />CITY OF <br />everett <br />259-8810 <br />� �NSTRUCTION -- �� C <br />PERMIT PERMITNO. _ �`�U� O <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING EE MECHANICAL $S PLUMBING ❑ SIfiN <br />OWNER MAILAOORESS CITY ZIP PMONE <br />C3iarles A. Pancerzewski PO Box 885 Mukilteo 98275 353-2048 <br />TENFNT MAILAOOflE55 CITV 21P PMONE <br />OESIGNEH MRILAODlIE55 CITY ZIP PMONE <br />GENERALCONTFNCTOR MAILFDORESS LRY ZIP PMOHE LICENSE� <br />Owner <br />MBLII�NIGLCONTRA�TON MARpODflESS CITV ZIP 1'HONE LICENSE� <br />PLUMBINGCONTR�CTOR MRILApDRE55 CITV ZIP PMONE LILENSE� <br />CLASS Of WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br />CONTACT VERSON AND PIIONE NO. IF OTMER TNNN r1BOVE <br />CONTRACT PRICE OF WOFK: $ I <br />pESGRIBE WORK AND SOUNRE FOOTAGE INVOlVEO <br />Additional pliunbing/mechanical - remodeling rental (other items on permit #24542 <br />SFA <br />' PROPOSED USE OF BNI�ING <br />LEWLDESCRIPTIONO�PROPERTV�SHOWBELOWORATTACMFOURCOPIE51 OS�ISI9O B�GOex� OOORttSSG�B <br />LOT� BLOCR - OF ' � <br />N00024610 <br />PLEG 45.00 <br />FfECH 330.00 <br />CHECI; 335.00 <br />�oe�o ess <br />330� Federal Ave. � <br />PLUMlINQ <br />�WATER <br />OR ITEM <br />LAUNORYTRAV <br />CLOTHES WASMER <br />URINAI <br />DAINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLE4DER5 <br />SINK (SERVICE — BAR. ETC.) <br />SUB TC . <br />PERMIT <br />TOTALFEE <br />SETBACN REARSETBACK <br />USEZONE <br />IYPE OF CONSiRUCT10N <br />SIZE OF BIDG. <br />OCCUPANGYLOAO <br />NEASON FOR SPRI� <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPI <br />A/C — A�HNDLG UNITS — H.P. <br />FORCED AIR SVSTEMS — B T.U. <br />UNIT HEATERS — B.T.U. <br />CLOTHES ORYERS <br />1 VENTILATION FAN <br />1 RANGEHOOD �lf OES <br />1 WATERHEATER (re ld(: <br />WOODSTOVE <br />METAL FIPEPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />LOTAPEA VACANTSITE <br />p VES ❑ NO <br />fYPEOFCONSiPUCiIONAL70Al �Wp`' N00�01 <br />N0. Oi STORIES BRSEh1ENT <br />IE SPRINKIERS REOD <br />YES O NO <br />ANS APPROVED BV <br />J SUBTOTAL <br />VENMIT <br />) TCTAL FEE <br />PLANCHECK NUMBER FEE <br />FEES ew�o <br />uN�iS BUILUING 5 <br />f'LUMBING <br />YES ❑ NO <br />HEIGHT LIMRAt10N <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />MECHANICAL <br />O7HER <br />S7ATE B111L�ING SURCHARG <br />STA7EENERGVSURCHARGE <br />PUBLIC WOFiKS <br />TOTAL <br />THIS <br />FEE <br />f <br />RECEIPT NO. <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qUuRESS FILE � 4�� l; <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />