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`��'��� � �ONSTRUCTIOP'�', � <br />everett PERMIT PERMITNO. _ 24542 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL XSXpLUMBING ❑ SIGN <br />OWNER MAILAOPRESS CITV 21P PMONE <br />Charlea A. Pancerzewski PO Box 885 Mukilteo 9P175 353-2048 <br />TENANT MAILFDDflE55 CITV ZIP PNONE <br />MAILA�DRE55 CITY 21P PHONE <br />GENEMLCONTRACTOR MAILAD�HE55 CITY 21P PHONE LICENSEM <br />MECHANICALCONTRRCTOR MAILAODRESS CITY 21P PHONE LICENSE� <br />PIUMBINGCONTRACTOfl MAILFD�RE55 CITY ZIP PHONE LICENSE� <br />GLA^u5 0F WORN <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ BUILDING RELOCATION <br />I CONTPCT PERSON ANO PMONE NO. IF OTHER TMnN NBOVG <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WOPK AND SOUARE FOOTAGE INVOLVE� <br />Replumb kitchen & bathroom & replace fixtures <br />M10POSE0 USE OF BUILOING <br />Sinqle family residence n� en .�yy -y <br />LEMLOESCPIPfIONOFPROPERTY�SHOWBELOWOHATTACIIFOURCOPIES) �S�yv��y 1�:43HM OOORI11348 h+fT <br />LOT- BLOCK- OF / <br />N0002454^c <br />PLB6 430.00 <br />CF�CY, f30.00 <br />JOB �D ESS <br />330 Federal Ave. <br />PLUM8ING <br />BIITHTUO <br />LAVATORY <br />CLOTHES WASHER <br />UHINAL <br />DRINKINO FOUNTAIN <br />ROOF DRAINS — MINLEADE <br />SINK ISERVICE — BAH, ETC.) <br />USEZONE <br />7YFF OF CONSTRUCf10N ALION'RBLE <br />SREGFBL�G. <br />OGGUPANCYLOAD <br />REASONFORSPRINKLERS <br />MECHANICAL <br />OR ITEM FEE NO. TVPE OF EOUIPAAENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYS7EM5— B.T.U. M EA <br />UNIT HEATERS — B.T.U. M <br />CLOTHES�RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REAR SETBACK <br />LOT APEA <br />ttPE OF CONSTRUCiION ALTW <br />NO.OF STORIES <br />FIRE SPRINKLERS REOD <br />❑ YES ❑ NO <br />s <br />f <br />sioe sereneK <br />VACANT SITE <br />❑ VES ❑ NO <br />��"'�r W1.JF�WELIING <br />VES ❑ NO <br />HEIGHT LIMITATION <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />ME7AL FIREPLACE <br />FIHEPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />PEHMR <br />TOTALFEE <br />T <br />BUILDING $ <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SI�RCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />VALIDATED <br />S <br />,c•a <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AODRESS FILE 2 4 5 4 2 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />