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the E C "NSTiRUCTION <br />everett PERMIT PERMIT NO. _ 26424 <br />259-8810 <br />❑ DEMOLITION 0 COMBINATION 0 BUILDING AX)MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Don Carnley 3417 Federal Ave Everett 98201 339-2061 <br />........ MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHO•" <br />GENERAL CONTRACTOR MAIL ADDRESS �I IT <br />MECHANICAL CCNTRACTOD MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Owner <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />CLASS OF WORK <br />❑ NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OCHER THAN ABOVE <br />IONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install fireplace insert <br />PROPOSED USE OF BUILDING <br />LEGALDESCBIPTIONOF PR RTY )SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT- BLOCK - OF <br />JOB ADDRESS MECH $30.00 <br />341A DEA1CL3L AVC. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />HATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.0 M EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />SHOWER <br />KITCHEN SINK 6 DISR <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />1 <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 />.t <br />SUB TOTAL $I <br />SUB TOTAL f <br />PERMIT f <br />PERMIT <br />i <br />TOTALFEE f <br />TOTALFEE <br />f <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AH.A VACANT <br />SITE <br />FEES <br />BUILDING CODE VALUATION <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />$ 1 <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />�.om <br />NO OF OWFLLINGUNITS <br />ti <br />PLUMBING <br />,1 <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />30 <br />0 <br />OCCUPANCYLOAD FIRE SPRINKLERS REGD HEIGHT LIMITATION <br />OTHER <br />❑ YES ❑ NO <br />STATE BUILDING SURCHARGE <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHA RGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />TOTAL <br />3 <br />TAX CODE IS <br />Ili 3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />26424 <br />