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the EtrCle T �^ C"3NSTRUCTION everett PERMIT PERMIT NO. _ 24662 <br />259-8810 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />7{y )ILAECHANICAI. <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />Dave & Lorna <br />Pingitore 3421 Federal Ave <br />Everett 98201 <br />339-8565 <br />TENANT <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE. <br />MECHANICAL CONTRACTOR <br />Valley Natural Gas 2605 <br />MAIL ADDRESS <br />Mcdougall <br />CITY ZIP <br />AVe Everett 98201 259-5492 <br />PHONE LICENSE II <br />VALLENG153L1 <br />PLUMBING CONTRACTOR <br />(JAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE♦ <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION 0 ALTERATION <br />17 REPAIR ❑ DEMOLITION <br />0 BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: $ XSOIHHAIX 3f800.00 <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install furance & waster tank <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY ISHOW DEW W OR ATTACH FOUL ^.PIESI <br />LOT _ BLCCK _ OF <br />JOB ADDRESS <br />3421 Federal Ave <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />A/C - A'HNDLG UNITS - H.P <br />FORCED AIR SYSTEMS - P M EA. <br />UNIT HEATERS - B.T U NI <br />CLOTHES DRYERS U5/21/90 10=28RI <br />T— FEE <br />i <br />DODAN1643 <br />_ <br />tx$i <br />WATER CLOSET (TOILET) <br />BATHTUB <br />1 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK S DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD #00024663 <br />LAUNDRYTRAY <br />1 <br />WATER HEATER MECH <br />$30. <br />'A' <br />_ <br />CLOTHES WASHER <br />WOOD STOVE #WO24661 <br />URINAL <br />METAL FIREPLACE 8 CHIMNWCH <br />$65. <br />0 <br />DRINKING FOUNTAIN <br />FIREPLACEINSERT N00024662 <br />FLOOR DRAIN <br />HEAT PUMP JECH <br />7 -40 <br />BACKFLOW PREVENTERS <br />2 <br />GAS PIPING Y <br />signio <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC.) <br />5 <br />Epw <br />F' <br />SUB TOTAL <br />$ <br />SUB TOTAL <br />S <br />60 <br />00 <br />PERMIT <br />S <br />PERMIT <br />S <br />15 <br />00 <br />TOTAL FEE <br />f <br />TOTAL FEE <br />f <br />7,, <br />FRONTSETBACK <br />REAR SETBACK <br />SIDESETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NOVALUATION <br />FEES <br />BUILDING CODE <br />FEE <br />TYPE OF CONSTRUCTION ALLOWABLE <br />7VIf OF CONSTRUCTION ACTUAL <br />AELLINSUNIS <br />BUILDING <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />75 <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'0 HEIGHT LIMITATION <br />❑ YES [I NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />75 <br />0 <br />........ 11-1 r '. ./.0 vHl eau FnIa ID .vun vcn me <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE G 4 6 U <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />