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Ow Evergr <br />CITY of "NSTRUCTION <br />everett PERMIT PERMIT NO. _ 24662 <br />259-8810 <br />❑ DEMOLITION <br />❑ COMBINATION 0 BUILDING <br />)[X)fAECHANICAL <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 <br />MAIL ADDRESS CITY <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />ZIP PHONE LICENSER <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE, <br />Valley Natural Gas <br />2605 Mcdougall AT7e <br />Everett 98201 <br />259-5492 <br />VALLENG1531Ll <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE, <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN AUU. <br />CONTRACT PRICE OF WORK: $ XURREX 3,800.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install furance & waster tank <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT- BLOCK 01 <br />JOB ADDRESS <br />OAn! n.. A --mil Tve <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 />1 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B.T.U. M <br />SHOWER <br />CLOTHES DRYERS 05/21/90 10:2 <br />1 D00RN1643 <br />1*U <br />KITCHEN SINK & DISP. <br />1 <br />VENTILATION FAN / <br />DISHWASHER <br />RANGE HOOD #0002,4663 <br />LAUNDRY TRAY <br />1 <br />WATER HEATER MECH $3 . <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACES CHIMINK H <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT N 24662 <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />2 <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR. ETC.) <br />SUS TOTAL f <br />SUB TOTAL f <br />60 <br />00 <br />PERMIT f <br />PERMIT f <br />15 <br />00 <br />TOTAL FEE f <br />I TOTALFEE <br />f 75 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />FEE <br />BUILDING <br />$ <br />TYPE OF CDNSTRUCTION ALLOWABLE <br />TIDE O'CONSTROC➢ON ACTUAL <br />PLUMBING <br />SIZE OF BLDG <br />NO CF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />75 <br />00 <br />OCCUPANCYLOAD FIRE 3PRINKLERS REDD HEIGHT LIMITATION <br />❑ YES 0 NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />1 �; <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />L <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />75 <br />00 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 46 6 2 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />