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"w aww"M 'A.4N <br />CITY' OF C^NSTRUCTION <br />everett PERMIT <br />oro-8810 <br />,w <br />PERMIT NO. _ 230222 <br />❑ DEMOLITION At] COMBINATION BUILDING LJ MECHANICAL A] PLUMBING ❑ SIGN <br />ZIP PHONE <br />OWNER <br />MAIL ADDRESS ^�iY <br />Charles C. Allen 2318 2nd Ave Seattle, WA 98121 947-075 <br />TENANT <br />MAIL ADDRESS CITY ZIP PHONE <br />OR DESIGNER <br />MAIL ADDRESS CITY ZIP PHONE <br />MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />Ownet <br />CHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />ME <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR E <br />CLASS OF WORK <br />FI NEW <br />❑ ADDITION <br />❑ ALTERATION <br />CONTRACT PRICE OF WORK: $ 2500.00 <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />REmodel, replace bath and kitchen <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NU I, U i ncn -- ---'L <br />fixtures, some electrical <br />PROPOSED USE OF BUI'LUINU <br />Triplex <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT- BLOCK - OF <br />JOB ADDRESS <br />3501 Federal Ave <br />u�wu w www E <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM A <br />- FEE <br />"'"--""" <br />NO. <br />`-" -- _ <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />a <br />_ <br />A/C - A/HNDLG UNITS - H.P. <br />WATER CLOSET (TOILET) <br />I>�. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SIIJK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />'^ <br />Y* <br />UNIT HEATERS — e T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />I <br />ilk <br />1 <br />1 <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE d CHIMNEY <br />URINAL <br />FIREPLACEINSERT <br />DRINKING FOUNTAIN <br />HEAT PUMP <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINL:ADERS flL: <br />E%HAUST FAN <br />SINK (SERVICE —BAR, E7O.) <br />SUB TOTAL f <br />SUB TOTAL f <br />f <br />f <br />PERMIT <br />PERMIT <br />IR' <br />f <br />TOTAL FEE f <br />SIDE SETBACK <br />TOTALFEE <br />PLAN CHECK NUMBER FEE RECEIPT NO. <br />FRONT SETBACK REAR SETBACK <br />USEZONE <br />LOT AREA <br />VACANT SIFE <br />FEES <br />BUILDINOCODE <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />$ 2500. <br />54 <br />0 <br />TYPE OF OWSTRUCDON ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />o IRAp' <br />NO OF DWELLING UNITS <br />PLUMBING <br />nFt"} =10 <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />/ <br />❑ YES ❑ NO <br />MECHANICAL <br />R - <br />OCCUPANCYLOAD FIRE SPRINKLERSREOD HEIGHT LIMITATION <br />OTHER <br />G') <br />STATE BUILDING SURCHARGE <br />900023022 <br />4 <br />0 <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />E SR1, 1 <br />.50 <br />LOCAL SALES <br />PUBLIC WORKS <br />-y <br />64 <br />0 <br />TAX CODE IS <br />M. M. <br />TOTAL <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 3 U / G <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />