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CITY OF EVERETT � <br />"� �"`ONSTRUCTION '" <br />PERMIT PERMITNO. 27314 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION 0 BUILDING ❑ MECNANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADORE55 CITY ZIP PHONE <br />Everett Housing Authority 1401 Po�lar Everett 96201 258-9222 <br />TENANT MAILA�OFESS CIN ZIP PHONE <br />ARCHITECTORDESIGNER MAILADORE55 CITY ZIP PMONE <br />OENERALCONTRACTOR MAILADDRESS CIN ZIP PHONE ��CENSEN <br />MECMANICAICONTRACTOR MAILADDRE55 CITY ZIP PMONE LICENSEN <br />PLJMBIN6CONTRACTOF MAILADDRE55 CITV ZIP PMONE LICENSEY <br />Joe's Plumbin PO Box 1137 Lk Stevens 98258 334-1309 JOESP**235C2 <br />CUSS OF WORK <br />p NE1N ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PEPSON ANU PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: <br />Plumbing <br />PROPOoED USE OP BUILDIN6 <br />4-plex <br />LE(3AL DESCRIPTION OF PROPERTV (SHOW BELOW OR ATfACH FOUR COPIES) <br />LOT_ BLOCN _OF <br />i <br />JOBADDPE55 <br />1216 Fir St <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHNB <br />i <br />, LAVATORY (WASH BASIN) <br />SHOWER <br />., 3 KITCHEN SINK 8 DISP. <br />� DISHWASHER <br />�� LAUNDRYTRAY <br />f CLOTHES WASHER <br />• URINAL <br />� DRINKING FOUNTAIN <br />� FLOOR DRAIN <br />� BACKFLOW PREVENTEflS <br />� ROOFDRAINS-RAINLEADERS _ <br />� SINK(SERVICE-BAR,ETC.) <br />SUBTOTAL S <br />PERMIT s <br />TOTAL FEE S <br />FRONTSETBACK REAFSETBACK SI�ESETBAC <br />.�.......�� inrewcn VACANTSITE <br />TYPE OF CONSTRUGTION A <br />S2E OF BLDG. <br />OCCUPANCVLOAD <br />HEASON FOR SPRINKI <br />APPUCATIONACC. BY <br />TVPE OF <br />FIRE SPRINKLEPS <br />❑ YES ❑ NO <br />xnmrxcr <br />GFdN <br />MEIGHT <br />BY I CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />NO. TYPE OF EOUI <br />NC -AMNDLG UNITS - H.P. <br />fORCED AIR SYSTEMS - B.T.U. <br />UNIT HEATERS - B.T.U. <br />CLOTHES�RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />$ <br />VALIDATED THIS <br />FEE <br />45 <br />45 � 00 <br />YOUR PERMIT <br />\ j <br />V <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 314 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE <br />