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"� �� � C''9NSTRUCTION '� r <br />everett PERMIT PERMITNO. _ 224`�6 <br />259-8810 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING 29 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEP MAiLAO�PESS CITY 21P PHONE <br />Robert D. Ricketts 6321 Pleming Rd. Everett, WA 98203 353-1434 <br />TENANT MAiLPDDRE55 CITV ZIP PHONE <br />ARCHITECTONOESIGNER MAILAOGRE55 CITY ZIP PMONE <br />GENERFICONTRACTOR MFILApORE55 CITY ZIP PHONE IICENSEY <br />Robert D. Ricketts <br />MECNANICALCONTflACTOR MAILAODBE55 CITY ZIP PMONE LICENSER <br />PLUMBINGCONTRACTOR MAILADDRESS CITY 21P PHONE LICENSEI <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION U REPAIN ❑ DEMOLITION ❑ BUILOING REIOCATION <br />I CONTALi PEfl50N AND PHONE N0. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />�ESCRiBE WOfiK FNO SOUARE FOOTAGE INVOLVED <br />Existing inStallation--small wood heater to heat shop <br />PROPOSEO USE Of B111L01NG <br />Workshop at SFR <br />LEGAL DESCRIPTION OF PROPERTV (SHOW BELOW OP ATTACM FOUR COPIES) <br />LOT— BLOCK �— OF • <br />5321 Flemin9 Rd. <br />PLUMBING7 <br />NO. TYPE OF FI%TURE OR ITEM <br />KITCMEN SINK 8 DISf'. <br />DISHWASFrER <br />UUNDRY TRAY <br />L'tJTMES WASHER <br />URINAL <br />DRINKINa FOUNTAIN <br />iLOORDRAiN <br />BACKFLOW PREVENI'ERS <br />ROOF ORAINS — RAINLEADERS <br />CINIf ISFGVICF _ HAB FT^ 1 <br />fRONTSETBACN <br />USE IONE <br />SREOFBLDG. <br />REASONFOP <br />M.M. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REARSETBACK <br />l0T AREA <br />IVVE OF CONSiflOCil04ACi11Al <br />NO. OF STORIES <br />FIRE SPRINKLE.iS REO'D <br />� VES ❑ NO <br />Y <br />� <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SVSTEMS — B.T.U. M <br />UNIT MEATEPS — B.T.U. M <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEA7PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PEflMR <br />TOTALFEE <br />FEE <br />VACANTSRE BUILUIN W[ <br />❑ ve5 ❑ NO FEES <br />�yq,g=� xooFowewNcuxns BUILDING N000^e2446 <br />1�— <br />PLUMBING i <br />BASEM[NT <br />❑ YES ❑ NO MECHANICAL <br />HEIGHTLIMITATION OTHER <br />� STATE �UILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT PUOLIC WORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALIDATED TI <br />FEE <br />� <br />f <br />f <br />RECEIPT NO. <br />FEE <br />30 <br />I 30 <br />IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDRESS FILE 2 2�'+ � <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />