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.-. <br /> "�F°�" �� C�NSTRUCTION - <br /> arr oF <br /> everett PERMIT PERMITNO. _ 2433 � <br /> ?59 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWr1ER MAILAODRE55 CITY ZIP PMONE <br /> Fred Bie er 2714 Forest View Dr. Everett 98203 353-6034 <br /> TENANT AI/ILFO�RESS CITY ZIP PHONE <br /> ARCHITECTCRUESIGNER h1AILADDRESS CITY ZIP PHONE <br /> OENERALCONTP�.CTOR MAILADORE55 dTY ZIP PMONE IICENSE• <br /> MECHANIGALCONTRAGTOR MhRA0DPE55 CRY ZIP PHONF IICENSE• <br /> SL�lok 1�915 124th g *Tr xirkland 98034 827 4542 SUN7AW11�6J9 <br /> PLUMBINGGONTRP%TOR MRILADDfiE55 CITY ZIP FHONE LICENSE� <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION AITERATION ❑ REPAIR ❑ DCMOLITfON ❑ BUILDING flEIOCA <br /> CONTAGT PERSON/ND PMONE NO.IF OTMER THAN ABOVE <br /> CONTPACT PRICE OF WORK $ 1931 00 <br /> DESCRIBE WOf1N AND SOUARE FOOTAGE INVOLVEO <br /> PROPoSED USE OF B111�DING <br /> LEOAL DESCflIPTiON OF PROPERTY(SMOW 6ELOW OA AnACH FOUR COPIES) <br /> LOT-- BLOCN-OF <br /> JOB��DRESsg�e d5 above 2� 14 For��-V►an� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. <br /> TYPE Of E�UIPMEhT FEE <br /> WATER CIOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> FORCEU AIH SVSTEMS—B.T.U. M EA. <br /> BATHTUB <br /> � LAVr.TORY�WASH BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHFSDRYERS <br /> KITCHEN SINK 6 GISP. VENTILATION FAN <br /> DISHWASHEH FANGEHOOD <br /> LAUNDRY TRAV WATER HFA'fER <br /> CLO7HES WASHER WOOD STOVE <br /> METAL FIREPLACE 8 CHIMNEV <br /> URINAL <br /> DRINKING FOUNT/11N FIREPLACE INSERT <br /> HEATPUMP <br /> FLOOR DRAIN . <br /> BACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS—RA�NL[ADERS E%HAUST FAN <br /> # SINK(SERVICE—BAR,ETC.) <br /> k <br /> ] <br /> SUBTOTAL s suB s <br /> i PEN = <br /> ! PERMIT S <br /> i TOT s <br /> � TOTALFEE f <br /> i EIPT NO. <br /> FRONT SETBPCN REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER �p�p�4352 <br /> j nECH ss o0 <br /> � USEZONE LOTAREA VACANTSITE FEES E FEE <br /> ❑VES ❑ NO �ECH SS .LIO <br /> '' TYIEOF!ONSiRUCiIONALIUVABIE iVPEOFLONSTNUCT10NALTOFL a�q�'�� NOOF�W4lLING11NIiS BUILDING - <br /> i PWMBING MuECH 9 0 <br /> SREOFBLOG. NOOFSTORIES BASEMENt ry000�4368 rJ �� <br /> C YES ❑ NO MECHANICAL <br /> � OCCUPAIlCVLORD FIRESPRINNLEPSREO'D NEIGMTLiMITATION OTHER j <br /> ❑VES ❑NO <br /> STATE BUILDING SURCHARGE �E� $S . <br /> REASON FOR SPRINKLEIiS <br /> G <br /> STATEENERG�SUFCHARGE <br /> I APPLICATIONACC �Y PLANSAPPROVEJBV CITY OF EVERETT CHECY SSS •� <br /> ' LOCAL SALES PU9LIC WORKS <br /> '' TAX CODE IS TpTp� 5 00 <br /> � 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENr.ED WITHIN ADDHESS FILE 2 � � J v <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />