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R <br /> ( <br /> � �� <br /> CITY OF EVERETT <br /> CONSTRUCTION <br /> Zs9.�,a PERMIT <br /> Permit Numb�rs M35080 ADDRESS FILE copy <br /> SEPA Numbars <br /> Ieeu� Dat.t 12/16/91 <br /> Job Addr���s 6515 CYPRESS �' <br /> p��r Tenant Architect/Deaigner <br /> LOZOTT JEFF <br /> �( 6515 CYPRISS3 <br /> y EVERETT WA 98203 <br /> ! 355-2849 <br /> � Genaral Contractor Plumbiag Contractor Mechanical Contractor <br /> THOHAS HEATIt7G <br /> 14522 N& 19UTH <br /> WOODINVILLS WA 98072 <br /> 468-6883---- <br /> THOMAH1408M <br /> 1 Typ� of Parmits MECHANICAL Contact Pareon <br /> Heatinq Syet�ms NONE <br /> s NWSC Code: N Contract Price: 1�^0 <br /> Deecription of Work: ELECTRIC TO GAS RETRGfIT CHANGEOUT FURNACE AND HWT <br /> Lagal Deecription/ <br /> Prop�rty ID: <br /> � Propoead Uee of Building: SINGLE FAMILY RESIDENCE <br /> casas��a�s�+as��sssszmx:cvacvscvv�vcvcros:sssasa:�sassv:aeaceasec�asasassissss�v:ssv�a <br /> PLUMBING y Type qu <br /> Qty Typa of Fixtura Fee 1�FORCE6-AIRfSYSTEMSeHTU gae <br /> � 1 WATER HEATEA <br /> MECHANICAL EQUIPHENT FES 40.00 <br /> i MECHANiCAL PERMbTTotal 555.00 <br /> Sub Total <br /> assasssasv�sass��aatasaasassacnzaazassavssssaszsaaassasa::vazasaaszc:aa�sva��::sacs== <br /> I <br /> � SETBACR FOOTAGB OCCUPANCY Vacant Sita? TYPE OF CONSTRUCTION <br /> � Front 0.0 Loed No. Dwelling unite: Allowable: <br /> � Rear 0.0 Group Siza of Bldgs Actual: <br /> � Sidel 0.0 / Storiae Size of Gar: Uee Zone: <br /> Side2 0.0 Baeemant7 Height Limit: Fire Sprinkler Req'dt <br /> Lot Sz Aeaeon For Fire Sprinklere: <br /> s <br /> ----------------------�-------------__-___---____-___-__-__----------_____-__-----__ <br /> Plane Approved By: Plan Check Receipt No: Fee: FEE <br /> FEE TYPES CONSTRUCTION VALUATION <br /> Huildinq <br /> Plumbing <br /> Mechanical 55.00 <br /> Electrical <br /> Sprinkler <br /> Other <br /> City of Everett Local St. Hldg. Surcharge <br /> Sales Tax Code ie 3105 Public Worke <br /> Additional Plan Clteck Fee <br /> "' TOTAL S55.00 <br /> n =�: s� a az r•� <br /> xmomo � <br /> n =� � To c <br /> ;, :i :a <br /> ca cn �. �a <br /> 0 0 �• <br /> Permite expire if work not commenced�itB�n 180 daye or ceaeea more than 180 daye. <br /> w <br /> 1-� [P (4 <br /> �� cn cn c.� <br /> c� cn cn r.o <br /> c� �:� o =i' <br /> c� o o � <br /> 0 <br /> r� <br /> �` M 35080 <br /> '�:. <br /> �,- <br /> CC <br />