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theh�verg <br />°`ONSTRUCTION <br />CITeverett <br />PERMIT <br />PERMIT NO. <br />_ r)3516 <br />259-8810 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />l MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />'HONE <br />Robert and Charlene Williamson 5121 Delaware Ave <br />Everett <br />98203 252-9094 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />Owner <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE• <br />CLASS OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONIACT PERSCN AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Inspection for two existing woodstoves <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIE51 <br />LOT _— BLOCK -- OF <br />ZOB ADDRESS <br />5 <br />MECHANICAL <br />NO. mr <br />Y TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A,HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B.T.U. Id <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK d DISP, <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD i21` <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD S1 OVE <br />URINAL <br />_ <br />METAL FIREPLACE A CHIM <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />18 <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />_ <br />ROOF DRAINS— RAINLEADERS <br />EXHAUST FAN <br />_ <br />SINK (SERVICE — BAR, ETC I <br />SUB TOTAL S <br />SUB TOTAL <br />S ' 150100 <br />PERMIT S <br />PERMIT <br />f <br />TOTAL FEE $ <br />TOTAL FEE <br />S 60 <br />00 <br />FRONT SETBACK <br />REAR SSETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NJ <br />FEES <br />BUILDINGCOOE <br />VALUATION <br />FEE <br />BUILDING <br />S <br />- <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACIUAI. <br />� <br />Iq OFOWILUNGUNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />❑ YFS D NO <br />MECHANICAL <br />60 <br />)0 <br />OCCUPANCYLOAD RRESPRINKLERS REO'D HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY 1PLANSAPPROVED <br />S.H. <br />BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />60 <br />00 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 23516 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />