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the Et' CITY OFF r'�NSTRUCTION <br />CITY everett PERMIT PERMIT NO. 23501 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING E� MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Jane Squires 5122 Delaware Ave Everett, WA 259-2176 <br />TENANT <br />ARCHITECT OR DEST NER <br />W <br />IIAIL ADDRESS <br />CITY <br />MAIL ADDRESS CITY <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />ZIP PHONE <br />ZIP PHONE LICENSE• <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY 08201 ZIP PHONE LICENSE& <br />Valley Natural Gas 2605 McDougal Ave Everett, WA 00 xY XSOxS498 259-5492 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />VALLENB1531.1 <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION XXALTERATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK. $ 3,051.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install furnace and hot water tank <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK — OF — <br />JOB ADDRESS <br />5122 Delaware Ave <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />1110. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNOLG UNITS — H P. <br />BATHTUB <br />1 <br />FORCED AIR SYSTEMS — B T.0 M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. N <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK d DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGL HOOD <br />LAUNDRYTRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />2 <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL 5 <br />SUB TOTAL f <br />60 <br />00 <br />PERMIT S <br />PERMIT $ <br />15 <br />00 <br />TOTAL FEE $ <br />TOTALFEE $ <br />75 <br />00 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />YES ❑ NO <br />FEES <br />RUILOING CODE <br />VALUATION_ <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONSTRUCTION AUUN'AOLE <br />Wrt OF CONSTRUCTION ACTUAL <br />'^` <br />NO OF CIWLUNCUN,S <br />PLUMBING <br />SIZE OF BLDG <br />N0. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />75 <br />OCCUPANCY LOAD FIRE SPRINKLERS REOHEIGHT LIMITATIGN <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />2/04189 2'D <br />STATE BUILDING SURCHARGE <br />#00023499 <br />STATE ENERGY SURCHARGE <br />#0101)2-3500 <br />APPLICATION ACC BY <br />M.M. <br />PLANS APPROVED BY <br />LOCAL SALES ETT CITY E <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />MECH $55 <br />00 <br />TOTAL <br />MEC 475 <br />00 75 <br />00 <br />wucAL oonacol v vAN�Ar,,.mrn <br />Tw en <br />cvwYuo oeoulr <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITHIN ADDRESS FILE 2 0 <br />80 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />