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"��'��`"' ` C'�NSTRUCTION - <br /> CITI'OF <br /> everett PERMIT PERMITNO. 22047 <br /> 259 -8810 <br /> ❑ DEMOLITION fj� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUFABING ❑ SIGN <br /> OWNER MAILAODPE55 QTY 21P PNONE <br /> Bergsagel Construction 11122 27th Ave. SF. Everett 98208 337-0727 _ <br /> TENANT MPILADORE55 CITY 21P PHONE <br /> ApC��RECTORDE5IGNER M/ILAOpRESS CITY ZIP FMONE <br /> GEN[f1ALCONTRACTOR MAIIAD�RE55 CITY IIP PNONc LICF.NSE� <br /> Owner IIERGSCC1350B <br /> AI[CHANICAICONTPACTOR �— MIILADONE55 CITY ZiP PMONE 4CENSE• <br /> PLUMCANG CONTBACTOR AIMl.ApORESS CITV ZIP FHONE LICENSE� <br /> CIASS OF WORH <br /> �NEW ❑ ADDITION ❑ AITERA710N ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PIIONE NO IF OTNEfi THAN ROOVE <br /> CONTNACT PRICE OF WORK:$ 11G�376.00 <br /> DESCRICE IYORN ANO SOU�RE FOOTAGE INVOLVED <br /> New Con�truclion <br /> PROPOSED 115E OF BUIl01:G <br /> Duplex _ <br /> LEGAL�ESCRIPTION OF PROPERTY�SMOW BELOW OH ATTACH fOUR COF�ES) <br /> �o.8 e�ocK—or Fairview Heights_ <br /> JOB ADDPE55 <br /> 6015 A6B Dexter Av <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF F17(TURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE _. <br /> 3 WATERCLOSET(TOILET) A/C—A/MNDLGUNITS—H.P. <br /> 1 BATHTUB FORCED AIR SYSTEMS—�.T.U. M EA. _ <br /> ? LAVATORY�WASH OASIN) UNIT HEATEHS—B T.U. M <br /> � SHCWER CLOTHESDRYERS <br /> Z KITCHEN SINK Q DISP. VENTILATION FAN <br /> z DISHWASHER RANGEHOOD <br /> LAUNDRYTRAV WATER HEATER <br /> Z CLOTMES WASHER w00�STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKINGFOUNTAIN FIREPLACEINSERT 09/]0/89 B=SLR OO b : <br /> j F�OOR DFAIN MEAT PUMP � <br /> BACNFLOW PREVENTERS GAS PIPING NOOO.�'.�S9B <br /> ROOFDRAINS—RAINLEADEFS E%HAUSTFAN SEWER S.�O. <br /> SINN�SEfiVICE--BAR,E7C.) FN� I 5600. <br /> 1171-5 8949. <br /> N00022047 <br /> SUBTOTAL s sue�trtl9. 4699 52 50 <br /> PEHMIT S PEp��EG �8� <br /> TOTALFEE f <br /> TOTI�,� $rjG 5z 5� <br /> F�ONTSETBACK NEARSEioRCK SIDESEI�RCK PLANCHECKNUMBER �YR'I CH �iS .�EIPTNO. <br /> zo zo 5 89/22047 e s�.ss �i.so �oes� <br /> USE20NE LOTApEF V�CFNTSItE <br /> . R-2 10,997 >rES ❑ NO FEES e coo FEE <br /> iva�o�mxsinur.iroeauownnit nrcoFcowsrnucnonacruni a;q�;« nnaro��fwr+cuwrs BUILDING �p���$6.0 • 699 00 <br /> V—N V—N R-3 z pLUMBING WRTER S�S .00 80 00 <br /> 512E OF OLOG NO Of STORIES UASEMENT .. <br /> 2836 1 YES ❑ NO MECHANICAL SZ SO <br /> O^.CIIPANCYLORD FlRESPRINNLERSREO'D HEIfMiLIMITATtON OTHER Pld❑ CIC 111. HO <br /> ❑ YES L�t NO Z8 <br /> nFaSG:�FOR;PRiNKLEns STATEBUILDINGSURCHARGE f SO <br /> STATEENERGVSURCHARGE 15 00 <br /> APPLICATIONACC DV PLANSAPPROVEDUV CITY OF EVERETT <br /> LOCAL SALES PUOLIC WORKS zo 00 <br /> rt.nf. J.w. TAX CODE IS TOTAL <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PE�RMIlT,�O <br /> / << <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 'J �� f'I i, ? <br /> ADDRESS �ILE , , , . , <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />