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rheEDCIT OF �~ r ONSTRUCTION - everett PERMIT PERMIT NO. _ 23786 <br />259-8810 <br />D DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Deaconess Children Services <br />4708 Dogwood Dr. <br />Everett, 98201 <br />259-0146 <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 />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />7ENERALC1 FACTOR <br />Rocky & Work Contractos <br />2021 Lombard <br />Everett, 98201 <br />252-1311 <br />RoCKEWC1480D <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSED <br />General <br />PLUMBING CONTI ACTOR MAIL ADDRESS CITY ZIP rn�nc owns <br />General <br />CLASS OF WORK <br />D NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Pltmlbina & echanical <br />PROPOSED USE OF BUILDING <br />Commercial <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK _ OF <br />vy.. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMFNT <br />FEE <br />WATER CLOSET (TOILET) <br />kC — A: HNDLG UNITS — H P. <br />BATHTUB <br />FORCED AIR SYSTEMS — R T U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />0 <br />1 <br />CLOTHES WASHER <br />5 <br />00 <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PInING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUSTFAN <br />SINK (SERVICE — BAR, ETC.I <br />— — <br />01/23/90 3:11F <br />00M*9661 <br />1# 1 <br />SUB TOTAL S <br />5 <br />00 <br />SUBTOTAL / S <br />6 <br />50 <br />PERMIT S <br />___ <br />PERApp0023786 S <br />15 <br />00 <br />TOTALFEE S <br />5 <br />00 <br />TOTIRIJ� $S <br />21 <br />50 <br />FRONT SETBACK <br />REARSETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />MCH $2 .WEIPT <br />CHECK $2 .50 <br />NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />FEE <br />BUILDING <br />S <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />° 'p' <br />NO OF DWELLING UNI IS <br />PLUMBING <br />5 <br />00 <br />SIZE OF SLOG. <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />21 <br />50 <br />OCCUPANCYLOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />❑ VES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />L <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />2 6 <br />950 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIPE IF WORK IS NOT COMMENr,ED WITHIN ADDRESS FILE 23786 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />