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,�. <br />CITY OF EVERETT <br />CONSTFiUCTION <br />zes-ssro PERMIT <br />Permit Number: C51776 <br />SEPA tfumber: <br />Ieeue Date: <br />Job Addreee: 216 DORN AVE <br />Owner <br />DORRAH LOREN <br />2820B LINCOLN WAY <br />LYNNWOOD WA 98036 <br />787-6700 <br />LOT 4 <br />Tenact <br />� <br />ADDRESS FILE copy <br />General Contractor Plumbing Contractor <br />ELECTRICAL ENERGY CONT. <br />PO BOX 5036 <br />LYNNWOOD WA 98036 <br />778-0555---- <br />ELECTEC110QH <br />Type of Permit: COMBINATION <br />Heating System: GAS OWNER <br />WSEC Code: Y <br />Deecription of Work: NEW DUPLCX-BASIC 1153 <br />Legal Deacription/ LOT 4 SHORT PLAT 27-95 <br />Property ID: <br />Conetruction Lender: <br />Architect/Deeigner <br />Mechanical Contractor <br />Contact Pereon <br />Propoeea Uee of Huilding: DUPLEX <br />�_____��________�_'__________________________________________________�______-"_=====a <br />y yp PLUMBING MECHANICAL <br />4t2 BATHTUBf Fixture 14e00 24CLOTHESeDRYERquipment Fee <br />2 �LOTHES WASHER 14.00 6 EXHAUST FAN <br />2 DISHWASHER 14.00 2 FORCED AIR SYSTEMS BTU <br />� XITCHEN SINK G DISPOSAL 14.00 4 GAS PIPING <br />6 LAVATORY (WASH BASIN) 42.00 2 RANGE HOOD <br />2 SHOWER 14.00 2 WATER HEATER <br />6 WATER CLOSET (TOII.ET) 42.00 MECHANICAL EQUIPMENT FEE 120.00 <br />Sub Total $154.00 Sub Total $120.00 <br />..------------------------------------------------------- <br />------------------------------------------------------- <br />SETBACK FOOTAGE OCCUPANCY Vacant Site? Y <br />'rront 20.0 Load No. Owelling unite: <br />Rear 20.0 Group R-3/U-1 Size of Bldg: 2676 <br />Sidel 5.0 � Storiea 2 Size of Gar: 876 <br />Side2 0.0 Basement? N Height Limit: 35 <br />Lot Sz 7832 Reaeon For Fire Sprinklers: <br />:temodel Sz: Fire Alarm Req'd? N Reason For <br />-------------------------------------------------------- <br />P?.ane Approved Hy; JH <br />City of Everett Local <br />Salee Tax Code ie 3105 <br />Permite expire if work <br />����D <br />� Q 1n�6 <br />�qpY 3 <br />. ........ ............... <br />CITY OF EVEAE7 i <br />D�il�;n� Division <br />Plan Check Recefpt No: <br />TYPE OF CONSTRUCTION <br />2 Allowable: V-N <br />Actual: <br />Uee Zone• R-3 <br />Fire Sprinkler Req'd7 N <br />Fire Alarm: <br />Fee: 30.00 FEE <br />'EE TYPES PERMIT VALUATION <br />Building 199755 <br />Plumbing <br />Mechanical <br />Sprinkler <br />Other <br />St; Bldg. Surcharge <br />������op������� <br />H C O 00 ti� � <br />not cortu�en�d w.�Ovthin 180 d J <br />pp �. <br />�` N <br />[JIN W � � N f�YN <br />ocn fo `�b" o�o�no <br />�g�8 g su8g� <br />1120.50 <br />154.00 <br />120.00 <br />6.50 <br />20.00 <br />11 �l.an Check Fee <br />` TOTAL $1421.00 <br />� <br />\ � <br />a�os o� ceaeee more than 180 days. <br />!+ <br />H <br />W <br />x <br />C 51776 <br />