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the tt' <br />CITYYOF CONSTRUCTION <br />F <br />everett PERMIT PERMIT NO. . 2 6 4 9 0 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING n MECHANICAL ❑ PLUMBING O SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Edwin Wohler 3608 Earl AVe. Everett, WA 98201 259-1.643 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />Owner <br />ARCHITECT OR DESIGNFR MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONS LICENSE- <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSER <br />Valley Nat. Gas <br />2605 McDougall Ave Everet, WA <br />98201 259-5492 <br />VALLENG153L1 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION X1 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 1, 589.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install Gurnace & AWH <br />PROPOSED USE OF BUILDING <br />Single Family <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT__ BLOCK — OF <br />JCd ADDRESS <br />PLUMBING <br />MECHANICAL <br />-' <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF E <br />WATER CLOSET (TOILET) <br />AIC — A'H14DLG UNITS — H P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B.T.U. MECH M <br />SHOWER <br />CLOTHES DRYERS z <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LA(IN'DRY TRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIM <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLCW PREVENTERS <br />42 <br />GAS PIPING <br />_ <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN J <br />SINK (SERVICE — BAR, ETCJ <br />SUB TOTAL $ <br />_y <br />SUB TOTAL` S <br />40 <br />00 <br />PERMIT f <br />PERMIT S <br />15 <br />00 <br />TOTAL FEE $ <br />TOTAL FEE $ <br />1 55 <br />OO <br />FRONT SETBACK <br />REARSETBACK <br />SIDESETBACK <br />PLAN CHECK NUMSEF. <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING <br />VALFIR <br />FEE <br />BUILDING <br />S <br />-- <br />_F 5 <br />OF CONSIR'JCTION AL011ASLE <br />FIRE OF CONSTRUCOON ACTUAL <br />—. °1 <br />NOOFONTLLINGUNRS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BA^EMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPBINKLERS <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 />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />o0 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PEHMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILL F } l <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />