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CITY OF EVERETT <br />417T CONSTRUCTION <br />259-MlO PERMIT <br />Permit Number: B55307 ADDRESS FILE copy <br />SEPA Number: <br />Issue Date: 06/02/97 <br />Job Address: 3115 LOMBARD AVE <br />Owner Tenant Architect/Designer <br />LUND DARIN <br />6004 EVERGREEN WAY <br />EVERETT WA 98204 <br />353-4581 <br />General Contractor Plumbing Contractor Mechanical Contractor <br />OWNER <br />------------ <br />Type of Permit: BUILDING Contact Person <br />heating System: NONE <br />'SEC Code: <br />bascrintion of Work: REROOF <br />Legal Description/ 4390-741-003-0006 <br />Property ID: <br />Construction Lender: <br />Proposed <br />Use of Building: SINGLE <br />FAMILY RESIDENCE <br />PLUMBING <br />MECHANICAL <br />Qty Type <br />of Fixture <br />Fee Qty Type of <br />Equipment Fee <br />Sub Total <br />Sub Total <br />SETBACK <br />FOOTAGE OCCUPANCY <br />Vacant Site? <br />TYPE OF CONSTRUCTION <br />Front <br />0.0 Load <br />No. Dwelling units: <br />Allowable: <br />Rear <br />0.0 Group <br />Size <br />of Bldg: <br />Actual: <br />Sidel <br />Side2 <br />0.0 # Stories <br />O.n Basement? <br />Size of Gar: <br />Height Limit: <br />Use Zone: <br />Fire Sprinkler Req'd? <br />Lot Sz <br />Reason For Fire <br />Sprinklers: <br />Remodel <br />Sz: Fire Alarm <br />------------------------------------------------------------------------ <br />Req'd? Reason For <br />Fire Alarm: <br />Plans Approved By: <br />City of Everett Local <br />Sales Tax Code is 3105 <br />Plan Check Receipt No: <br />Fee: <br />FEE TYPES PERMIT VALUATION <br />Building 500 <br />Plumbing <br />Mechanical <br />Sprinkler <br />Other <br />St. Bldg. Surcharge <br />Public works <br />.,dditional Plan Check Fee <br />TOTAL <br />FEE <br />20.00 <br />4.50 <br />$24.50 <br />Permits expire if work not commenced within 180 days or ceases more than 180 days. <br />B 55307 <br />