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"��'�Q�` CINSTRUC�ION <br /> CITY OF <br /> everett PERMIT PERMITNO. _ 22 � 7 � <br /> 259 - 8810 <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECKANICAL C�9 PLUMBING ❑ SIGN <br /> OWNEfl MAILApDPESE pTY ZIP CHONE <br /> Temple Seth Or P.O. Box 1232 Everett, WA 98201 259-7125 <br /> TENANT h�AllA0DRE5S CITV ZIP PMONE <br /> ARCHITECT OR DESIGNEfl MAIL ADORE55 CIiY ZIP PHONE <br /> GENERALCONTRACTOR MAILApDRF.SS QtY ZIP PMONE LICENSE/ <br /> MECHANICAL LONTRACTOF MAIL ADORESS CITV ZIP PHONE LICENSE t <br /> Lee S. Plumbing 12924 Jin Creek Rd. Arlington 435-5369 LEESP171H2 <br /> PLUMOINGCONTPACTOR MAILA�ORESS CITY ZIP PHONE LICENSEa <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION �ALTF.pATION ❑ pEPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PEfiSON AND PMONE NO.IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ <br /> DESCRIBE WOFK AND SOUARE FOOTAGE INVOLVED <br /> Se}��agexa¢a Plumb remodel <br /> PflOPOSED USE OF 9UROING <br /> temple <br /> LEGAL DESCRIPTiON OF PROPERTY�SMOW BELOW OR ATTr1CH FOUR COPIES) <br /> 7-8 703 Plat of Everett Land Co. <br /> LOi- BLOCK_OF <br /> JOBADURESS <br /> 3215 Lombard <br /> PLUMBING MECHANI�AL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 1 WATE(i CLOSEf(TOILET) S OO A/C—AMNDLG UNITS—H.P. <br /> BATHTUB FORCEDAIRSVSTEMS—B.T.U. MEA. . <br /> 1 LAVATORV�WASHBASIN) S OO UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHESDRVERS <br /> 1 KITCHEN SINK 8 DISP. S OO VENTII.ATION FAN <br /> DISHWASHER RANGEHOOD <br /> LAUNDRVTRAY ], WATEFHEATER E SO <br /> CLOTHES WASHER �'✓OOD STOVE <br /> URINAL METAI FIREPLACE 8 CHIMNEY <br /> DRINKINGFOUNTAIN FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUM? <br /> BACKFLOW PfiEVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> 1 water line 5 00 <br /> �UBTOTAL S ZO OO SUBTOTAL S G SO <br /> PENMIT S �PS �S PERMIT S ZS OO <br /> TOTALFEE 5 zO.00 $� �� TOTALFEE S 2 S <br /> vNONT SETF nC�: REAR SETBACK 5iD[SETBnGK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTAREA VAC/NTSITE FEES W� Ce�•� � <br /> ❑YES ❑ NO <br /> 7VPEOFC@151NUCilONALLOWABIE iYPEOFLON57Pi1L(IONAC1UFl �p°""`'� ��O.OfOWEILINGUNITS BUIL�IN("i �!00022498 <br /> GFnVe <br /> PLUMBING fLEG $? .00 20 00 <br /> SIZE OF BLOG NO.OF STORIES BASEMENT - r;: <br /> ❑YES p NO MECHANICAL C �r �/i � 21 SO <br /> OCCUPANCY!04p FIRESPRtNHLEF5RE0D MEIGMTLIMITATION OTHER <br /> ❑YES ❑ NO <br /> REa50N FOR EPRINKLERS STATE BUIL�ING SURCHARGE <br /> STATEENERG�SURCHARGE <br /> qPPLICATIONACC.BY PLANSAPPROVEDBY CITY OF EVERETT � <br /> LOCAL SALES PUBLIC WORKS _ <br /> M.M. TAX COD[ IS TOTAL 41 50 <br /> 3105 WHEN PROPERLY VALIDATED TH�S IS YOUR PERMIT <br /> PERhqITS EXPIRE IF WORK IS NOT COMMENCED WITHW qDDRESS FILE � � `} J � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />