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vogreen <br />OF CITY C-nNSTRUCTION <br />Oeverett PERMIT PERMIT NO. 22839 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER M1IAIL ADDRESS CITY ZIP PHONE <br />Lorraine Starr 5424 Lowell Rd. Everett 98203 353-2287 <br />TENANT MAIL ADDRESS CIT'( ZIP PHONE <br />ARCHITECT OR <br />GENERAL <br />MAIL ADDRESS CITY <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />ZIP PHONE LICENSE+ <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Reliable Sheet Metal 3810 196th St. SW 48 Lynnwood 98036 670=1.256 RELIASM437KS <br />�...., MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW <br />n ADDITION II ALTERATION ❑ REPAIR ❑ DEMOLITION C BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NU. Ir UI I¢n I—n -- <br />CONTRACT PRICE OF WORK: $ I <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Replacement furnace and water heater. <br />SFR <br />LEGAL DESCRIPTION OF PROPER'Y )SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK - OF <br />5424 Lowell Rd. <br />ueru ANlPrel <br />PLUMBING <br />_ <br />NO. NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FI%TUBE OR ITEM <br />FEE <br />A/C - !�HNDLG UNITS - H.P. <br />WATER CLOSET (TOILET) <br />1 <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />BATHTUB <br />UNIT HEATERS-B.T.U. M <br />LAVATORY (WASH BASIN) <br />CLOTHES DRVFFS <br />— <br />SHOWER <br />VENTILATION FAN <br />— <br />KITCHEN SINK 6 DISP. <br />RANGE HOOD <br />- <br />DISHWASHER <br />1 <br />WATER HEATER <br />LAUNDRY TRAY <br />WOOD STOVE <br />CLOTHES WASHER <br />— <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />HEAT PUMP <br />_ <br />FLOOR DRAIN <br />GAS PIPING <br />BACKFLOW PREVENTERS <br />EXHAUST FAN <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.j <br />_ <br />. y : <br />SU L % <br />SUB TOTAL $ <br />$ <br />$ <br />PERMIT <br />PERMIT <br />$ <br />EOTAL FEE $ <br />TOT'- <br />+� EIPT NO. <br />FRONT SETBACK RFAR SETBAC.I SIDE SETBACK <br />PLAN CHECK NUMBER IiDUDG._t, - V <br />O p <br />7j �fj — <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />NG CODE' <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />oFn oKrcr <br />NO OF OVIELUNG UNITS <br />PLUMBING <br />SIZE OF BLOG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS REGO HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />_ <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATICN ACC. BY <br />PLANS APPROVED BY <br />_ <br />CITY T <br />S <br />A L SALES <br />LOCAL <br />PUBLIC WORKS <br />S.H. <br />TAX CODE IS <br />TOTAL <br />30 <br />50 <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED (THIN ADDRESS FILE 22839 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />