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CITY OF EVERETT <br />CONSTRUCTION <br />259-8810 PERMIT <br />Permit Number: P45506 <br />SERA Number: <br />ADDRESS FILE copy <br />Issue Date: 09/08/94 <br />Job Address: 21_1 MADISON <br />ST <br />Owner <br />MADISON ST DENTAL CLINIC <br />Tenant <br />Architect/Designer <br />2121 MADISON ST <br />EVERETT WA 98203 <br />353-3210 <br />General contractor <br />Plumbing Contractor Mechanical Contractor <br />DAY & NITE PLUMBING <br />18800 HWY 99 <br />LYNNWOOD WA 98046 <br />775-6464---- <br />DAYNIPI077CD <br />Type of Permit: PLUMBING <br />Heating System: NONE <br />Contact Person <br />WSEC Code: <br />Description of Work: PLUMBING <br />Legal Description/ <br />Property ID: <br />construction <br />Lender: <br />Proposed Use of Building: DENTAL CLINIC <br />yy yypp PLUMBING <br />of Fixture <br />4t1 BACKFLOW <br />Fee 4ty <br />MECHANICAL <br />Type of Equipment Fee <br />PREVENTERS <br />5.00 <br />OTHER PLUMBING ITEMS <br />7.00 <br />PLUMBING PERMIT <br />20.00 <br />Sub Total <br />$32.00 <br />Sub Total <br />SETBACK FOOT,,GE OCCUPANCY Vacant Site? <br />Front 0.0 Load <br />TYPE OF CONSTRUCTION <br />No. Dwelling unite: Allowable: <br />Rear 0.0 Group <br />Side.;. 0.0 0 Stories <br />Size of Bldg: <br />Size of Gar: <br />Actual: <br />Side2 0.0 Basement? <br />Height Limit: <br />Use Zone: <br />Fire Sprinkler Req'd? <br />Lot Sz Reason For <br />Fire Sprinklers: <br />Fire alarm Req'd? Reasoi. For Fire Alarm: <br />Plans Approved By: Plan Check Receipt NO: Fee: FEE <br />FEE TYPES CONSTRUCTION VALUATION <br />Building <br />Plumbing 32.00 <br />Mechanical <br />Sprinkler <br />Other <br />^ity of Everett Local St. Bldg. Surcharge <br />Sales Tax Code is 3105 Public Works <br />Additional Plan Check Fee <br />QQ TOTAL $32.00 <br />Permits expire if work not commenced RLA 19% days or ceases more than 180 days. <br />coo <br />cn \ O <br />cn +, <br />0 <br />NM M <br />i.J GJ v1 <br />S O x <br />O <br />O <br />O <br />D <br />ca <br />m <br />ra <br />P 45506 <br />