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the F.rIT'i OF CITY C INSTRUCTION <br />�7 <br />everett PERMIT PERMIT NO. 25 104 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />'MAIL ADDRESS <br />CITY <br />Dwight Fisher 1681 Centurian <br />Circle Indinnnpa <br />4b260 <br />°76 8>I76 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Rita Lai 2122 Ho <br />ARCHITECT OR DESIGNER <br />MA.' ADDRESS <br />CITY <br />21P <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSEE <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSEE <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSEE <br />CLASS OF WORK <br />0 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON ANC PHONE NO. R OTHEH IHAN <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Needs existing stove inspected <br />SFR 09/28/90 2:37PM 00011493902 413 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) / <br />OW025704 <br />LOT— BLOCK _ OF MECH $30.00 <br />CHECK $30.00 <br />JOB ADDRESS <br />2 <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE _— <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATEF. CLOSET (TOILET) <br />A/C—A/HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT f <br />PERMIT f <br />TOTALFEE 3 <br />TOTALFEE S <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDINOCOm <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CBNSTKUCM ALLMlAB1E <br />TYPE BFCBNSTRUCBBNACPUt <br />'c`'NC <br />BF OWFLLRiG UMiS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />00 <br />GCCUPANCYLOAD FIRE SPRINKLERS MUD MEIGM LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />_ <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 />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF 'ORK IS NOT COMMENI-RD WITHIN ADDRESS FILE 25704 <br />180 DAYS OR CEASES FOR MORE THAN 1BO DAYS. <br />