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l`J <br />?H <br />[ H <br />9Hm <br />H H <br />HC H <br />0=0 <br />N Hgg <br />O LT1 <br />H t7 <br />OH <br />H [n U <br />O'1 u A <br />9Hz <br />t" H H <br />8 <br />H <br />t=i to <br />Z H ti <br />H O fn <br />' 1 Q <br />the Rbergreer. <br />CITY OF <br />everett <br />259-8810 <br />0 DEMOLITION <br />C0NST6' ;CTION PERMIT PERMIT NO. _ 25066 <br />❑ COMBINATION LFBUILDING ❑ MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />35'j&RADDRE3S <br />CITY <br />ZIP <br />���•` <br />OWNER <br />Darrell S. Prentice <br />Hoyt Ave. <br />Everett 98201 <br />259-2071 <br />TENANT <br />MOIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />rm ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />CITY <br />ZIP <br />PHONE LICENSE. <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />RAGTOR <br />CITY <br />DP <br />PHONE LICENSE <br />MECHANICAL CON <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE) <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />n NEW E$ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION 0 BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER I"n Avuvc <br />CONTRACT PRICE OF WORK'. $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />New Deck <br />PROPOSEDU51E OF BwLUINi - - <br />SIR <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />29-30 5 Friday's 1st Add. <br />LOT _. _. BLOCK — OF - <br />JOB ADDRESS <br />3510 Hoyt Ave. <br />ucrunulrel <br />PLUMBING <br />FEE <br />----- <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C — A/HNDLG UNITS — H.P. <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS — B T.U. M EA <br />BATHTUB <br />UNIT HEATERS — BTU. M <br />LAVATORY (WASH BASIN. <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK d DISP. <br />RA HOOD <br />DISHWASHER <br />WATTERER HEATER <br />LAUNDRY TRAY <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE d CHIMNEY <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />HEAT PUMP <br />FLOOR DRAIN <br />GAS PIPING <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR ETC.) <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT S <br />PERMIT S <br />TOTAL FEE <br />f <br />TOTALFEE <br />S <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />90/25066 <br />27.95 <br />38596 <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE — <br />❑ YES ENO <br />BUILDING <br />$1920.00 <br />Q <br />OD <br />TYPE a CUNSTRUCTION ALLOWABLE <br />IYPE W CONSTRUCTION ACTUAL <br />x �°' <br />NO DF DNTUIND UYrtS <br />V-N <br />V-N <br />;12 <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />192 <br />1 <br />O YES N NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />OTHER <br />N/A TO YES $ NO <br />STATE BUILDING SURCHARGE <br />Q $D <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LC CAL SALES <br />PUBLIC WORKS <br />TOTAL <br />99 <br />'D <br />B.E. <br />TAX CODE IS <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />ADDRESS FILE <br />25066 <br />