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the Evm <br />CITY OF <br />CITY <br />,o+, <br />r <br />"'NSTRUCTION <br />'�k" <br />everett <br />PERMIT <br />PERMIT NO. _ <br />26904 <br />L59-8810 <br />❑ DEMOLITION <br />CI C:OMMINATION <br />❑ BUILDING <br />❑ MECHANICAL aj>pLU!.BING ❑ 3IGN <br />OWNER <br />MAIL ADDRESS <br />CIT'/ <br />ZIP <br />GHONE <br />Everett Clinic <br />3901 <br />Hoyt <br />Ave Everett <br />98201 <br />258-4222 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MI ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Linde Const. Co. <br />Inc. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 0 <br />CONTRACTGR MAII. ADDRESS CITY ZIP PHONE LICENSE <br />Lakeridge Plumbing 11147 - 120th Ave NE Kirkland 98033 827-9262 LAKERPM1320P <br />CLASS OF WORK <br />0 NEW ❑ ADDITION } ALTERATION ❑ REPAIR 7 DEMOLITION I] BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SOUAP.E FOOTAGE INVOLVED <br />Plumbing for remodel job <br />PROPOSED USE OF BUILDING <br />Medical facility <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK - OF <br />PLEG $110.00 <br />�7 no <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS -H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />]_ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />UNIT HEATERS-B.T.U. M <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP. <br />VENTILATION FAN - <br />I_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />• "TAI FIREPLACE 6 CHIMNEY <br />DRINKING FOUNTA114 <br />FIREPLACL IN <br />FLOOR DRAIN <br />HEATPUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />_ <br />1-7 <br />SINK (SERVICE - BAR. ETC.) <br />Ar <br />Fin- <br />— <br />SUBTOTAL S <br />1 <br />SUBTOTAL $ <br />PERMIT S1Q <br />on <br />PERMIT $ <br />_ - <br />TOTALFEE $ <br />TOTALFEE <br />$ <br />FRONT SETBACK <br />REARSETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDINGCODE <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONSTRUCTION ALLBNABLE <br />TYRE Of CONSTRUCTION ACTUAL <br />NO OFBWiLLINGUNRS <br />PLUMBING <br />110 <br />00 <br />SIZE OF Ell -CO . <br />NO. OF STORIES <br />BASEME: (T <br />❑ YES O NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />OYES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <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 />110 <br />00 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 6 9 0 T <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />