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CITY OF EVEqETT <br />CONSTRUCTION <br />sss.as�o PERII►i!T <br />Permit Number: B52868 <br />SEPA Number: <br />Iasue Date: <br />Job Address: 4206 HOYT AVE <br />Owner <br />PUGET SOUND KIDNEY CENTER <br />1005 PACIFIC AVE <br />EVEREiT WA 98201 <br />3�9-5195 <br />G=neral Contractor <br />NEWLAND CONSTRUCTION <br />PO BO;C 958 <br />EVERETT WA 98206 <br />259-9151---- <br />NEWLAC*?43L0 <br />Type of Permit: BUILDIf7G <br />Heating Syetem: OTHER <br />W53C Coc.,?: y <br />De[cription of Work: T.I. <br />L�c31 Desr.ription/ <br />Property lU: <br />Construction Lender: <br />ADDRESS FILE copy <br />Tenant <br />Plumbing Contractor <br />Architect/Uesigner <br />Mech�nical Contractor <br />Contact Person <br />Proposed Uae� of Building: MEDICAL �LINIC <br />________ <br />__________________'_______________'_____-__-___________________________ <br />PLUM3ING -- ------------------------------------------ <br />Qt:y Type of 1'ixSubeTotal Fee Qty TypeEofpEquipment Fee <br />------------------------ Sub Total <br />S�TBACK FOOTA3E OCCUPANCY Vacant Site? ` TYpC OF CONSTRUCTION <br />Front 0.0 Load S No. Dwellinc7 units: Allowable: V-N <br />liear 0.0 Group 0 Size of Bldg: Actual: <br />Sidel 0.0 / Stories Size o£ Gar: Uee Zone: <br />Side2 0.0 Basement? Height Limit: Fire Sprinkler Req'd7 N <br />Lot Sz Aeaeon For Fire tiprinklera: <br />Fiemodel Sz: Fire Alarm Aeq'd7 N Reason For Fire Alarm: <br />________________________'___________________________________ <br />Plana Approved By; JM <br />City of Everett Local <br />Salea Tax Ccde ie 3105 <br />Plan Check Receipt No: Fee: 158.60 FEE <br />FEE TYPES PERMIT VALUATION <br />Building 2000p <br />Plumting <br />Mechanical <br />Sprinkler <br />Other <br />St. eldg. Surcharge <br />Yublic Worka <br />Additional Plan Check Fee <br />TOTAL <br />244.OU <br />4.50 <br />$248.50 <br />PermLte expire if work not commenced within 180 days or ceaeeu more than 180 days. <br />m�o4n�o $ ��C����I � /� <br />��o�J�'v�i � �� <br />��o�.p��� �rP 1f�1�96 <br />.�., �, .. <br />W� �: � <br />�8 00 <br />� <br />$ <br />a <br />� <br />� <br />.. <br />o, <br />. . .......................... <br />CITY OF pVEF1ETT <br />Ouildin� OiVision <br />B 52868 <br />