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� CITY OF EVERETT � <br />CONSTRUCTION <br />(425J 257-8810 PERM IT <br />Permit Number: M62708 <br />SEPA Number: <br />Ieeue Date: 06�10/99 <br />Job Addreaes 42 5 HOYT AVE <br />Owner <br />EVERETT FAHILY PRACTJCE <br />4225 HOYT AVE <br />EVERETT WA 98203 <br />425-551-6050 <br />General Contractor <br />ADDRESS FILE copy <br />Tenant <br />Plumbing Contractor <br />Type of Permits MECNANICAL <br />Heetir,y Syetem: NONE <br />WSEC Code: Contract Price: <br />Deecription of Work: G� - G REPLACEMENT <br />Legal Deecription/ 5822 021 002 0009 <br />Prope rt }• ID: <br />Conetruction Len9ar: <br />ArchLtect/Da�iqnar <br />Hechanical contrector <br />WE3C0 <br />2800 THORNDYKE AV8 W <br />SEATTLE WA 98199 <br />206-282-4700 <br />W9SHIES07403 <br />Contact Pereon <br />Propoeed uee of Building: CLINIC <br />razasvvm -ssass���asazi�casaaaaavanceevc�e�aaasam ssa:scaa�s�ccaasvacasc�s�s�s�a�� <br />s•PLUMBING caMECHANZCAL <br />Qty Type of Fixture Fee Qty Type of Equipment Foe <br />]. WATER AEATER <br />MECHANICAL EQUIPMENT FEE 15.D0 <br />MECHANICAL PERHIT FEE 15.00 <br />Sub Total Sub Total 530.00 <br />a e = -e-e �saa:v�saassaavezaa=-ev--c = ==vanvvc=avc amnn=oaa�msaa����v�s�s�� <br />SETBACK F��i,':AGE OCCUPANCY Vacant Site? TYPE OF CONSTRUCTSON <br />Front 0.0 Load No. Dwelling unita: Allowable: <br />Rear 0.0 Group Size of Bldg: Actuals <br />Side!, 0.0 f Storiee Size of Gar: Uee Zone; <br />Sid�.2 0.0 Baeement7 Height Limit: Fire Sprinkla: Req'd7 <br />:.ot Sz Reason For Fire Sprinklere: <br />k.emodel Szs Fire Alarm Req'dT Reaeon For Fire Alarm: <br />Plane Approved By: <br />C'_ty of Everett Local <br />5ales Tax Code ie 3105 <br />Plan Check Receipt Nos Fee: <br />FEE TYPES PERMIT VALUATION <br />Building <br />Plumbing <br />Mechanical <br />sprinkler <br />Other <br />Sr. Bldq. Surcharge <br />Public Worke <br />Additional Plan Check Fee <br />TOTAL <br />FfiE <br />30.00 <br />$30.00 <br />�: <br />Permite exgire if work not commenced within 180 daye-or ceaeee more than 180 day�. <br />M 62708 <br />