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CITY OF EVERETT <br />CONSTRUCTION <br />Zss-ss,o PERMIT <br />Permit Number: M49752 <br />SEPA Number: <br />Iesue Date: 10/11/95 <br />Job Addreee: 26i0 HILLSIDE LN <br />owner <br />I.UCZAK VAC <br />2610 HILLSIDE LN <br />EVERETT WA 98203 <br />355-4069 <br />Tenant <br />,-. <br />ADDRESS FILE copy <br />Architect/Designer <br />General Contractor Plumbing Contractor Mechanical Contractor <br />NORTHWEST WATER HEATER <br />3110 HILL AVE <br />EVEFc^TT WA 98201 <br />259-5331---- <br />NORTHWH103R2 <br />Type of Permit: MECHANICAL Contact Pereon <br />Heating Syetem: NONE <br />WSEC Code: Contract Price: 1389 <br />Deecription of Work: INSTALL FURNACE, AWH, - PIPE FURNACE, AWH, GAS LOGS <br />Leqal Description/ <br />Property ID: <br />Conatruction Lender: <br />Proposed Uee of Building: SINGLE FAMILY RESIDENCE <br />_________�___________________________________________________________________________ <br />PLUMBING MECHANICAL <br />Qty Type of Fixture Fee Qty Type of Equipment Fee <br />1 FORCED AIR SYSTEMS BTU <br />3 GAS PIPING <br />1 WATER HEATEA <br />MECHANICAL EQUIPMENT FEE 40.00 <br />MECHANICAL PERMIT FEE 15.00 <br />__ Sub Total Sub Total $55.00 <br />`__ __��__�_�� <br />SETBACK FOOTAGE OCCUPANCY Vacant Site? TYPE OF CONSTRUCTION <br />Front 0.0 Lo�d No. Dwelling unite: Allowable: <br />Aear 0.0 GrouF Size of Bldg: Actual: <br />Sidel 0.0 / storiee Size of car: Use Zone: <br />Side2 0.0 Baeement7 Height Limit: Fire Sprinkler Req'd? <br />Lot Sz Reaeon For Fire Sprinklere: <br />Remodel Sz: Fire Alarm Req'd7 Reaeon For Fire Alurm: <br />Plans Approved By: <br />City of Everett Local <br />Salee Tax Code ie 3105 <br />Plan Check Receipt No: Fee: <br />Permite expire if work not commenced <br />FEE TYPES PERMIT VALUATION <br />Building <br />PlumSing <br />Mechanical <br />Sprinkler <br />Other <br />St. Hldg. Surcharge <br />Public Worke <br />Additional Plan Check Fee <br />TOTAL <br />0 <br />within�� � �or <br />�o <br />(N� N <br />VI � Oa <br />8 p xo <br />O <br />O <br />� <br />N <br />c� <br />� <br />h <br />� <br />FEE <br />55.00 <br />555.00 <br />ceaeee more thnn 180 daye. <br />M 49752 <br />