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the Fr <br />CITY CITYOF r-ON�STRUCTION <br />Of <br />everett PERMIT PERMIT NO. _ 22942 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUIL'JING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PIMINE <br />Steven De Rosa 2430 Grand Ave. Everett, 98201 339-2242 <br />TENANT MAIL ADDRESS CIT\ ZIP PHONE <br />DESIGNER MAIL ADDRES'{ CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />LICENSE? <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE - <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION )%ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVL <br />CONTRACT PRICE OF WORK' <br />BE WORK AND SOUARE FOOTAGE INVOLVED <br />deck <br />PROPOSED USE OF BUILDING <br />deck <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT17.WuCK55r7-0F vnl 3 of plats v CIR.42 East 75 ft. of Lots 17 & 18 <br />�Aen DAll Avc lATmlox) <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM FEE <br />NO. <br />'TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A - AHNOLG UNITS - H P. <br />FORCED AIR SYSTEMS - 8 T.0 M EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK f CUSP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACES CHIMN <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP' <br />BACKFLOW PREVENTERS <br />GAS PIPING L' " , <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />_ <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL f <br />SUB TOTAL f <br />PERMIT SI <br />PERMIT E <br />TOTALFEE 61 <br />1 TOTALFEE f <br />FRONT SETBACK <br />nEAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />10 <br />20 <br />ill".. <br />89/22942 <br />21.45 <br />25790 <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />BUILDING CODE VALUATION <br />FEE <br />R-5 <br />3.750 <br />❑ YES RkNO <br />BUILDING <br />g 1 380 <br />33 <br />00 <br />TYPED, CONSTRUCTION ALLOWABLE <br />TOM OF CONSTRUCTION ACTUAL <br />°Fcaoy"..:r <br />NO Of OALLI ING UNITS <br />PLUMBING <br />V-N <br />V-N <br />M <br />2 <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />138 De CA <br />10 <br />YES gkN10 <br />MECHANICNL <br />OCCUPANCYLOAD FIRE SPRINKLERS REDD HEIGHT LIMITATION <br />OTHER <br />❑ YES QO <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />REASONFOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC.BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />TOTAL <br />37 <br />50 <br />TAX CODE IS <br />3105 <br />wHFN PRnPFRLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITF:IN 2 7 (1 <br />ADDRESS FILL <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />