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xL � <br />S H3 CO <br />H0 <br />09 <br />y HH <br />O� <br />O rH <br />Hag <br />0• 0 <br />7H <br />r H CCCCCC�����Z777777 <br />H I.3 <br />0OCA <br />C+I <br />Hq CA <br />00W <br />CITY Or EVERETT <br />.-#'UPiSTRUGTIQN <br />PERMIT' PERMIT <br />NO. 28126 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION X3 BUILDING ❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAILADDRESS CITY <br />2P PHONE <br />Arlene Langhans 2630 <br />Grand Ave Everett, WA 96201 <br />25B-3271 <br />TENANT <br />MAILADDRESS CITY <br />ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAILADDRESS CITY <br />ZIP PHONE <br />t; GENERAL CONTRACTOR <br />MAILADDRESS CITY <br />ZR PHONE LICENSE <br />Pilchuck Roofing Co. 1717 - 237th Dr NE Granite Falls, WA 98252 <br />334-5742 PILCHRC101MR <br />MECHANICAL CONTRACTOR <br />MAILADDRESS CITY <br />ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAILADDRESS CITY <br />bF PHONE LICENSE - <br />CUSS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION yp REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCATION <br />I.ONTACT PERSON AND PHONE N0. IF OTHER <br />THAN ABOVE <br />CONTRACT PRICE OF WORK S 1 300 00 <br />— <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Tear off roof, resheet s <br />install new roof <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_ BLOCK — Of <br />11/15/91 1.36F'M 000f+N109E K7:kc <br />I <br />BLI 4'7.00 <br />JOB ADORE SS <br />CHFC.I; <br />lb <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />1iNOLG UNITS - H.P <br />BATHTUB <br />D AIR SYSTEMS-B.T.U. MEA. <br />LAVATORY (WASH BASIN) <br />EATERS-G.T.U. M <br />SHOWER <br />ES DRYERS <br />KITCHEN SINK & DISR. <br />LATION FAN <br />DISHWASHER <br />E HOOD <br />_LAUNDRYTRAY <br />R HEATER <br />STOVEURINAL <br />qHj <br />L FIREPLACE S CHIMNEYDRINKING <br />FOUNTAIN <br />LACE INSERTFLOOR <br />DRAIN <br />PUMP13ACKFLOW <br />PREVENTERS <br />IPINGROOF <br />DRAINS - RAINLEADERSUST <br />FAN <br />SINK(SERVICE - BAR. ETC) <br />— <br />SUBTOTAL <br />5 <br />SUBTOTAL <br />5 <br />PERMIT <br />5 <br />PERMIT <br />5 <br />TOTAL FEE <br />S <br />TOTAL FEE <br />$ <br />FRONT SETBACK <br />REAR SETBACK <br />SIDESETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />B VRLUATION E <br />FEE <br />BUILDING <br />S1,300.00 <br />31 <br />00 <br />TYPEOFODINSMIXTIDNAtLEMABLE <br />TYPEOFCONSTRUCTKKJACWAL <br />OWI <br />NO OF DNEUM nITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />❑ YES ❑ ND <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPUCATIONACC. BY <br />PUNS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />35 <br />50 <br />I DmnDFal v vel <br />InATFn THIS IS <br />YOUR PERFAIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />IUO DAYS OR CEASES FOR MORE THAN 180 DAYS. AhD+l [.�S ;-(I. E <br />2 812 6 <br />