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1 <br />7C n 'il <br />LC�hJ H <br />>HC~N <br />Koo n <br />�I N <br />Hy <br />x <br />oso <br />Nag <br />yQ* 0 <br />ZH <br />t+ H <br />HH <br />the EvCloTYO <br />C-INSTRUCTION <br />everett <br />PERMIT PERMIT NO. _ 25658 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING S] MECHANICAL <br />EX PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />Gary L. Davis 1625 E. <br />Marine View Dr. Everett 98201 <br />258-2022 <br />ro TENANT <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR <br />MAILADDRESS CITY <br />ZIP PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />LICENSE• <br />Owner <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION O REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCATION j <br />CONTACT PERSON AND PHONE NO IF OTHER <br />THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Put in plumbing fixtures <br />Warehouse <br />LEGAL DESCRIPTION OF PROPER' (SHOW BELOW OR ATTACH FOUR COPES) <br />LOT— BLOCK — OF <br />PLB6 $10.00 <br />JOB ADDRESS a o - <br />CHECY, $31.50 <br />PLUMBING <br />MECHANICAL _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET )TOILET) <br />S <br />DO <br />A'C-A'HNDLG UNITS - HP. <br />BATHTUB <br />FORCED AIR SYSTEMS - B T.U. M EA <br />1 <br />LAVATORY (WASH BASIN) <br />S <br />OO <br />UNIT HEATERS -BT. U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE S CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC) <br />SUBTOTAL f <br />10 <br />00 <br />SUBTOTAL f <br />PERMIT $1 <br />PERMIT $ <br />TOTALFEE <br />$ <br />TOTALFEE <br />f <br />FRONT SETBACK <br />REAR SETBACK SIDESETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES f7 NO <br />FEES <br />BUILDINGCODE <br />FEE <br />BUILDING <br />S <br />nR DFCONSIRIICTIDN ALLRYABIE <br />TYPE OF CONSTRUCINN ACMAI <br />';'^` <br />IA OF ONtUINL U':B5 <br />PLUMBING <br />SIZE OF OLDO <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />_ <br />21 <br />50 <br />OCCUPANCY LOAD FIRE SPRINKLERS RED D HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />WNFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />ADDBLSS FILE <br />25656 <br />