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D <br />CITY OF C INSTRUCTION <br />ever°ett PERMIT PERMIT NO. _ 25090 <br />259-8810 <br />❑ DEMOLITIQN ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER IrtxC\ MAIL ADDRESS CITY ZIP PHONE <br />Gilbert 4I>olim0my 11212 Hewitt Everett, WA 339-9013 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Riley Const. <br />13520 Sno/Hwy Snohomish WA <br />k 568-1651 <br />RILEYC17003 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />PLUp'.31NG CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION KI REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND FHONE N0. IF OTHE.1 THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 5,000.00 <br />uro.,noc I---ry a nnc rvr/InGp mvULVLO <br />reside house, repair any rotted areas <br />PROPOSED USE OF BUILDING <br />Single Family <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_ BLOCK __ OF <br />JOB ADDRESS <br />3223 Pine <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 />A/C -Ai HNDLG UNITS- 2. <br />n <br />-1 : <br />BATHTUB <br />FORCED AIR SYSTEMS - 8 TU IM EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK S DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAIN) EADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.) <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />$ <br />PERMIT <br />$ <br />PERMIT <br />$ <br />TOTAL FEE <br />S <br />TOTAL FEE <br />$ <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES CI NO <br />FEES <br />BUILDING CODEALUATION <br />FEE <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />°`c��aio�NO <br />OFDWELINGUNIIS <br />BUILDING <br />$ 5,000 <br />72 <br />00 <br />PLUMBING <br />SIZE OF SLOG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS TIED HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />BE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105_ <br />PUBLIC WORKS <br />TOTAL <br />76 <br />1 5 <br />....... ..,.,... <br />.__ �... <br />., .. <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />ADDRESS FILE 25090 <br />