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CITY <br />o CONSTRUCTION everett PERMIT PERMIT NO._ 25276 <br />259-8810 <br />0 DEMOLITION ❑ COMBINATION N BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Judy Bradley 1218 Hewitt Ave Everett, WA 98201 334-7309 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />James Wagner 568-3054 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Riley Construction 13620 Old Sno Hwy Nei Snohomish 98290 568-1651 R1LEYc170o3 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP <br />LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION XXI REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATICN <br />CONTACT PERSON AND PRONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK $ 15 000 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Repairs to existing building, convert SFR to office <br />PROPOSED USE OF BUILDING <br />Drivate office nDnEI(On ^DOH nnnnurtcz rr ; <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />12-13 753 "ll of Lot 12, N L of Lot 13, Block 753 of Everetk , Co- Addn <br />LOT — BLOCK _ OF <br />BLDG $162.00 <br />DRVW', $35.00 <br />.108 ADDRESS <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 - A/HNDLG UNITS - H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS - B T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK d DISP. <br />VENTILATION FAN <br />DISHWASHER <br />FANGS HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 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 />SUB TOTAL S <br />SUBTOTAL <br />_ <br />PERMIT S <br />PERMIT f <br />TOTAL FEE $ <br />TOTALFEE f <br />FRONT SETBACK <br />xit 0 <br />REAR SETBACK SIDE <br />10 <br />SETBACK <br />0 <br />PLAN CHECK NUMBER <br />90/25276 <br />FEE <br />105.30 <br />RECEIPT NO. <br />38822 <br />USEZONE <br />C-2 <br />LOT AREA VACANT <br />4500 sf <br />SITE <br />❑ YES AM No <br />FEES <br />BUILDINGCODE <br />VALUATION— <br />FEE <br />BUILDING <br />S 15,000 <br />162 <br />00 <br />TWT OFCONSTRUCNON ALLUVCBLE <br />V-N <br />T111 OF CONSTRUCTION ACTUAL <br />V-N <br />VGA'' <br />B-2 <br />NOOFOWRLINGUNITS <br />1 <br />PLUMBING <br />MECHANICAL <br />LO <br />SIZE OF BLOT-- <br />1024 sP <br />NO OF STORIES <br />1 <br />BASEMENT <br />❑ YES 25 NO <br />_ <br />_ <br />OCCUPANCY LOAD IFIRESPB-NKLERSBEOD HEIGHT LIA!ITATION <br />9 1'ES L4i NO 50' <br />REa DN FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />0 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />xxxkxNx SH I <br />PLANS APPROVED BY <br />Be <br />CITY OF EVERET7 <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />35 <br />DO <br />TOTAL <br />201 <br />0 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOURPERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENICED WITHIN ADDRESS FILE 25276 <br />180 DAYS OR CEASES i ''R1 MOVE THAN 180 DAYS. <br />