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Mea-e .;ONSTRUCTION <br />everett PERMIT PERMIT NO. 25577 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL Q PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />LLdy rnd],ey 1212 Upwirr F..a,• -ti- 98901 - <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />OR DESIGNER <br />CONTRACTOR <br />MAIL ADDRESS CITY <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />ZIP PHONE LICENSE <br />Riley Cnnst <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />n urw n ADDITION ❑ ALTERATION C}REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 1200 <br />AND SQUARE FOOTAGE INVOLVED <br />PROPOSED USE OF BUILDING <br />LFGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ _ BLOCK _ OF <br />JOB ADDRESS <br />JZL:f rine <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />A/C - A/HNDLG UNITS - H P. <br />WATER CLOSET (TOILET) <br />) E "� <br />I <br />- 6F <br />BATHTUB <br />FORCED AIR SYSTEMS—Nk <br />M <br />LAVATORY (WASH BASIN) <br />5 <br />00 <br />UNIT HEATERS -BTU. <br />CLOTHES DRYERS 44000c5577 <br />SHOWER <br />VENTILATION FAN F!_EG 225. <br />KITCHEN SINK & DISP. <br />COSH 225• <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACEINSERT <br />FLOOR DRAIN <br />HEAT F„MP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />E%HAUST FAN <br />SINK (SERVICE ETC) <br />5 <br />O <br />SUBTOTAL S <br />1S <br />OO <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />ALFEC TOT <br />f <br />TOTALFEE f <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />BUILDING CODE VALUATION <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />$ <br />TYPE LS CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />�WoY <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />OTHER <br />❑ YES ❑ NO <br />STATE BUILDING SURCHARGE <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLA. IS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />TAX CODE IS <br />TOTAL <br />25 <br />00 <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />r r 7 <br />PERMITS EXPIRE IF IVORK IS NOT COMMENCED WITHIN ADDRESS FILE ) a <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />L <br />