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�-3 0' <br />C+1 H <br />9H3CA <br />1-3 <br />F•C C] <br />H Atl <br />CA h11 <br />y N <br />Rz <br />O NZH <br />b <br />tHH� <br />H H <br />gta <br />H <br />�] CCC Vl <br />M�H <br />H W <br />HOy <br />I <br />u <br />11 <br />the "'``CITY 01 CONSTRUCTION <br />everett PERMIT PERMIT NO. 26651 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION M BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY bI` PHONE <br />B Gordon Sutherland 3225 Pine Everett 98201 88RHRRYH 252-4432 <br />TENANT MAIL ADDRESS CITY :IP PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />bP PHONE <br />.:W PHONE LICENSE - <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CO NTRACTOR MAIL ADDRESS CITY •-�I' PHONE LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION _ ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF <br />CONTRACT PRICE OF WORK: $ 300.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Construct wheelchair ramp <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES' <br />LOT — BLOCK — OF <br />075/20/91 10:02AH 00DAM131 T 1:13 <br />400026651 <br />PLN CH $9.75 <br />JOB ADDRESS ' <br />R995 Pinc CHECK S29.^5 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H P. <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS —B.TU. MEA. <br />_ <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS— B.T.U. M <br />_ <br />SHOWER <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK A DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC) <br />SUBTOTAL <br />f <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTALFEE <br />$ <br />TOTALFEE f <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 ❑ NO <br />FEES <br />BUILDING CODE VALUATION <br />FEE <br />BUILDING <br />$ 300.00 <br />15 <br />00 <br />TYPE OF CONSTRUCTION ALLOWABLE <br />nPE OF CONSTRUCTION ACTUAL <br />'+- <br />No. DFDVEwNGUNns <br />PLUMBING <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REOD <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER plan check fee <br />9 <br />75 <br />STATE BUILDING SURC: tAAGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />S`I <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />1 29 <br />25 <br />WHFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />26651 <br />