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CITY OF EVERETT <br /> " CONSTRUCTION " <br /> PERMIT PERMITNO. 27590 <br /> 259-8810 <br /> O DEMOLITION }(S COMBINATION SXBUILDING ❑ MECHANICAL ❑ PLlIM81NG ❑SIGN <br /> Q�ER MAILADDRESS CIN ZIP PHONE <br /> Dale A. Davis 2210 Oakes Everett, WA 98201 252-4304 <br /> TENANT �ILADDRE55 CIN 21P PHONE <br /> ARCMITECTORDESIC�NEF MAILAODRE55 CITY ZIP PHONE <br /> GENERALCONTRACTOR MAILAUDRESS CIN 21P PMONE LICENSEM <br /> owner <br /> MECHANICALCONTRAGTOR MAILADDRESS pTY Z�P PMONE UCENSE� <br /> PLUMBINCaCONTRRCTOR MAILADDRESS CITY 21P PMONE LICENSEt <br /> Brian A. Smith SMITHB132MA <br /> CUSS OF WORK <br /> ❑ NEW }�j ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACi PERSON AN�PMONE N0.IF OTMER iHAN ABOVE <br /> CONTRACT PRICE OF WORK $ <br /> DESCRIBE WORKAND SOUARE FOOTAGE INVOWED <br /> Addition (kitchen, breakfast nook, bedroom & bath) <br /> PROPOSE USEOFBUILOING <br /> S�ngle family residence <br /> �,,,-„--r-,=�5f41 eB8R14BB#;—�+��k <br /> LEOALDFSCRIPTIONOFPROPERTY(SMOWBE�OWORATTACMFOURCOPIES) / � <br /> �or27�eeiocrc 477�-00 Oakes <br /> P.o 9�E�f� $''f��'A§"T <br /> F�h� CH �49.7; <br /> JOBADDRE55 DRVWV 5+.�'.O.00 <br /> PLUMBING MECHANICAL . <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATERCLOSET(TOILE7) S OO NC-NNNDLGUNI7S-H.P. <br /> 1 BATHTUB S 00 FORCEDAIRSYS7EMS-B.T.U. MEA. <br /> 1 LAVATORV(WASHBASIN) S 00 UNITHEATERS-B.T.U. M <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY WATER HEATER _ <br /> CLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DflINKING FOUNTAIN FIREPLACEINSERT <br /> FLOOR ORAIN HEA7 PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS E%HAUST FAN _ <br /> SINK(SERVICE-BAR,ETC.) <br /> SUB TOTAL 5 SUB TOTAL S <br /> PERMIT S PERMI7 5 <br /> TOTALFEE S TOTAIFEE S <br /> FRONTSETBnCK nEnRSErenCK SiDESEToacK PLANCHECKNUtdBER FEE 201.83♦ RECEIPTNO <br /> , � � 91/27590 (pd 152.10) 53347 <br /> USE ZONE LOTAREA VACANT SITE BUILUIN6 COOE FtE <br /> FEES v�� pTi N <br /> ❑VES NO 31� 5� <br /> P'PEOFWNSTROGTIONALlOt4�OlE iVPEOFCONSTRUCTIONACTURL a�q�pr NOOF�11ELlINGUM75 BUILDING g 33,876.00 <br /> PLUMBING 1S 00 <br /> SIZEOFBIDG. NO.OFSTORIES BASEMENT <br /> 748sf addn 2 ❑rE5 LX�O MECHANICAL <br /> OCCUPANCYLOAD FIPESPPINKLE95REOD HEIGMTLIM!iFTION OTHER «Addl plan che k 99 7'3 <br /> n/a ❑YES �0 ZB' <br /> STATE BUILDING SURCHARGE 4 SO <br /> REASON FOR SPRINKLERS <br /> STA7EENERGYSURCHARGE <br /> APPUCATIONpCC.BY PLANSAPPROVEOBV CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS 20 00 <br /> Jtt TAX CODE IS 70TAL 399 73 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 5 9 0 �,� ,/ <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br /> AnQRF�S F!. � <br />