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"� �� �"'� �NSTRUCTION � �� <br />everett PERMIT PERMITNO. _ 2519� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDFE55 CITY ZIP PNONE <br />Douglas Libby 6303 45th P1. t-7arysville 98270 659-8408 <br />TENANT MAILFODRESS Gf/ ZIP PNONE <br />OR DESIGNER <br />GENERI.LCONTRALTON <br />MRIL ADDRE55 <br />AIFIL AOORESS <br />CITY <br />Z�p PHONE <br />21P VMONE <br />MECHANIGALCONTPACTOR MARFODRGSS CITY 21P PMONE LIGENSE• <br />VlUM01NGGOONTR1AeGrTOA MAILADDRESS CITY ZIP PMONE LICENSE� <br />CUSS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR C] DEMOLITION ❑ BUILDING NELOCATI <br />CONTAGT PERSON A.vO vnurve n� �r �� ncn �.,��...o...� <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WONN PND SOUARE fOOTAGE INVOIVED <br />Zb renew �^^;t #16755 <br />r :: � •-�c � - <br />FROPOSED USE OF BUILDING / <br />SFR <br />U'�J <br />�EGFL DESCHIPTION OF PROPERTV �SHOW BELOW OR ATTI.CN FOUR COPIESI IiECN S'6.5� <br />LOT� BLOLK - OF <br />�e noor+ess <br />6101 Oakes Ave. <br />PLUMBIN6 <br />NO. TYPE OF FU(TUR <br />WATER CL( <br />BATHTUB <br />LAVATORV <br />SINK 8 DISP. <br />CLOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF OR�INS — RAINIEADERS <br />SINK �SERVICE — BAR, ETC J <br />FRONiSETBRCN <br />USE20NE <br />iYi4 OFCONSiPUC110N AILOWAI <br />SIZ[ OF �IDG <br />OCCUPANLVLOAD <br />PEASON FOR SPRINKlERS <br />SUB TOT11L <br />PERMIT <br />TOTl1l FEE <br />RE/FSETBRCN <br />LOT AREA <br />iV(4 OF fANSiNUGiION ACIDf+L <br />NO. OF STORIES <br />FIRE SPflINNI.ERS REO'0 <br />IO �ES ❑ NO <br />ELEC :1�.`;0 <br />MECHANICAL <br />FEE NO. TYPE OF EOU�PI <br />A/C — NHNDLG UNITS — H P. <br />FORCED AIR SVSTEMS — B.TL. <br />UNIT HEATEFS — B.T.U. <br />1 CLOTMES"AYERS <br />1 VENTILATION FAN <br />HANGEHO00 <br />WATER HEATER <br />WOOJSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXt7AUST FAN <br />SET�4CN <br />CANiSRE <br />VES ❑ NO <br />_ �'•!K`" NO Of LAFLIIIlC <br />VES ❑ NO <br />NEIGHT LIM�TRTION <br />ncc er n�nNSAPPFOVEDB� I CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />SUBTOTAL <br />PERMIT <br />TOTALiEE <br />PLAN CHECK NUMBEIi FEE <br />FEES euao <br />BUII.DING � <br />PLUM�ING <br />MECHANICAL <br />O7HER <br />STATE BUILD;NG SUFCHARGE <br />STATEENERGvSURCHARGE <br />rueuc woaKs <br />TOTAL <br />L`J <br />FEE <br />RECEIPT NO. <br />YOUR <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qpUNE55 FILE �� I J U <br />180 DAYS OR CEASE5 FOR MOHE THAN 180 DAYS. <br />5� <br />