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�� <br />`�QE°"g'��" "`� C�INSTRUCTION � '""� <br />CITY OF <br />everett PERMIT PERMITNO. 22353 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING $] MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONTJER MAIIADDRESS CITV 21P PNONE <br />Dan Monteith 118 40th St NW Marysvilie, WA 98270 353-8833 or 659-4659 <br />TENANT MAIIAODRESS CITY 21P PHONE <br />ARCHITECTORDESIGNER MAILRDDRESS dTV 21P PMONE <br />GENERALCONTRACTOR MAILAD�RESS GTY ZIP <br />Owner <br />MECNANILALCONTRACTOR MAILADDRESS CITV 21P <br />PLUMBINGCONTRACTOR MAILAODRE55 CITV ZIP <br />ClASS OF WORN <br />❑ f'EW ❑ ADDITION ❑ ALTERATION pCREPAIR ❑ DEMOLITtON <br />PHONE LICENSE • <br />PHONE LICENSE� <br />PHONE LICENSE� <br />❑ BUILDING RELOCATION <br />I CONTACT PERSON AhD PMONE NO. IF OTMER TMAN A80VE <br />CONTRACT PRICE OF WORK: S 9 r 000 <br />DESLRIBE WORK ANO SOl1ARE FOOTAGE INVOLVED <br />Remodel and repair; slieetrock, plumb`_ng <br />PPOYOSEU USE Of BUILDING <br />LEGAL DESCRIPTION OF NOPERTY (SM01Y OELOW OR ATTACM FOUR GOPIES� <br />ior 8 s�ocK 678oF Plat of Everett. Div C <br />PLUMBING <br />NO. TYPE OF FII(TURE <br />1 BATHTUB <br />2 LAVATORV(WASH BAS <br />_ I 1 SMOWER <br />� 1 KITCHEN SINK 8 OISP. <br />1 DISHWASHER <br />LAUNORYTRAY <br />1 CLOTHES WASHER <br />URINAL <br />DRINKING fOUNTAIN <br />FLOOR DRAIN <br />BACI<FLOW PREVENTE <br />ROOF ORAINS — RAML <br />SINK (SERVICE — BAR, <br />FRONTSETBACN <br />USE ZONE <br />OF 6LDG <br />OCGUPANCYLOAD <br />REASON FOR SPfiINNLERS <br />M.M. <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FEARSETBACK <br />LOT APEA <br />NOAF STOFIES <br />FIRE SPqINNIERS REO'D <br />❑ YES ❑ NO <br />APPRGVEDBY <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />LO OO NC—A/HNOLGUNITS—H.P. <br />S OO FORCED AIR SVSTEMS — B T.U. M EA. <br />LO OO �NITHEATERS—B.T.U. M <br />S OO 1 CLOTHES DRYERS <br />S OO Z VENTILATION FAN <br />S OO RANGE HOOD <br />1 WATER HEATER <br />S OO WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HqUS7FAN <br />S ¢5 QQ SUBTOTAL <br />S — — PERMIT <br />f 45 00 TOTAL FEE <br />SiDE SETOAGK PLAN CHECK NUM�ER FEE <br />VACANT SITE � <br />❑ vES ❑ NO FEES <br />�'�q�"�'�` NooFON'ELUHcuNnS BUILDING �� <br />PLUMBING PLDG <br />BASEMENT <br />❑ YES ❑ NO MECHANICAL HECH <br />MEIGMTLIMIlAT10N OTHEfl E SrtC <br />I <br />STATE BUILDING SUFCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 ....._.. -----_....,.. ...., <br />PERMITS EXPIRE IF WORK IS NOT COMMFNCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />lil]]:I�XY�f15 <br />� <br />f <br />f <br />RECEIPT NO. <br />$0 <br />� i�� so <br />THIS IS YOUR PERMIT <br />'''' �- 3 <br />[,L�.j'1�I <br />