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the F.'r CITY01 "NSTRUCTION <br />IT` °` everett PERMIT PERMIT NO. 26043 <br />259-8910 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING 6' MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY ZIP PHONE <br />Gena Barker 612 Maulsby Lane Everett, WA 252-6115 <br />TENANT <br />MAIL ADDRESS CITY ZIP 2 <br />Owner <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CIPV 21P PHONE <br />^ENERAL CONTRACTOR MAIL ADD' <br />CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR IIAIL ADDRESS CTY ZIP PHONE LICENSE <br />- Valley Nat. Gas 2605 McDougall Everett, WA 259-5492 VALLENG153L1 <br />PLUMBING CONTRACTOR MAIL ADORE- CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION EX ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION <br />CONTACTPEd50NANDPHUNLNt I11 nv ••^ ^•� <br />CONTRACT PRICE OF WORK: $ 580.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install Conv, Burner 6 AwH <br />PROPOSED USE OF BUILDING <br />Single Family W <br />LEGAL DESCRIPTION OF PROPERTY (GHOW BELOW OR ATTACH FOUR COPIES) <br />LOT — BLCCK — OF <br />JOB ADDRESS <br />$ 612 Maulsb <br />MECHANICAL <br />PLUMBING <br />----- <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF Eql 113"EA fl 4• ^S <br />u <br />A/C — A/HNDLG UNITS — H P <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS — U A <br />BATHTUB <br />UNITHEATERS—B.TU. M <br />_ <br />LAVAI DRY (WASH BASIN) <br />DRYERS BnM9/,nGZ__ <br />SHOWERCLOTHES <br />VENTILATION FAN <br />KITCHEN SINK A DISP. <br />RANGE HOOD '+ <br />DISHWASHER <br />1 <br />WATER HEATER <br />LAUNDRY TRAY <br />STOVE <br />CLOTHES WASHER <br />META <br />METAL FIREPLACE 8 CHIM <br />URINAL <br />_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />HEAT PUMP n <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />3 <br />GAS PIPING ---------- <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK(SERVICE —BAR. ETC.) <br />1 <br />100m BTU Conve LTajTgY_BuT�.><sL <br />— _-- <br />----SUB <br />— <br />— <br />TOTAL <br />SUBTOTAL f <br />f <br />1S <br />OO <br />PERMIT f <br />PERMIT <br />45 <br />DG <br />TOTALFEE <br />f <br />TOTALFEE <br />f <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RLCEIPT NO <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />BUILDING CODE <br />ALUAION <br />FEE <br />❑ YES G NO <br />BUILDING <br />S <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />° A"' <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />45 <br />00 <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />OTHER <br />❑ YES ❑ NO <br />STATE BUILDING SURCHARGE <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. By <br />PLANSAPPROVEDBY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORK <br />I TOTAL <br />45 <br />00 <br />TAX CODE IS <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS F!1 E 26043 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />