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the &,ergreen <br />CITY OF <br />everett <br />259-8810 <br />❑ DEMOLITION <br />%'INSTRUCTION` <br />PERMIT PERMIT NO. _ 26044 <br />❑ COMBINATION ❑ BUILDING KI MECHANICAL ❑ PLUMBING O SIGN <br />OWNER MAIL ADDRESS CIl1 ZIP PHONE <br />Michael Warfield 623 Maulsby Lane Everett, WA 259-3698 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Owner <br />ARC141TECT OR DESIGNER <br />MAIL ADURESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />FY <br />ZIP <br />PHONE I'^^:...• <br />Valley Nat. Gas <br />2605 McDougall Ave. <br />Everett, WA 259-5492 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />M ALTERATION <br />❑ REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />355.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install Conv. Burner <br />PROPOSED USE OF BUILDING <br />Single Family <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —_ BLOCK — OF <br />JOB ADDRESS <br />623 Maulsby <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOWIffinIM44 <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - F 3 <br />BATHTUB <br />FORCED AIR SYSTEMS - B M260 2 <br />_ <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS- BT11 MECH 1.7 <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN MECH $75, <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE ? <br />URINAL <br />METAL FIREPLACE & CHIM'WCH <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT ➢.iy <br />FLOOR DRAIN <br />HEAT PUMP MECH <br />0- <br />BACKFLOW PREVENTERS <br />2 <br />-9-45, <br />GAS PIPING MFfIX $ <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK(SERVICE -BAR. ETC.) <br />1 <br />LOOm BTU Conversion Burner <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />$ <br />PERMIT <br />$ <br />PERMIT <br />S <br />15 <br />DO <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />S <br />30 <br />00 <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEI'.'1 NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NOVALUATION <br />FEES <br />BUILDING CODE <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />R"O' <br />NO OFOWELLING VtiIPS <br />PLUMBING <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />30 <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'0 <br />O YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEI:NERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE iS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />30 <br />00 <br />UUUCKI O[ n...I V WAI <br />11111TG11 TLIIC IC <br />VIYI IA OCC1 ..1T' <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 26044 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />