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the Evergreen C INSTRUCTION <br />CITY OF <br />everett PERMIT <br />259-8810 <br />PERMIT NO. 26091 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING )ER MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Steven Whitney 1725 Mcdougall Everett 98201 259-1326 <br />TA...T MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />ZIP PHONE LICENSE• <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE L <br />Valley Nat Gas 2605 Mcdougall Everett 98201 259-5492 VALLENG153LI <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION [AXLLTERATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br />CONTA ,T PEPSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 605.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install vas heater & water heater <br />PROPOS'.J USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT — BLOCK — OF <br />JOB ADDRESS <br />171 Z, MnAnnRa1T <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP, <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD t <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIM '- <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP MECH <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-"RAINLEADERS <br />EXHAUSTFAN ' <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL f <br />SUBTOTAL f <br />30 <br />60 <br />PERMIT f <br />PERMIT S15 <br />on <br />TOTAL FEE <br />S <br />TOTAL FEE <br />S 45 <br />00 <br />FRONTSETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RTC( PT NO <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES [I NO <br />FEESVALUATION <br />BUILDING CODE <br />FEE <br />BUILDING <br />$ <br />TYIE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACDIAL <br />ow xc. <br />NO OFOW NGUNRS <br />PLUMBING <br />SIZE OF BLDG. <br />N0. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />45 <br />00 <br />OCCUPANCYLOAD FIRESPRINKLERS REDD HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STA"TE ENERGY 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 />45 <br />00 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 26091 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />