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0OJD <br />'H <br />9HxfHA <br />tHz <br />1Ki n <br />H 0 <br />OO <br />Q=0 <br />rn r <br />O I"1 <br />�H <br />ow a <br />PZH <br />HI <br />HH <br />80 <br />oCCC7y <br />Ls1�+ <br />HCCE <br />H30Ca <br />the Evergreen <br />CITY OF <br />everett <br />259-8810 <br />CONSTRUCTION <br />PERMIT <br />ram' _.-`• I <br />PERMIT NO.. 25964 <br />0 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL Cl PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Clyde/Nila Barcelon 2315 Hoyt Everett 98201 256 6725 <br />TENAW MAIL ADDRESS CITY ZIP PHONE a. <br />David Barcelon 1823 McDougal Everett 98201 252 0333 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADD-TION ❑ ALTERATION ❑ REPAIR DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER TITAN ADOVF. <br />CONTRACT PRICE OF WORKS Ni la Barcelon 259 6725 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Partial demolition due to fire damage - leaving N & W walls 11/07/90 3:47PM OODAN4501 krt* <br />000025964 <br />PROPOSED USE OF BUILDING • SRCH $4.50 <br />SFR CASH $4.50 <br />LEGAL OESCR IPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 11 &EIA,C 367oF Plat of Everett Div P _ <br />JOB ADDRESS <br />1 A01 M..n.......T <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 />AlC - AIHNOLG UNIT; - H P. <br />BATHTUB <br />FORCED AIR SYSTLMS - B.T U. M EA <br />LAVATORY(WASH BASIN) <br />UNIT HEATERS -BT. U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOIINTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.) <br />SUBTOTAL <br />S <br />SUBTOTAL 5 <br />PERMIT <br />S <br />PERMIT & <br />TOTAL FEE <br />S <br />TOTAL FEE 5 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />O YES El NO <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE <br />BUILDING <br />S <br />IM OF CONSTRUCTION ALIUVABIE <br />TIRE OF CONSTRUCTION ACTUAL <br />PLUMBING <br />SIZE OF SLOG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYIOAD FIRE SPRINKLERS RED <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PL ANS APFBOVE D By <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLICWORKS <br />TOTAL <br />4 <br />50 <br />wuru nonnem v v <br />rnAren rule .c <br />vnno neoulr <br />PERMITS EXPIRE IF WOPIK IS NOi COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />25964 <br />