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'hDE'CTYOF C" NSTRUCTION <br />26929 <br />everett PERMIT <br />PERMIT NO. <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING X D MECHANICAL O PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CRY <br />ZIP FIIONE <br />Daniel L. LIxmore 2121 Mcdougall AVe EVerett 98201 <br />356-1163 <br />TENANT MAIL ADDRESS CITY <br />ZIP PHONE <br />P ARCHITECT OR DESIGNER MAIL ADDRESS CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSE/ <br />Unknown - probably previous owner <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSE - <br />CLASS OF WORK <br />O NEW D ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Wood stove installed approx 4 years ago <br />PROPOSED USE OF BDILDING <br />Single famil residence <br />— <br />LEGAL DESCRIPTION OF PROPERTY ISHC N BELOW OR ATTACH FOUR COPIES) <br />LOT — BLOCK — OF — <br />05/Oi/91 12:30FM OOOR06770 <br />1100026929 <br />MECH830.00 <br />JOB ADDRESS CHEM $30.00 <br />PLUMBING <br />MICHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />UNITS — H.P. <br />BATHTUB <br />D AIR SYSTEMS —B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />EATERS —BT.U. M <br />SHOWER <br />ES DRYERS <br />KITCHEN SINK A DISP. <br />LATION FANDISHWASHER <br />E HOODLAUNDRYTRAY <br />MHA/HNDLG <br />R HEATERCLOTHES <br />WASHER <br />STOVE <br />On <br />URINAL <br />FIREPLACE 8 CHIMNEYDRINKING <br />FOUNTAIN <br />LACE INSERTFLOOR <br />DRAIN <br />PUMPBACKFLOW <br />PREVENTERS <br />IPINGROOF <br />DRAINS — RAINLEADERS <br />ST FAN <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL f <br />SUBTOTAL f <br />30 <br />OO <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE IS <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOTAREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BVALUGCODE <br />ATION <br />FEE <br />BUILDING <br />TYPE OF M57RXIQN ALLBNABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />° ' <br />Ip Oi ONTIIINC UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />a 30 <br />00 <br />OCCUPANCYLOAD FIRE SPRINKLERS REDO HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC.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 />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />ff <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />26929� <br />