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�C���E� � CITY OF EVERETT <br /> CONSTRUCTION <br /> � � � 259•88f0 PERMIT <br /> A7ax <br /> C N <br /> � y y ADDAESS FILE copy <br /> Permit Number: M38147 <br /> N �� SEPA Number: <br /> H �I-� Iseue Date: 09/25 92 <br /> Job Addrese: 1615 OCKEFELLER AVE <br /> � y� Owner Tenant Architect/Deeigner <br /> LAVRA, DAVID <br /> � f~/� N 167.5 ROCKEFELLER AVE <br /> H EVERETT WA 98201 <br /> � �' � 258-4565 <br /> � � d General Contractor Plumbing Contractor THOMASaHEATINGontractor <br /> N �g 14522 NE 190TH <br /> �� n WOODZNVILLE WA 98072 <br /> z y� 468-6883---- <br /> THOMAH140BM <br /> � H y Type of Permit: MECHANICAL Contact Person <br /> tyCA Heating System: NONE <br /> O N WSEC Code: Contract Price: 400 <br /> C1 C V� Deecription of Work: INSTALL GAS INSERT <br /> a �'j Le9a1 Description/ <br /> y y Property ID: <br /> O f/i <br /> Pr�poaed Uee of Huilding__SINGLE_FAMILY_RESZDENCE__ _______________________________ <br /> PLUMBZNG y } MECHANICAL <br /> � Qty Type of Fixture Fee 1�GA5 PIPINGf Equipment Fee <br /> � MECHANICAL EQUIPMENT FEE 15.00 <br /> � MECNANICAL PERMIT FEE 15.00 <br /> I _Sub_Total---------------------=--=---=====5ub_Tota1=====$30_00=====_ <br /> `_� SETBACK FOOTAGE OCCUPANCY Vacant Site7 TYPE OF CONSTAUCTION <br /> Front 0.0 Load No. Dwelling units: Allowable: <br /> Aear 0.0 Group Size of Bldg: Actual: <br /> Sidel 0.0 / Storiee Size of Gar: Uee Zone: <br /> , � +_ Side2 0.0 Baeement7 Height Limit: Fire S rinkler Re d7 <br /> P 4� <br /> �, � ' Lot Sz __Aeaeon For Fire Sprinklers: <br /> I ---------------- ------------------p---------------------------------------- <br /> � <br /> Plane Approved By: Plan Check Aecei t No: Fee: FEE <br /> FEE TYPES CONSTRUCTION VALUATZON <br /> Building <br /> Plumbing <br /> �� Mechanical 30.00 <br /> Sprinkler <br /> Other <br /> � City of Everett Local St. Bldg. Surcharge <br /> _'_1 Sales Tax Code is 3105 AdditionalkPlan Check Fee <br /> TOTAL $30.00 <br /> � <br /> IL1�' Permite expire if work not commenced within 180 days or ceaees more than 180 days. <br /> � <br /> M 38147 <br />