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'heF1E�""' � �ONST'RUCTII�Nr- � <br /> CITV OF <br /> everett PERMIT PERMITNO. 233� � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION L� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> OwNER MaL AOORE55 CITY 2iP PHONE <br /> Oscar and Ruby Carlstad 19309 48th Ave. W. Lynnwoo3 ee0ah 77R—idFR <br /> TENRNT MAiL AbOHESS LITY ZIP PHONE <br /> ARC111TECTOR�FSIGNEN MRILADORE55 CITY 21P PHONE <br /> GFNCqPLCONTRPCTOP MAILADDRES$ CITY ZIP P!IONE LICENSE• <br /> Owner <br /> NECHl.NICALCONTRRCTOH MAILADDBE55 GITY 21P PNONE LICENSE� <br /> PLUMBINGCONTNACTOR hIFILA0�RE5$ CITY 21P PMONE LICENSE� <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION �7 HEPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br /> CONTNGT PERSON RND FHONE N0.IF OiNER TMRN AOOVE <br /> CONTRACT PRICE OF WO(iK:S .L500.00 <br /> DESCRIBE WORK AND SOUAP[POOTRGE iNVOLVEO <br /> Reroof <br /> FROPOSED USE OF BURDING <br /> SFR <br /> LEGRL OESCRiPTION OF PROPERTV�SMOW OELOW OR NTTNCM fOUR COoiES� <br /> lOi— �LOCN_OF <br /> JOBAODRESS <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILEn A/C—NHNDLG UNITS—H P. <br /> BATHTUB FORCEOAIRS�STEMS—B.T.U. MEA. <br /> LAVATORV(WASHBASIN) UNITHEATERS—BT.LL 11/N�/�� .��4IF'I' Ci)O�.VMBliFi ��t����l�� <br /> SIIOWER CLOTI{ES DRYER$ <br /> KITCHEN SINK 8 DISP. YENTIIATION FAN ry�,�,�?' <br /> OISHWASHER RANGEHOOD R I'�' dT=� <br /> LAUNORVTRAY WATERHEATEA �'. � <br /> CLOTMES WASHER WOOD STOVE - i� '( i <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSEFT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLF.ADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL f SUB TOTAL S <br /> PEHMIT f PERMIT f <br /> TOT11L FEE f TOTRL FEE t <br /> raoNTSErBnCK pEnRSETonGK SioESETBacK PLANCHECNNUM�ER FEE RECEIPTNO. <br /> USE ZONE LOT AREA VPC/NT SITE <br /> FEES euaoino caoe FEE <br /> ❑ YES ❑ NO <br /> rrr�o�consrnucnorvauowanie ttrcoFcoNseucnoxacruai �';;o;x` NouFowcwn;urvirs BUILDING S 1500.00 35 00 <br /> F'LUMBING <br /> SiZ[OFHIDG NO.OFSTORiES DASEMENT <br /> ❑VES ❑ NO MECHANICAL <br /> OCLUPnNCYLOnO FIRESPflINNLER5PE0'D NEtGMTL:MITATION OTHER <br /> O�E$ ❑ NO <br /> �enSONronsrnir�rc�e��5 STATEDGILDINGSURCHARGE 4 SO <br /> STA7EENERGYSURCHARGE <br /> APPIICATIONAGC.OV PLANSAPPROVEDBY CITY OF EVERETT <br /> LOCAL SAIES PU6LIC WORHS <br /> S•H• TAX CODE IS 39 50 <br /> TOTAL <br /> 3105 WHEN PROPERLY VALIDATED THIS!S YOUR PERMIT <br /> PENMITS EXPIRE IF WORK IS NOT COMMENf.ED WITHIN qDORESS rllE (, ,j �j i � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />