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iM1 <br />/�/�� . <br />-.�►. <br />w� <br />CITY OF EVERETT <br />CONSTRUCTION <br />P <br />sss-sa,o ERMIT <br />Permit Number: M52303 <br />SEPA Number: <br />Issue Date: 07 17/96 <br />Job Address: 10 30 4TH AVE W <br />Owner <br />HARCHENKO TED <br />10330 4TH AVE W <br />EVERETT WA 98204 <br />513-5645 <br />General Contractur <br />ADDRESS FZLE copy <br />Tenant <br />Flumbing Contractor <br />Type of Permit: MECHANICAL <br />Heating System: NONE <br />WSEC Code: Contract Price: <br />Description of Work: MECHANICAL <br />Legal Description/ <br />Property ID: <br />Construction Lender: <br />Arc!iitect/Deeigner <br />Mechanical Contractor <br />EVERGREEN STATE SHEET MET <br />PO BO% 1508 <br />EVF.RETT WA 98200 <br />252-3114---- <br />EVERG5121I(S <br />Contact Pereon <br />Proposed Uae of Building: ASSISTED LIVING <br />_____________________________________________________________________________________ <br />PLUMBING MECHANICAL <br />Qty Type of Fixture Fee Qty Type of Equipment 1 F��e/e, _�`�o� <br />4 A/C� A/HNDLG UNITS - H.P. f�(� <br />22 EXHAUST FAN �'-"_ <br />4 FOACED AIR S'fSTEMS BTU <br />MECHANICAL EQUZPMENT FEE 450.00 <br />MECHANZCAL PERMIT FEE 15.00 <br />Sub Total Sub Total $465.00 <br />SETBACK FOOTAGE OCCUPANCY Vacant Site? TYPE OF CONSTRUCTZON <br />Front 0.0 Load No. Dwelling units: Allowable: <br />Rear 0.0 Group Size of 61dg: Actual: <br />Sidel 0.0 # Storiee 5ize of Gar: Use Zone: <br />side2 0.0 Hasement7 Height Limit: Fire Sprinkler Req'd1 <br />Lot Sz Reason For Fire Sprinklers: <br />Remodel Sz: Fire Alarm Req'd? Reason For Fire Alarm: <br />------------------------------------------------------------------------------------ <br />Plane Approved By: <br />City of Evarett Local <br />Salea Tax Code is 3105 <br />Plan Check Receipt No: Fee: <br />Permita expire if wc:k not corr.menced <br />FEE TYPES PERMIT VP.LUATION <br />Building <br />Plumbing <br />Mechanical <br />Sprinkler <br />Other <br />St. eldg. Surcharge <br />Public Worke <br />Additior,al Plan Check Fee <br />TOTAL <br />0 <br />�imo � <br />m�o .� <br />witlS�n2{�0 QZlys <br />r,� � �o <br />�a o� <br />0 <br />�� <br />M M `U <br />� � P <br />� O � <br />O <br />O <br />a <br />i� <br />.c <br />c� <br />m <br />0 <br />FEE <br />465.00 <br />5465.00 <br />or ceases more than 180 daye. <br />M 57.303 <br />