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l`I <br />C: 0 x <br />C H <br />9 Faa3ti <br />H3 Z 3 <br />Ky� <br />C HC9 <br />N H <br />H C <br />O m <br />HO <br />Q H <br />H�8 <br />n• o <br />H C <br />0 <br />the EBCITY <br />ONSTRUCTION <br />OF <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO. <br />26263 <br />259-8810 <br />G DEMOLITION <br />L; COMBINATION _. BUILDING <br />❑ MECHANICAL L. PLUMBING <br />SIGN <br />OWNER <br />WE ADDRESS <br />CITY <br />ZIP <br />- - <br />Willie Bullard <br />4120 S 3rd Ave Everett WA 09203 <br />252-3978 <br />TENANT <br />MAIL ADWESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />OW AC✓ <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION L ALTERATION t REPAIR 0 DEMOLITION 0 BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK' $ 500 • Same <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />New roof on garage (re -roof) <br />PROPOSED USE OF BUILDING <br />Garage (existing) <br />LEGAL DESCRIPTION OF PROPERTY ISh.. W BELOW OR ATTACH FOUR COPIESI <br />LOT— BLOCK — OF <br />See attached <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />XC — AMNOLG UNITS — H P. <br />BATHTUB <br />FORCED AIR SYSTEMS —BTU. VIER <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS —BTU M <br />SHOWER <br />CLOTHESDRYERS <br />KITCHEN SINK 8 DISR <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE d CHIMNEY <br />DRINKING FOUNTAIN <br />FIR EPLACEINSERT .�� <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />L — <br />GAS PIPING <br />_ <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -- BAR. ETC.) <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT S <br />PERMIT f <br />TOTAL FEE f <br />TOTALFEE <br />S <br />FRONT SETBACK <br />BEAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />❑ Y_S ❑ NO <br />FEES <br />CODE <br />BUBLUATION <br />FEE <br />BUILDING <br />S 500. <br />15 <br />0 <br />TYB OFE SIRMTMR LBNOLE <br />T;W—V BNSTRUCI1CN ACIUc <br />p • <br />NB Of BWELLMGIIHRS <br />PLUMBING <br />SIZE OFILDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES 0 NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRESPRINKLERS RED O HEIGHT LI`. ITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGYSURCHARGE <br />LtEi <br />to <br />APPLICATION ACC BY <br />N.N. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />w1uEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PF HMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN A00IESS I ILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />26263 i <br />