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a <br />LTi � <br />aH <br />aD�w <br />aycn <br />rx <br />H as <br />y zH <br />Oy =0 <br />N H <br />I.5 r <br />z <br />nod <br />OH <br />ZOE <br />C] • n <br />>.3R <br />t-I z <br />Hy <br />H <br />ei C In <br />r� r <br />0 0 z <br />H <br />Fhr firvrFrrrn <br />ONSTRUCTION <br />n(I <br />everett <br />PERMIT PERMIT <br />NO. <br />259-8810 <br />0 DEMOLITION ❑ COMBINATION <br />[R BUILDING ❑ MECHANICAL <br />E PLUMBING <br />❑ SIGN <br />OANCR <br />MAIL ADDRESS CITY v <br />PHONE <br />Craig Vansant 202 <br />96th Pl. BE Everett 98208 348-4107 <br />TENANT <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE- <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE• <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />wow <br />LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION 0 REPAIR ;(] DEMOLITION <br />❑BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN <br />ABOVE <br />CONTRACT PRICE OF WORK $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Interior non-structural <br />demolition Remove sheetrock and interior <br />fixtures on upper <br />floor. <br />PROPOSED USE OF BUILV ING <br />See NCU 11-89 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT - BLOCK - OF <br />v0Irxx� <br />JOB ADDRESS <br />4228 S. 3rd A <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EO <br />FEE <br />WATER CLOSET (TOILET) <br />kC — A/HNDLG UNITS— H <br />FORCED AIR SYSTEMS — 8. F M EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — BIT U M <br />CLOTHES DRYERS <br />SHOWER <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUSTFAN <br />SINK ISERVICE — BAR. ETC.) <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT <br />f <br />TOTALFEE f <br />TOTwL FEE <br />f <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />-AREA <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPTNO <br />USE ZONE <br />LOT VACANT <br />SITE <br />FEES <br />BUILDING CODE <br />VALUAIROfl <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />S <br />TYFE OF CONSPIOCTIDN ALLOAADIE <br />TYPE BF CONSTRUCTKIN ACTUAL <br />"" <br />LIB OF OWELIING UNIiS <br />PLUMBING <br />SIZEOFBLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCC'JF'ANCY LOAD FIRE SPRINKLERS RED 0 HEIGHT LIMITATION <br />OTHER <br />❑ YES ❑ NO <br />4 <br />50 <br />BUILDING SURCHARGE <br />REwfoY FOR SPRINKLERSSTATE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />BANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />TOTAL <br />4 <br />50 <br />TAX CODE IS <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />0 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE L 3995 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />