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the Eluergreen�' <br />CITYYOF C ")NSTRUCTION <br />OF <br />everett PERMIT PERMIT NO. 23010 <br />259-8810 <br />[� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />MAIL ADDRESS CITY ZIP PHONE <br />OWNER -l— <br />_ _ .. .. cco—vn OA <br />MAIL <br />CITY ZIP PHONE <br />MAIL AOJRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />CITY <br />ZIP <br />PHONE <br />LICENSE- <br />GENER4LCONTRACTOR <br />MAIL ADDRESS <br />Re <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE <br />LICENSE - <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />❑ NEW <br />O ADDITION ❑ ALTERATION ❑ REPAIR <br />CONTRACT PRICE OF WORK: $ <br />PROPOSED USE OF BUILDING <br />C� <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />I.077_ —. 18LOCK 3 OF — <br />JOB ADDRESS <br />5531 S. 3rd Ave. <br />C2 DEMOLITION <br />PERSON AND PHONE NO. IF OTHER <br />MFCMANICAI <br />❑ BUILDING RELOCATION <br />ABOVE <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />------"" <br />NO. <br />---- <br />TYPE OF EQUIPMENT <br />A/C - A/HNDLG UNITS - H.P. <br />FEE <br />— <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />BATHTUB <br />LAVATORY (WASH BASINI <br />NIT HEATERS -B.T.U. M <br />CLOTHES DRYERS U7/G L: 6 <br />"1 ANB009 <br />.t1-' <br />SHOWER <br />KITCHEN SINK d DISP. <br />VENTILATION FAN <br />RANGE HOOD R "� <br />DISHWASHER <br />,y <br />WATER HEATER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />(F <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FHIREEAT PUMPE INSERT <br />PLAC <br />= <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL S <br />PERMIT S <br />SUBTOTAL f <br />PERMIT f <br />FRONT SETBACK <br />TOTALFEE $ <br />PEAR SETBACK SIDE <br />SETBACK <br />TOTAL <br />PLAN CHECK NUMBER <br />FEE f <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />BUILDING CODE <br />FEE <br />BUILDING <br />$ <br />❑ YES ❑ NO <br />TYPE DF CDNSTRUCT)OI ALLDAABLE <br />TYPE OF CONSTRUCTIDN ACTU,L <br />acas <br />NU DF DWELLING UNRS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES D NO <br />MECHANICAL <br />- <br />OCCUPANCY LOAD FIRE SPRINKLERS RED'D HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />❑ YES ❑ NO <br />PEASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED By <br />CITY OF EVERETT <br />LOCAL SALES <br />L <br />PUBLIC WORKS <br />TAX CODE IS <br />1 <br />TDTAL <br />S.H. <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />21,olC <br />