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G����� CITY OF EVERETT <br /> � CO�ISTRUCTION <br /> _ 25s.es�o PERMIT <br /> Parait Nwnber: H53399 <br /> SEPA Number: ADDRESS FILE copy <br /> Issue Date: 11/04/96 <br /> Job Addrees: 81b4 i7ppER RIDGE RD <br /> Ownar Tenant Architect/Deaigner <br /> A17DERSON DENNIS <br /> 8104 UPPER RIDGE RD <br /> E��TT WA 98203 <br /> 353-5559 <br /> General Contractor Plumbing Contractor Mechanical Contractor <br /> COMPLET& GAS SERVICE <br /> 2328 MAPLE ST <br /> EVEAETT WA 98201 <br /> 259-8187---- <br /> COMPLCS080LD <br /> Type of Permit: MECHANICAL Contact Pereon <br /> Heating Syetem: NONE <br /> Ueocription ofCWorkacCONVERT�HEATING�FROM OIL TO GAS HOT WATER ELEC-CAS <br /> Leqal Cnecription/ <br /> Prope rr:•� Ip: <br /> Conetruution Lender: <br /> Propoaed Uee of Buildinq: SINGLE FAMILY RESIDENCE <br /> ti6i@EEil6itIIi6lCiCiCiII@CEEC�EC ____ __ ____________ a <br /> PLUMBINC MECHANICAL <br /> Qty Type of Fixture Fee Qty Type of Equipment Fee <br /> . 1 CLOTHES DRYER <br /> 1 FORCED AIR SYSTEMS BTU <br /> 1 GAS FIREPLACE <br /> 1 GAS PIpING <br /> 1 WATER REATER <br /> MECHANICAL EQUIPMENT FEE 60.CJ <br /> Sub Total MECHANICAL PERMIT FEE 15.00 <br /> ==«a_as�::s��a���==_`_`___________________________________Sub Total $75=00 <br /> SETBACK FOOTAGE OCCUPANCY Vacant Site? --------' '-___--- <br /> Front 0.0 Load No. Dwttllin unite: TYPE OF CONSTRUCTION <br /> Rear 0.0 Group Size of Bld9 Allowable: <br /> Sidel 0.0 / Storiea size of car9� Actual: <br /> Side2 0.0 Basement7 Height Limit: Uee Zone: <br /> _Lot Sz Reaeon For Fire Sprinklern: Fire SprinY.ler Req•d7 <br /> Remodel Sz: Fire Alarm Req'd7 Reaeon For Fire Alarm• <br /> --'------------------'-'--'-. <br /> --'---�-------'-FEE <br /> Plane Approved 6y: Plan Check Receipt No: Fee• <br /> FEE TYPES PERMIT VALUATION <br /> Building <br /> Plumbing <br /> Mechanical 75.00 <br /> Sprinkler <br /> City of 8verett L�cal ��her <br /> Salee Tax Code ie 3105 St. Bldg. Surchurge <br /> Public Worke <br /> Addit4onal Plan Check Fee <br /> _ � o m o � TOTAL $75.OU <br /> � Smnono � <br /> � to � <br /> Permite expire if work not commenc¢d wit � � \ � <br /> �in ;�0 c�aye or ceasee more than 180 days. <br /> �' lw aw :': <br /> o n c�i� �o <br /> � c� g x <br /> � <br /> 0 <br /> n <br /> u <br /> c1�0n M 53399 <br /> .- <br /> � <br />