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'heE°CIT o C NSTRUCTION � everett PERMIT PERMIT NO. _ 22794 <br />259-8810 <br />!] DEMOLITION ❑ COMBINATION 0 BUILDING C29 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY P I11pNE <br />William H. Bergh 1605 Virginia Ave Everett, WA 98205 258-1755 <br />TENANT <br />MAIL ADDRESS <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 A <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE II <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSER <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF U I HCH I HnN anV V[ <br />CONTRACT PRICE OF WORK: <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />Install wood pellet stove <br />PROPOSED USE OF BUILDING <br />single family residence <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK - OF <br />JOB ADDRESS <br />1605 Virainia Ave <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H P <br />BATHTUB <br />FORCED AIR SYSTEMS -BT.0 MEA <br />- <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B.T.U. M <br />_ <br />- <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP, <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE - <br />URINAL <br />METAL FIREPLACE S CHIMNEY <br />- <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />HEAT PUMP <br />FLOOR DRAIN <br />13ACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.) <br />SUBTOTAL <br />$I <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />_ <br />TOTALFEE <br />$ <br />TOTALFEE f <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />E <br />BUILDING <br />♦� e-Ijrll <br />$ <br />TYRE OF CONSIRUCTION ALLOWABLE <br />_ <br />TYRE OF CONSTRUCTION ACTUAL <br />N� <br />NO.OF DWELLING WRTS <br />PLUMBING <br />000022794 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />-. UD �� <br />30 <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLERS REO D <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />M.M. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIcwoRKs <br />TOTAL <br />30 <br />00 <br />1 WLIPM DPFTPFPI V VA <br />InATFn TWIG IS <br />VETIIR PFRMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 22794 <br />180 DAYS OR CEASES FOR MOPE THAN 180 DAYS. <br />