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[sJ 9 y <br />A xl <br />❑ H <br />> y O) <br />yH <br />HC W <br />H0 <br />H <br />H <br />x <br />9d <br />OH�y <br />mpg <br />ci- o <br />aH <br />H H <br />(A <br />C-) t1 En <br />mv <br />C+] Cs1 <br />xyUA <br />H3 O CA <br />c_ <br />1 <br />CITY OF EVERETT <br />:ONSTRUCTION <br />PERMIT <br />259.8810 <br />PERMIT NO. 27825 <br />❑COMBINATION ❑BUILDING <br />[I MECHANICAL <br />❑PLUMBING <br />❑ SIGN <br />ElEh10LITION <br />ZIP <br />PHONE <br />MAILADDRESS <br />CITY <br />ONNER <br />4725 Seahurst Ave Everett <br />98203 <br />339-9381 <br />J. Benson <br />CITY <br />ZIP <br />PHONE <br />TENANT <br />MAILADDRESS <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />CITY <br />ZIP <br />PHONE <br />LICENSE• <br />GENERAL CON TRACTOR <br />MAILADDRESS <br />Owner <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PM04E <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CLASSOF WORK <br />❑ NEW [I ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br />CONTACT PERSON AND PHONE N0. IF OTHER TMAN ABOVE <br />CONTRACT PRICE OF WORK S 4 000 <br />SFR <br />LEGAL DESCRIPTION CF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_VLOCK_OF 09/27/41 3:16PM UOUH T <br />SLOG 453.00 <br />.I00A0owF5s <br />4725 Seahurst Ave CHEC'; 67.5U <br />IF MECHANICAL <br />PLUMuiNIi <br />— fEE <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />AIC—A(HNDLG UNITS — H.P <br />_ <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS—B.T.U. MEA . <br />BATHTUB <br />UNIT HEATERS —B T.U. M <br />LAVATORY (WASH BASIN) <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FqN <br />KITCHEN SINK S DISP <br />RANGE HOOD <br />DISHWASHER <br />WATER HEATER <br />LAUNDRYTRAY <br />WOOD STOVE <br />--- <br />CLOTHES WASHER <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />FIREPLACE INSERT <br />— <br />DRINKING FOUNTAIN <br />MEAT PUMP <br />— <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUS' FAN <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />S <br />SUBTOTAL <br />S <br />PERMIT <br />S <br />PERMIT <br />$ <br />TOTAL FEE <br />S <br />TOTAL FEE <br />S <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />BUILLDING COOIDE <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />S <br />63 <br />00 <br />ivPE OF LONSTRUCRON 1LLONnBLE <br />WPEOFCONSTflUCNON ACTUAL <br />U '1-' <br />NO DF D�vELLMG IttnTS <br />PLUMBING <br />SIZE OF BLDO. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />OTHER <br />❑ YEB ❑ NO <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. PY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PueLlc WORKS <br />TOTAL <br />67 <br />50 <br />TAX CODE IS <br />3105 <br />WHFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />K <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 27825 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />