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HOCCA <br />c� <br />U <br />C <br />the c11Yor CiNSTRUCTION <br />everett PERMIT <br />PERMIT NO. 27149 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING X8 MECHANICAL ❑ PLUMBING ❑ SIGN <br />01YNER MAIL ADDRESS CITY <br />ZIP PHONE <br />Clarence Lock 3514 Wetmore AVe Everett 98201 <br />252-9340 <br />TENANT MAIL ADDRESS CITY <br />ZIP PHONE 1. <br />NROHITECT OR DESIGNER MAIL ADDRESS CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSE• <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LICENSE. <br />Valley Natural Gas 2605 Mcdougall Everett 98201 <br />259-5492 VALLENG153L1 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHONE LCENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION 17 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK-.c 2A440.00 <br />DESCRIBE WORK AND SQUARE FOOTAUC INVOLVED <br />Install furnace Em1y <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK - Of <br />JOB ADDRESS <br />0E/14/91 lY•SSFM 00007436 '1 t# <br />3514 Wetmore Ave. <br />or uuMlMc <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EO NT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC - AMNDLG UNITS - ^ <br />BATHTUB <br />FORCED AIR SYSTEMS - B. N EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B T.0 <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP. <br />VENTILATION FAN u <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHESWASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />1 <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC) <br />SUB TOTAL f <br />SUB TOTAL <br />f SO <br />OO <br />PERMIT f <br />PERMIT <br />$ 15 <br />OO <br />TOTAL FEE f <br />TOTAL FEE <br />f 65 <br />OO <br />I PONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />FEE <br />BUILDING <br />$ <br />TYPE OF CMSTRIICIMN ALLONARLE <br />TYPE OF CONSTRUCTION ACTUAL <br />NO RFBKTLUNGUNRS <br />PLUMBING <br />54EOFBLDG <br />NO OF STORIES BASEMENT <br />DYES ❑ NO <br />MECHANICAL <br />65 <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />65 <br />UO <br />WNFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WOPK IS NOT COMMENCED WIT!i1N ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />27149 <br />