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cm oF �aErr <br />CONSTRUCTION <br />(425) 257-88f0 PERM IT <br />P�rmit Numb�r: 857139 <br />SSPA Numb�tt <br />Ierua Date: 11/17/97 <br />Job 1lddre�et 5028 WILMINGTON <br />Ownar <br />VOGNILD LARRY <br />5028 WILlfINGTON <br />EVERETT WA 98203 <br />252-0459 <br />Tenant <br />� <br />ADDRESS FILE copy <br />Architact/Deeigner <br />Cenernl Contractor Plumbing Contractor Mechanical Contracior <br />CHAMPION RESTORATION CO <br />13622 NH 2OTH ST /C <br />BELLSWS WA 98005 <br />d25-957-7663 <br />CFi11MPRC0440R <br />Type of Parmit: BUILDINC Contact Pereon <br />Heatinq Syetem: NONE <br />WSEC Code: <br />Deecription of Work: REROOF OVER EXISTINC (1 LAYER) <br />Leqal Deecripti.on/ <br />Property ID: <br />ConeEruction Lender: <br />Propoeed Uee of Building: SINCLE FAMILY RESIDENCE <br />��sss��:�sa�a�s�ssas�:zaacaevecseaaveec=cvveeev=eve ee=c c oaeeaaesvs'saza-esasa <br />PLUMBING MECHANICAL <br />Qty Type of Fixture Fee Qty Type of Equipment Fee <br />Sub Total Sub Total <br />�sssv:s�a�aa�:a:�a�svs:vcaaaa"vena====a ' ==v="=s='= 'e==s¢aeaav:-evvae:eaavs <br />SETBACR FOOTAGE OCCUPANCY Vacant Site7 a TYPE OF CONSTAUCTION <br />Front 0.0 Load No. Dwelling unite: Allowable: <br />Reer 0.0 Group Size of Bldg: Actual: <br />Sidel 0.0 f Storiee Size of Car: Uee Zone: <br />Side2 0.0 Haeement? HeLght Limit: Fire Sprinkler Req'd? <br />Lot Sz Aeaeon For Fire SprLnklere: <br />Remodel Sz: Fire Alarm Req'd7 Reaeon For Fire Alarm: <br />--------------------------------------�----'------------------------------------ <br />Plane Approved By: <br />City of Everett Local <br />Salee Tax Code ie 3105 <br />Plan Check Receipt No: Fee: <br />FEE TYPES PERMIT VALUATION <br />Building 500 <br />Plumbing <br />Mechanical <br />Sprinkler <br />Other <br />st. Bldg. Surcharge <br />Public Worka <br />Additional Plan Check Fee <br />TOTAL <br />FEE <br />22.00 <br />4.50 <br />$26.50 <br />Permite expire if work not commenced withj� � 8� �ds�'D or ceases more than 180 daye. <br />o n ., i <br />a � 6 N <br />r � <br />�o <br />a <br />� <br />H <br />0 0 <br />a r•� ro cn • • <br />w o� fl �� a w <br />o rw <br />w oo��� <br />n <br />_ <br />m <br />T <br />N <br />U <br />O <br />B 57139 <br />