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"1e <br />CONSTRUCTION -- <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO. <br />- 26258 <br />259-8810 <br />El BUILDING MECHANICAL G PLUMBING <br />❑SIGN <br />❑ DEMOLITION <br />❑COMBINATION <br />PHONE <br />OWNER <br />Alan Johnson <br />MAIL ADDRESS CITY <br />2221 Taylor Dr Everett 98203 <br />ZIP <br />353-7141 <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />TENANT <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />CITY <br />21P <br />PHONE <br />LICENSE � <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />GTY <br />ZIP <br />PHONE <br />LICENSE. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />2605 Mcdougall 259-5492 VALLENG153L1 <br />Valley Nat Gas <br />ZIP <br />PHONE <br />LICENSE . <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />'LASS OF WORK <br />1-1UPW ❑ ADDITION R1 ALTERATION ❑ REPAIR ❑ DEMOLITtON O^BUILDING RELOCATION <br />CONTRACT PRICE OF WORK:$ 59500 <br />CRIBE WORK AND SDUARE FOOTAGE INYUINIU <br />Install conversion burner & water heater <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY )SHOW BELOW OR ARACH FC"R COPIES) <br />LOT — BLOCK — OF <br />ADDRESS <br />PLUMBING <br />TYPE OF FIXTURE OR <br />& DISR <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />ROOF DRAINS - RAIN) <br />SINK (SERVICE - BAR, <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FRONT SETBACK REAR SETBACK <br />CONTACT PERSON AND 111ONE Nv 11 � I—' <br />MECHANICAL D� <br />FEE NO. TYPE OF E <br />A/C - A/HNOLG UNITS - H.P. <br />FORCED AIR SYSTEMS - B. <br />UNIT HEATERS -BT. U. M <br />CLOTHES DRYERS <br />VENTILATION FAN RANGE HOOD — <br />WATER HEATER ' <br />WOOD STOVE <br />METAL FIREPLACE & CHIM <br />FIREPLACEINSERT <br />HEAT PUMP <br />GASPIPING <br />EXHAUSTFAN <br />SUBTOTAL f 30 <br />PERMIT $ 15 <br />USE ZONE LOT MEp VACANT SITE <br />in YES ❑ NO <br />Of <br />SIZEOFDLDG NO OF STORIEC <br />FOR <br />LOAD I FIRE SPRINKLERS REGD <br />❑ YES ❑ NO <br />YES C NO <br />HEIGHT LIMITATION <br />DY ICITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />PLAN CHECK <br />FEE I RECEIPT NO. <br />FEES <br />BUILDING $ <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />I PUBLIC WORKS <br />TOTAL <br />4 <br />45 100 <br />IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 6 2 5 8 <br />160 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />