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theF.vITY OFF CITY <br />C <br />C INSTRUCTION <br />everett <br />PERMIT PERMIT NO. _ <br />22530 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION <br />O BUILDING M MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />James and Sandra Le Fevre <br />MAIL ADDRESS CITY ZIP <br />10906 3rd Dr SE Everett, WA 98208 398-0688 <br />PHONE <br />TENANT <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE• <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION D BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />wpli Woodstove installation <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 />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />_PEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B.T.U. M <br />_ <br />SHOWER <br />CLOTHESDRYERS <br />KITCHEN SINK d DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />1 <br />WOOD STOVE <br />'t <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE— BAR. ETC.) <br />SUBTOTAL $ <br />SUBTOTAL $ <br />30 <br />00 <br />PERMIT S <br />PE J 1 U <br />— <br />' ' <br />TOTAL FEE S <br />TOTAL FEE / <br />S 30 <br />00 <br />FRONT SETBACK <br />REARSETBACK <br />SIDESETBACK <br />PLAN CHECK NUMBER <br />mwuL'!ZINu <br />NECH $3 .00 <br />rucr,NO <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />O YES ❑ No <br />FEES <br />CODE <br />FEE <br />BUILDING <br />S <br />TYPE OF CDNSTRUCFION ALLOWABLE <br />TYB OF CONSTRUCTION ACTUAL <br />Nc' <br />NO DF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />30 <br />00 <br />OCCUPANCYLOAD FIRE SPRINKLERSREO'D HEIGHT LIMITATION <br />❑ YES CI NO <br />REASON FOR SPRINKLERS <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 />PUBLIC WORKS <br />TOTAL <br />30 <br />00 <br />WHFN PROPFRLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENr.ED WITHIN ADDRESS FILE 2 2 5 3I� <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />