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A <br />H It-4 <br />H j1 <br />W H <br />yt'n�gH <br />Os <br />Hu <br />OH <br />NCg <br />ZH <br />�0 <br />HH <br />H <br />C] C [[tAI <br />1-3 o CA <br />loft All� <br />� �AwI <br />the Evergreen <br />CITY OF <br />everett <br />259-8810 <br />❑ DEMOLITION <br />CO. <br />ARCHITECT OR <br />CINSTRUCTION <br />PERMIT <br />❑ COMBINATION <br />MAIL ADDRE: <br />PO Box 3707 MS <br />PERMIT NO. _ 27002 <br />❑ BUILDING ❑ MECHANICAL <br />MAILADDRESS <br />❑ SIGN <br />CITY [IY 1-1- <br />wA 98124 342-0871 <br />a <br />CITY ZIP PHONE b <br />CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE II <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />Nardone Mechanical Contractors Inc. 21431 - 72nd Ave w Edmonds 98026 776-6200 NARDOMC152B2 <br />CLASS OF WORK <br />AR NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION 0 BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />Install 2lumbinci in new activity center <br />05/14/91 9:46Ati 000RN6966 kk:Kk <br />PROPOSED USE OF BUILDING H00027002 <br />Activity Center PIP R117n_nR _ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI CHECK $1170.00 <br />LOT— BLOCK— OF <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AlHNOLG UNITS — H P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS —B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK d DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />14 <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN j, <br />FIREPLACE INSERT <br />27 <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />HEAT PUMP <br />GAS PIPING <br />28 <br />ROOF DRAINS — RAINLEADERS <br />E%ROUST FAN <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />10 <br />00 <br />PERMIT S <br />TOTALFEE <br />f 1.170 <br />TOTALFEE <br />f <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />PLUMBING <br />1,170 <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'0 HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />_ <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />L <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />j WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />"'i <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />27002z <br />