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�� CITY OF EVERETT <br /> �Jl� CONSTRUCTIaN <br /> � PERMIT <br /> 259•8870 <br /> Permit t7umber: P4144` ADDAESS FILE copy <br /> SEPA Number: <br /> Ieoue Date: 07/�6 93 <br /> Job Addreo�: 631-4 TH PL Tenant Arthitect/�esigner <br /> awner <br /> DALLY HOMES INC <br /> 3420 t'ASTLNRE AVF. " C200 <br /> SEATTLE b7A 99102 <br /> 328-3770 <br /> General Cont-ector Plumbing Contractor Mechantcal Contractor <br /> P/1CIFIC t7W PLUMBING INC <br /> Po Box 82239 <br /> KENMORE WA 98028 <br /> 403-2585---- <br /> PACIFIlP164CM <br /> Tppe of 2eLmit: PLUMB7t7G Cont�ct PCYenn <br /> L'eating System: Not�e <br /> WSSC Code: <br /> Denc[tption oE Wark: PLUMB NEW NOOSE <br /> Legal Description/ <br /> Froperty TD: <br /> Conet[uction Lendee: <br /> Proposed Uee of BuSlding: SINGLE FAMILY RESIDENCE <br /> ___y =p=PLUM�ING=='="__'______'__"___�__"_="'==MECHANICAL===='______________'__ <br /> 4�2 OATHTUef Fixtu[e 14ne�0 Qty Type of Equipment Fee <br /> 1 CLOTHES WASHER 7•00 <br /> 1 OISHWASNEA 7.00 <br /> 1 KITCHEN SINI( 6 DISPOSPL 7.00 <br /> 5 LAVATORY (WASH DASIN) 35.00 <br /> 1 SIiOWER �•�� <br /> 9 WATER CLOSET (TOILET) zi.00 <br /> PLIIMBINC PERMIT 20.00 � <br /> Sub To[al 5118.00 Sub To[al <br /> ____________________'___'__"_ <br /> SETBACR FOOTACE �CCUPANCY Vacant Site? TYPE OF COt75TRUCTION <br /> Front 0.0 Load No. Owelling unita: A1lowable: <br /> Aear 0.0 Group Slze of Hldg: Actual: <br /> 5ide1 0.0 0 5torieo Size of Gar: Use Zone: <br /> Side2 0.0 Basement? Nelgh[ Limit: eire Sprinkler Req'd? <br /> Lot Sz Reason For Fire Sprinkler9: <br /> Fire Alarm Req'd? Reaeon For Fire Alarm: <br /> "'__"""__"'_____"__'__'__"__""_'_'_"_"__'__'_"_'_""______"'_"'_"'_' <br /> Plana Approved By: Plan Check Receip[ No: Fee: FEE <br /> FEE TYPES CONSTRUCTI0:7 VnLUATIOt7 <br /> Building <br /> Plumbing 118.00 <br /> Nechanical <br /> Sprinkler <br /> Other <br /> City of Evere[t Local 5[. Oldg. Surcharge <br /> Salee Tax Code ie 3105 Pu61ic Worke , <br /> Additional Plan Check Fee � <br /> TOTAL 5118.00 <br /> FermSte expiro iE work not tommented with_n 190 dayo or ceaoea more than 180 daya. <br /> P 41445 <br /> �I�iRwla'I'����`i.�l � <br />