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�a. � <br /> . CIN OFEVERETT }, <br /> CONSTRUG����� �`��: �� <br /> (425J 257-8810 P ER M i—i , <br /> _ ._ -- ...---- _ __. _ . � <br /> i. <br /> Permit Number: C62301 ADDRESS FILE copy <br /> SEPA Ciumber: <br /> Ieeue Oate: <br /> Job Addreea: 631 40TH PL Tenant Architect/Deeigr.er <br /> Owner <br /> ROOSMA JZH <br /> 631 40TH PL <br /> EVERETT WA 98201 <br /> 425 317-9526 <br /> General Contractor Plumbing contractor Mechanical contractor <br /> MEDEMA CONSTAUCTION <br /> 4903 73RD DR NE <br /> MARYSVILLE WA 98270 <br /> 653-i686---- <br /> MEDEifC**]19DU <br /> Type of Permit: COMBINATION Conta�t Peraon <br /> Heating Syetem: NONE OWNER <br /> WSEC Code: N <br /> i Deecription of Work: ROOF OVER PART OF EXZSTING DECK W/GAS B8Q <br /> Legal Deecr�ption/ 8019 000 037 0009 <br /> Property ID: <br /> Conetruction Lendo�: <br /> Propoaed Ueo of Building: SINGLE FAMILY AESIDENCE _ _ ___ ___c_�a__�______����Q__= <br /> _�__`_`___ ___'______`�_'_______�====a���=`____�==���CHANICAL <br /> PLUMBING <br /> Qty �ype of Fixture Fee Qty Type of Equipment je00 <br /> 1 GAS PIPING <br /> Sub Total Sub Total $7•00 <br /> __�______________________________�___ _ _ <br /> SETBACR Fi70TAGE OCCUPANCY Vacant Site? RYPE OF COKSTRJCTION <br /> Front 0.0 Load No. Dwelling unite: Allowable: <br /> Rear 0.0 Group Size of Bldg: Actual: <br /> Sidel 0.0 # Storiee Siz� of Gar: Uee 2one: <br /> Si.de2 0.0 Baeement7 Height Limit: Fire Sprinkler Req'd7 <br /> Lot Sz Reaeon For Fire Sprinklere: <br /> Remodel Sz: 140 Fire Alarm Req'd?____ Aeaeon For Fire Alarm_________________ <br /> ----------------------------------------- ------------- <br /> Plane Approved By: JH Plan Cherk lteceipt No: Fee: FEE <br /> FEE TYPES PERMIT VALUATION <br /> Building 1200 44.85 <br /> Plumbing 7,00 <br /> Mechanical <br /> Sprir.�ler <br /> other <br /> City of Everett Local St. Bldg. Surcharge 4.50 <br /> Salee Tax Code ie 3305 Public Works <br /> Additional Plan CheTOTAL 556.35 <br /> Permite axpire if work not comnenced within 180 daye or ceaeee more than 180 daye. <br /> ;.., <br /> .�, a . <br /> �� s. _s -�� �� � <br /> - �,� ui c+ a� o -o <br /> ._ �•. O O G9 Fa Y <br /> '`'' C 62301 <br /> ���. <br />