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dw E`'`ITO <br />('INSTRUCTION f <br />"� <br />everett <br />PERMIT <br />PERMIT NO. <br />26049 <br />259 -8810 <br />❑ DEMOLITION <br />G COMBINATION ❑ BUILDING [R MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Dean Nichols <br />606 - 33rd St. Everettt,ldA 259-1079 <br />_ <br />TENANT <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Owner <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSE <br />VECRANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSEP <br />Valley Nat Gas <br />2605 McDougall AVE. 259-5492 <br />VALLENG1531.1 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSEv <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION CXALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 1 $D$, DD <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install Furnace & AWH <br />PROPOSED USE OF BUILDING <br />_ Single Family <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK- Cr <br />- 33rd St. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF E :2 <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS - 84WOMOVA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS- B T.U. fU V <br />_ <br />SHOWER <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE & CHI" <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP - <br />BACKFLOW PREVENTERS <br />3 <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUSTFAN J <br />SINK (SERVICE - BAR. ETC.) <br />CHED,- <br />SUBTOTAL <br />$ <br />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTALFEE <br />$ <br />TOTALFEE $ <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZCNE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />ATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />�pl"�� <br />NO. Of ONiIUNG UNIiS <br />PLUMBING <br />SIZE OF BLDG. <br />NO, OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />55 <br />DD <br />OCCUPANCYLOAD FIRE SPRINKLERS RED D <br />I❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />55 <br />00 <br />wumm oonorm v vAI <br />InATPn TuIA IC <br />VnI IR PFRMIT <br />PERMITS EXPIRE IF WORK IS NOT COMML NrED WITHIN ADDRESS FILE 26049 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />