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fheEvergreen -� �NSTRUCTION -� '�� <br />CITY OF <br />everett PERMIT PERMITNO. 2�� �� <br />259-881U <br />❑ DEMOLITION ❑ CO�,"BINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OIYNER IAAILACDfiE55 CITY 21P PNONE <br />Deborah & John Payne 1014 35th St. Everett 98201 252-5630 <br />'IENANT t�AILA00RE55 LrtY LIP PMONE <br />qPCMRECTOR0E51GNER MAILADDRE55 CITY Z�F PF:ONE <br />GENERAL CONTRACTOR MAIL ADDPESS CITV 21P PMONE LICENSE • <br />AIECHANICAL CONTRAGTOR MAIL AD�RE55 CITY ZIP PMONE LICENS[ � <br />PLUti�61NGCONTR4CTOP MAILAODAESS CRY ZIP PMONE UCENSEe <br />Owner <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION fh' ALTER,ITION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTAGT PERSON AND PMONE N0. IF OTHER THAN A90VE <br />CONTRACT PRICE OF WORK: S - <br />OFSCfl10E WOBN AND SOUAFE FOOTAGi INVOLVED <br />Lower water line _ <br />PROPOSEO USE OF BUiL�ING <br />SFR <br />LEGAL O[SLRIPTION OF PHOPERTY �SHOW BELOW OR AiTACM FOUR Jf,PIES� <br />LpT - BLOCK - OF <br />J00 ^^^ �iSS <br />1014 35th St. <br />PLUMBING <br />NT_ TYPE OF FI%TURE Ofl ITEM <br />LAVA'(ORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — fiAINLEA0ER5 <br />SINN (SERVICE — BAR. ETQ) <br />FfiONT SETBACK <br />USEZONE <br />7YPE OF CONSiPOf,iICN ALLON <br />S12E GF ��DG <br />OGCUPANCYLOAD <br />REASON FOR SPPINKLEF <br />APPLICATION ACC. DY <br />S.H. <br />SU6TOTAL <br />PEflM17 <br />TOTALFEE <br />REARSETBACN <br />lOT APEA <br />IYPE OF LONSIIIUCIION ACiW <br />NO. OF STOPIES <br />FlRE SPFINKLERS REO-D <br />❑ vE5 ❑ NO <br />APPROVE� <br />MECHANICAL <br />NO. TYPE OF EOUIP� <br />A/C — NHNOLG UNITS — H.P. <br />PORCED AIR SYSTEMS — 8 T.U. <br />UNIT HEATflRS — B.T.U. <br />CLOTHES DRYEFiS <br />VENTILATION FAN _ <br />RANGEHOOD �� <br />WATER HEATER <br />wOOD STOVE , � <br />ME7AL PIREPLACE 8 CNIMh{.�Y� <br />FIREPLACE INSERT a; � <br />HEATPUMP � <br />GAS PIPING ��I <br />EXHAUSTP.4N <br />S S OO SUBTOTAL <br />S 10 OO PERMIT <br />S 15 )0 70TALFEE <br />SiDE SETOACK PLAN CHECK NUMBER FEc <br />VACFNi SITE FEES <br />❑ YES ❑ NO <br />��o��• NoorowELUNGUNns BUILDING S <br />PLUMBING <br />OASEMENT <br />❑ YES ❑ NO MECHANICAL <br />HEIGHTLIM1IITATION OTHER <br />STATE BUII_DING SURCHARGE <br />STATEENERGI'SURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS 7pTAL <br />3105 WHEN PROPERLY VALI <br />PERMITS EXPIFE IF WORK IS NOT COMNIENCEU WITHIN <br />580 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />L <br />ADDRESS FILE <br />L�i <br />FEE <br />� <br />S <br />S <br />RECEIPT NO. <br />FEE <br />TED THIS IS YOU <br />r- �^ <br />C,,i�ll �1... <br />isloo <br />� <br />