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`��'�` C ;;NSTRUCTIOIV � <br />- ciTv oF <br />everett PERMIT PERMITNO. 2�1U6� <br />259-8810 �C <br />❑ DEMOLITION LT COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL qDDFESS <br />Marvin Perloff 7401 20th Ave. SE 585� Olympia, WA 98053 438-6219 PMONE <br />TENANT MAILADDNESS CITY ZIP PHONE <br />AflCHITECT OR DESIGNEF MfJI AD�RESS CITY ZIP PHONE <br />GENERFICONTRACTOR MAILA�OHE55 <br />��TY Z�P PHONE LICENSE� <br />Owner <br />MECHANICAICONTRFCTOq MAILADDRESS CITY ZIP PHONE LICENSE� <br />PLUMBIN(iCONTRACTOR MAILp�DNE55 CITY 21P PHONE �ICENSC• <br />CLAS$ OF WpRK <br />O NEW ❑ ADDITION <br />❑ ALTEqATION <br />W REPAIH ❑ DEMOLITION � BUlLDING RELOCATION <br />CONTACT PERSON AN� PHONE NO. IF OTMEF TMAN ABOVE <br />CONTRACTPRICEOFWORK:$ HSO.00 <br />DESCflIBE WORN AND SOUARE FOOTAGE IhNO�VED �� <br />Repair aiding and rotted out areas of porch. Be�x� repair bathroom <br />PHOPOSED USE OF 6UILDING - <br />Single Family <br />LEGFL OESCRIPTION OF VROPEflTY �SMOW BELOW OR ATTALH FOUR COPIES� <br />LUi __ BLOCK-- OF <br />2104 Hi <br />PLUMFi1NG <br />NO. <br />BATHTUB <br />OR ITEM <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />UUNDRV TRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOfi DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, EfC.) <br />USEZONE <br />IVPE OF CONSiPI1CTI0N ALLOWABLE <br />512E OF BLUG <br />OCCUPANCYLOAD <br />HEASON FOP SPRINKLERS <br />APPUCATION ACC. BV <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />REAR SETBACK <br />LOT AREA <br />OF STOR�ES <br />FIRE SPRINKLERS REO'D <br />❑ VES ❑ NO <br />S <br />MECHANICAL <br />FEE N0. TYPE OF EQUIPI <br />S OO P✓C—A/HNDLGUNITS— .L <br />FORCED AIR SYSTEMS — B.T.U. <br />S OO UNITHEATERS—B.T.U. N� <br />CLO7HE5 DRYERS � <br />S OO YEN7ILATION FAN PLB <br />RANuEHOOD B 5 <br />WATER HEA7ER <br />WOODSTOVE <br />MEfA� fIREPLACE 8 CHIMNEV <br />FIREPLACEINSEFT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PEFMR <br />siDE sErenCK PLAN CHECK NUMBER <br />VACANT SITE <br />❑ ves ❑ No FEES <br />�°°�"�` No.oiOWEILINCUNITS dUILDING <br />cawv <br />PLUMBING <br />9ASEMENT <br />❑ YES ❑ NO MECHANICAL <br />MEIGMTLIMITaTION OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHAflGE <br />CITY OF EVERETT <br />LOCAL SAL�S PUBLIC WORKS <br />TAX CODE IS rora� <br />3105 yyHEN PROPERLY VF <br />FEE <br />�J <br />EA. <br />FEE <br />PERMITS EXPIR� !F WORK IS NOT COMMENC�D WITHIN pDDRESS FlLE 2 5 8 6 7 <br />i <br />180 DAYS OR CEASES FOR MORE THAN 780 DAYS. <br />