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the Evergreen-� <br />CITY OF <br />C-�NSTRUCTION <br />� c <br />26190 <br />everei t <br />PERMIT PERMIT NO. _ <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION M BUILDING ❑ MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />Margaret Nolan 2208 22nd St Everett 98201 252-0615 <br />TENANT <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE. <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION %1 REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: S <br />500.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />15' x 30' reroof of <br />garage <br />PROPOSED USE OF BUILDING <br />garage <br />LEGAL DESCRIPTION OF PROPERTY (SHOW <br />BELOW OR ATTACH FI. UR COPIES) <br />E <br />50' of Lots 1 & 2, Block 473, Capital Hill Add. <br />LOT - BLOCK --- OF <br />11g6TTRE'/Onr4 CH <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />OFEQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />LG UNITS — H.PBATHTUB <br />SYSTEMS — B.T.U. M EALAVATORY <br />(WASH BASIN) <br />NOFEQUIPMENTTYPE <br />RS — B.T.U. N1 <br />SHOWER <br />YERSKITCHEN <br />SINK 8 DISP. <br />N FANDISHWASHERD <br />LAUNDRVTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIM Y <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT ` <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />HEAT PUMP <br />GAS PIPING ' <br />ROOF DRAINS — RAINLEADERS <br />E%HAUST FAN <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL f <br />SUBTOTAL S <br />PERMIT S <br />PERMIT <br />$ <br />TOTALFEE <br />$ <br />TOTALFEE <br />$ <br />FRONT SETBACK <br />REARSETBACK SIDESETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILOINGCODE VALUATION — <br />FEE <br />BUILDING <br />S 500 00 <br />15 <br />OO <br />TYPE Of CONSTRUCTION ALLOWABLE <br />PPE OF CONSTRUCTION ACTUAL <br />occur^rcv <br />GPW. <br />NO OF DWELLING UNI75 <br />PLUMBING <br />SIZE OF BLDG. <br />70.0F STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRESPRINKLERSREO'D HEIGHT :IMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC, BY <br />M.M. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />L <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />19 <br />0 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />AUURESS FILE <br />26190 <br />