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I 1 <br />u <br />II" S <br />u <br />0-1 <br />'a <br />_r <br />I <br />the Evergreen <br />Y <br />CITY OF <br />CITY <br />`' V-INSTRUCTION <br />25126 <br />everett <br />PERMIT PERMIT NO. _ <br />259-8810 <br />❑ BUILDING El MECHANICAL g}PLUMBIN <br />❑SIGN <br />❑ DEMOLITION [I COMBINATION <br />ZIP <br />PHONE <br />MAIL AOCRESS CITY <br />OWNER <br />D & D Investment <br />_ <br />MAIL ADDRESS CITY 21P <br />PHONE <br />TENANT <br />CITY ZIP <br />MAIL ADDRESS <br />PHONE <br />ARCHITECT OR DESIGNER <br />CITY ZIP <br />PHONE LICENSE+ <br />GENERAL CONTRACTOR <br />Breashears Const. 111 <br />MAIL ADDRESS <br />Everett Mall Wa D201 Everett 98208 ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />LwIL AOORESS CITY <br />CITY ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />Arlin gton 435-8363 <br />MANN*DL260BL <br />Mann oonst (Danny Mann <br />Landscaper) <br />CLASS OF WORK <br />❑ ALTERATION ❑ REPAIR O DEMOLITION ❑BUILDING RELOCATION <br />[I NEW ❑ ADDITION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AN O SOUARE FOOTAGE INVOLVED <br />Backflow psxaKx prevention valve for underground sprinkling system <br />LOT _- BLOCK - OF <br />PLEG $15.00 <br />)8 ADDRESS <br />11110 - 7th Ave SE <br />PLUMBING MECHANICAL <br />FEE NOTYPE OF EOUIF <br />. <br />NO. TYPE OF FIXTURE OR ITEM A/C — AmNDLG UNITS — H.P. <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS — BLl <br />BATHTUB <br />UNIT -'EATERS —B.T.U. <br />LAVATORY (WASH BASIN) CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK & DISP. RANGE HOOD <br />DISHWASHER <br />WATER HEATER <br />CLOTHES WASHER <br />LACE 8 <br />URINAL <br />FIREPLACE <br />DRINKING FOUNTAIN <br />RGASPIPING <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />N <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />AR SETL CK S <br />USE ZONE <br />LOT AREA <br />^" -` <br />❑ YES ❑ NO <br />TYPE OF CONSiflUCT10N ALLOWABLE <br />TYPE OF CONGiflUCLION ACTUAL <br />V- <br />MLOFONTUINGUN' <br />SIZE OF SLOG. <br />NO OF STORIES <br />BASEMENT <br />❑ YES O NO <br />OCCUPANOYLOAD <br />FIRE SPRINKLERS RED <br />HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />APPLICATION ACC_ BY <br />PLANS APPROVED BY <br />CITY OF EVERET'f <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />SUBTOTAL <br />M EA, <br />M <br />FEE <br />PERMIT S <br />TOTALFEE $ <br />PLAN CHECK NUMBER FEE RECEIPT NO, <br />TOTAL <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />25126 <br />