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9 Hx3 f/t <br />t1-3 <br />�HO"d <br />00 <br />It H 'TJ <br />CA H <br />O0T <br />0Hb <br />H [0�1 0 <br />(I] V <br />Z H 0 <br />r z <br />HH <br />0yH <br />00co <br />m <br />HOycco <br />f 1 <br />L! <br />rl <br />U <br />the Evergrem <br />CG'NSTRUCTION <br />CITYOF <br />everett <br />PERMIT <br />PERMIT NO. _ 25120 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING <br />® MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />W.H. DuesenUerg 3 lake Bellevue St. Bellevue <br />98005 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP PHONE LICENSE. <br />MEC f CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE. <br />PLUMBING CONTRACTOR <br />Oakota Heating and A/C <br />MAIL ADDRESS <br />12116 32nd Dr. SE )OM <br />CITY <br />Everett <br />ZIP PHONE LICENSE. <br />MKOTHA101MA <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION ❑ REPAIR <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />-- <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />07/19/90 6:39AM 00OA02697 UU <br />HVAC <br />403025120 <br />PROPOSED USE OF BUILDING <br />400025119 <br />Retail <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />CHEDI $330.00 <br />LOT _- BLOCK - OF <br />JOB ADDRESS <br />1Tn it OT' <br />PLUMBING u <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />_ <br />LAVATORY IWASH BASIN) <br />UNITHEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SN.'K & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE fl CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL f <br />SUBTOTAL f <br />l0O <br />00 <br />PERMIT f <br />PERMIT <br />f 15 <br />0 <br />TOTAL FEE <br />f <br />TOTAL FEE <br />f 115 <br />00 <br />FRONT SETBACK <br />REARSETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONSTRUCTION AUDNABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />115 <br />00 <br />OCCUPANCYLOAO I FIRE SPRINKLERS REO'0 HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED RV <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />115100 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 25120 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />