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�ITY OF FVERETT <br /> ���VSTRUCTI�I� <br /> 259-8810 P E R M IT <br /> Permit Number: B41558 ADDRE�S FILE copy <br /> SEPA Number: <br /> Isaue Date: <br /> Job Address: 3028 12TH ST <br /> Owner Tenant Archit?ct/Deaigner <br /> N(:UYEN ONG <br /> Po BOX 4452 <br /> KENT WA 98032 <br /> 824-3134 <br /> General Contractor Plambing Contractor Mechanical Contractor <br /> OWNER <br /> Type of Permit: BUILDING Contact Person <br /> ' Heating System: NONE <br /> WSzC COde: N <br /> Description of Work: RE-RoOF <br /> Legal Description/ <br /> Property ID: <br /> Construction Lender: <br /> Proposed Use of Building: <br /> _____________________________________________________________________________________ <br /> PLUMBING MECHANICAL <br /> Qty Type of Fixture Fee qty Type of Equipment Fee <br /> Sub Total Sub Total <br /> ____________________________________________- ---- <br /> -_______________________________________ <br /> � SETBACK FOOTAGE OCCUPANr..y Vacant Sice? TYPE OF CONSTRUCTION <br /> Front 0.0 Load No. Dwelling units: Allowable: <br /> Rear 0.0 Group Size of Bldg: Actual: <br /> . Sidel 0.0 # Stories Size of Gar: Use 2one: <br /> Side2 0.0 Basement? Height Limit: Fire sprinkler Feg•d? <br /> � Lot Sz Reason For Fire Sprinklers: <br /> Fire Alarm Req'd? Reason For Fire Alarm: <br /> ---------------------------------------------------------"-------------------------- <br /> Plane Approved By: Plan Check Receipt No: Fee: FEE <br /> FEE TYPES CONSTRUCTION VALUATION <br /> Building 2000 45.00 <br /> Plumbing <br /> Mechanical <br /> sprinkler <br /> Other <br /> City of Everett Local St. Bldg. Surcharae 4.50 <br /> Sales Tax Code is 3105 Public Works <br /> Additional Plan Check Fee <br /> . iOTAL S49.50 <br /> Permits expire if. work not commenced within 180 days or cease� more than 180 days. <br /> B 41558 <br /> I <br /> I - -- <br />