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`AeFtCCITY F' '� rONSTRUCTION <br /> everett PERMIT PERMIT NU. 23233 <br /> 259 -8810 y{[ <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING lS MECHANICAL PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS CITY aI' PHONE <br /> TOM Balderree 303 60th St. Everett 98203 355-4438 _ <br /> TENANT MAIL ADDRESS CITY IIP PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY IIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY IIP P HONF LICENSE F <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY IIP PHONE LICENSE <br /> Owner <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE LICENSE <br /> CI.ASS or WORK <br /> ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING RELOCATION <br /> CONTACT PERSON AND RHONE NO IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br /> Isntall a woodstove <br /> PROPOSED USE OF BUILDING <br /> SFR _ <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR CORESI <br /> LOT- BLOCK- OF <br /> JOB ADDRESS <br /> 303 hailk 60th St. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H R <br /> BATHTUB FORCED AIR SYSTEMS—BZU. MEA. <br /> LAVATORY(WASH BASINI UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS _ <br /> KITCHEN SINK 6 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD - <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE S CHIM " <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP _ <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL f SUBTOTAL fin on <br /> PERMIT f PERMIT S <br /> TOTALFEE f TOTALFEE f31) <br /> FRONT SETBACK AFAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE BUILDING CODE FEE <br /> ❑YES ❑NO FEESALURON <br /> TYPE OF CBNSTRM:IOK AUONABLE TYPE OF CONSIRUCTKM ACTUAL =~,• NDOFDATLIBMIUMTS BUILDING $ <br /> PLUMBING <br /> SIZE OF BLDG NO OF STORIES BASEMENT <br /> O YES ❑NO MECHANICAL <br /> OCCUPANCYLOAD FIRE SPAIN4LERSREOD HEIGHTUMITATION OTHER <br /> ❑YES ❑NO <br /> REASON FOR SPRINKLERS STATE BUILCING SURCHARGE <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACC BY PLAITS APPROVED BY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 30 00 <br /> S.H. 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br /> AMIN`55 I It k _ <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />