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the '`'ciA'()I 1NSTRUCTION <br />everett PERMIT PERMIT NO.. 22380 <br />259-8810 <br />❑ DEMOLITION 81 COMBINATION O BUILDING ❑ MECHANICAL L. PLUMBINO 1] SIGN <br />9WNER MAIL ADDRESS CITY ZIP PHONE <br />Norm Schulz 212 2518 Taylor Dr. Everett 98203 353-7472 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />NSC General Constractors, Ion. 2518 Taylor Dr. Everett 353-7432 NSCGECI13o4 _ <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZP PHONE LICLNSE0 <br />PLUMBING CONTRACTOR MAIL ACRI CITY ZIP PHONE LICENSER <br />CLASS Of WORK <br />M NEW 0 ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTAOr PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: E _ <br />OESCR IBE WORK AND SOUARE FOOTAGE INVOLVE - <br />New Construction <br />PROPOSED USE Of BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />10 2 Plat of Pinehurst Div A <br />LOT — BLOCK — OF <br />2101 62nd St. SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />in <br />irio <br />A/C - A)HNDLO UNITS -H.P <br />1 <br />BATHTUB <br />5 <br />00 <br />FORCED AIR SYSTEMS - B F U. <br />M EA <br />2 <br />LAVATORY (WASH BASIN) <br />in <br />On <br />UNIT HEATERS - B T,U' <br />M <br />1 <br />SHOWER <br />CLOTHES DRYERS <br />1 <br />KITCHEN SINK & DISP <br />5 <br />2 <br />VENTILATION FAN <br />9 <br />nn <br />1 <br />DISHWASHER <br />5 <br />On <br />1 <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />1 <br />CLOTHES WASHER <br />WOOD STOVE <br />URNAL <br />METAL FIREPLACE B CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />44 180 <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEAOERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.) <br />UKVZ <br />Y <br />BUB TOTAL { <br />SUB <br />L 724 7 ! <br />PERMIT <br />{ <br />PER <br />1 <br />TOTAL FEE <br />111 <br />45 <br />EQ <br />TOTA' <br />E ' It <br />FRONT SETBACK <br />20 <br />REAR SETBACK <br />20 <br />SIDE SETBACK <br />5 s 10 <br />PLAN CHECK NUMBER <br />89/22380 <br />00 <br />(', I Ep <br />6:75 <br />EIPT NO <br />RA3231 <br />USE ZONE <br />_ <br />LOT AREA <br />VACANT SITE <br />Yes ❑ No <br />FEES <br />oeo <br />FEE <br />_ <br />BUILDING <br />EIR M CONSTRUCTION AILaYABLE <br />TYPE OF CONSTRUCTOR ACTUAL <br />`NO <br />- <br />BF DNELLIISVNIrs <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES 3p NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINNLFRS REUU <br />O YES i17 NO <br />REASON FOR SPRINKLERS <br />A <br />HEIGHT LIMITATION <br />28 <br />TITHER <br />STATE BUILDING SURCHARGE <br />- <br />STATE ENERGY SURCHARGE <br />nn <br />APPLICATION ACC BY <br />M.M. <br />PLANSAPPROVEDBY <br />J.W. <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />WHEN PREYPPRLV %tkt <br />inATED THIS IS <br />VnUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED W17HIN ADDRESS FILE G J 3 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />