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CITY OF EVERETT <br />CONSTRUCTION <br />*259-Se-10 PERMIT PERMIT NO. 27282 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS CITY ZIP PHONE <br />Jerry Wainscott 1301 63rd St Everett 98203 353-7770 <br />TENANT AIL ADDRESS CITY ZIP PHONE <br />A9CHITECT OR DESIGNER MAILADDRESS CITY ZIP PHONE <br />GENERALCONTRACTOR MAILADDRESS CRY ZIP PHONE LICENSER <br />MECHANICAL CONTRACTOR MAILADDRESS CRY ZIP PHONE LICENSE. <br />Valley Nat Gas 2605 McDougall Everett 98201 259-5492 VALLENG143L1 <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE• <br />0 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND <br />CONTRACT PRICE OF WORK: $ 1,288.00 <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />Install furnace only <br />PROPOSED USE OF BUILDING <br />SFR n7aa/91 i-19pH nnca� 79n it <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT- BLOCK -OF H00027"80 <br />MECH $55.00 <br />400027282 <br />MECH 155.00 <br />4Onal=0.1 <br />JOB ADDRESS MECH $65.00 <br />1301 63rd St <br />PLUMBING <br />MECHANICAL MECH <br />$65.00 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUI <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A(HNDLG UNITS - H.P. <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />_ <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS -B.TU. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />I <br />GAS PIPING <br />HOOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL <br />8 <br />SUBTOTAL <br />i <br />40 <br />00 <br />_ <br />PERMIT <br />8 <br />PERMIT <br />i <br />1S <br />02 <br />TOTAL FEE <br />8 <br />TOTAL FEE <br />$1 <br />55 <br />60 <br />FRONTSETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT <br />NO <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />❑ YES O NO <br />FEES <br />—BUILDING ODE <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONSTRUCTONALLOWMAE <br />TYPE OF CONSTRUCTION <br />ACTUAL <br />Olbw <br />NDDFDWERNGMATS <br />PLUMBING <br />SIZE OF BLDG. <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />55 <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />- <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />55 <br />100 <br />wucM oonDFR1 v VAI <br />InATFn THIS <br />IS VOL1R PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 72 8 2 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE <br />