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the tiE <br />a ryOF <br />CONSTRUCTION <br />r <br />e PERMIT PERMIT NO. 27187 <br />59-8818810 <br />259 <br />0 DEMOLITION C3 COMBINATION CXBUILDING ❑ MECHANICAL CIPLUMBINGOWNER ❑ SIGN <br />Gerald Leal= —L MAIL nOPIFSS CITY ZIP PZNE <br />_y 1708 63rd St Everett 98203 355-1093 <br />TENANT MAIL ADDRESS CITY <br />TIP PHONE <br />OR DESIGNER MAIL App11E55 CITY <br />11P %TONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONT <br />Everett Builders, Inc 5606 Evergreen Way Everett 98203 353-7161 <br />MECHANICAL CONTRACTOR EVEREBA <br />MAIL AGIMFse _._.. <br />PLUMBING CONTRACTOR MAIL A7ORE55 CITY ZIP <br />PHONE LICENSEa <br />CLASS OF WORK <br />O NEW ❑ ADDITION ❑ ALTERATION <br />CONTRACT PRICE OF WORK: $ 2967 <br />01 REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />Reroof (Partial approx. 5 sq.) and gutters and downspouts <br />PROPOSED USE OF BUILDING / <br />LEGAL DESCRIPTION OF PROPERTY )SNOW BELOW OR ATTACH FOUR COPIES) BLDG $54.00 <br />LOT_ BLOCK_ OF CHECH $58.50 <br />1708 63rd St �E <br />PLUMBING <br />MRcueulrwl <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />Ho. <br />TYPE OF EOUIPMENT <br />A/C - A/HNDLG UNITS <br />FEE <br />BATHTUB <br />1'ORCED AIR SYSTEMS -BTU. M EA. <br />LAVATORY (WASH SAFIN) <br />UNIT HEATERS - B.T U. M <br />SHOWER <br />_ <br />CLOTHES DRYERS <br />KITCHEN SINK S DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE MOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE f CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAB PIPING <br />ROOF DRAINS - RAMLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.I <br />SUBTOTAL <br />f <br />SUBTOTAL <br />{ <br />PITRMIT <br />f <br />PERMIT <br />TOTAL FEE <br />{ <br />{ <br />TOTAL FEE <br />REAR SETBACK <br />{ <br />SIDE SETBACK <br />FRONTSETRACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILOINO CODEVALUATIQ <br />FEE <br />54 0 <br />TYPE OF CBNSIRUCTpN ALTPYABIF <br />TYPE OF CONSTRUCTION ADUAI <br />U OF DWTIIINGU'U15 <br />3UILDING <br />E 2967 <br />PLUMBING <br />SIZE OF BLDG <br />NO OF ST[RIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REOD <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />APPLICATION ACC BY PLANS APPROVED By <br />HEIGHT LIMITATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />0 <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />58 <br />nncn rmurcnLT VAL..IUA 1 tU THIS IS YOUR PERMIT <br />c <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 27187 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE <br />