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the F <br />look,C"NSTRUCTION <br />CITY <br />CITY OF <br />everett <br />PERMIT PERMIT NO. <br />/� <br />22246 <br />259-8810 <br />❑ DEMOLITION '4 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS I.ITY ZIP <br />PHONE <br />Great NW Const. <br />2721 116th St. SE Everett 98208 337-7153 <br />TENANT <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE• <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR <br />MAILADDRCSS CITY ZIP <br />PHONE <br />LICENSE <br />CLASS OF WORK <br />30 NEW ❑ ADDITION <br />O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CON)ACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SOUARE FOOTAOE INVOLVED <br />New Construction <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PRUPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />6 <br />Caroleda Grove <br />LOT - BLOCK - OF <br />JOB ADDRESS <br />=:, — <br />qn -7 - 7 Z hd -W- s�= <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 />10 <br />00 <br />AiC - AIHNOLO UNITS - H P. <br />2 <br />BATHTUB <br />10 <br />00 <br />FORCED AIR SYSTEMS- B.T.U. M EA. <br />2 <br />LAVATORY (WASH BASIN) <br />10 <br />DO <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />1 <br />CLOTHES DRYERS <br />6 <br />50 <br />_ <br />1 <br />KITCHEN SINK S DISP. <br />5 <br />00 <br />VENTILATION FAN <br />1 <br />DISHWASHER <br />5 <br />00 <br />1 <br />RANGEHOOD <br />6 <br />50 <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />6 <br />50 _ <br />1 <br />CLOTHES WASHER <br />5 <br />00 <br />WOOD STOVE <br />URINAL <br />1 <br />METAL FIREPLACE A CHIMNEY <br />30 <br />00 <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.) <br />SUBTOTAL <br />S <br />45 <br />00 <br />SUBTOTAL S <br />49 <br />50 <br />PERMIT <br />S <br />PERMIT S <br />TOTALFEE <br />S <br />TO <br />0F063 <br />111 <br />FRONT SETBACK <br />20 <br />BEAR SETBACK <br />20 <br />SIDE SETBACK <br />6 <br />PLANCHECKNUMBER <br />89/21874 <br />FEE / <br />NO�lie"d46 <br />RECEIPT NO <br />USE ZONE <br />R-1 <br />LOT AREA <br />8700 <br />VACANT SITE <br />L�fYES ONO <br />FEESp6gfl <br />WMiV IRO CO <br />FEE <br />BUILDING <br />A <br />.50 484 <br />00 <br />TYPE Of CONSIRUCION ALLOWABLE <br />V-N <br />TYPE OF CONSTRIICTIN ACTUAL <br />V-N <br />R-3 <br />NO BF DWFILMG UMT6 <br />1 <br />PLUMBING <br />8 SRCH S <br />.50 <br />45 <br />00 <br />SIZE OF B.DG <br />1335 <br />NO OF STORIES <br />1 <br />BASEMENT <br />O YES 3E3 NO <br />MECHANICAL <br />DRV�Wy St <br />. DO 49 <br />5 <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'D <br />N/A ❑ YES ClKNO <br />REASON FDA SPRINKLERS <br />HEIGHT LIMITATION <br />28 <br />OTHER <br />N000a7215 <br />STATE BUILDING SURCHARGE <br />BKD 1 <br />5STATE <br />ENERGY SURCHARGE <br />:$601.00 <br />1171-5 <br />.00 1500 <br />APPLICATION ACC. BY <br />S.H. _ <br />PLANS APPROVED BY <br />J.W. <br />CITY OF EVERETTLOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />WATER <br />.DO <br />TOTAL <br />HECK S <br />'0 617100 <br />WHPN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 22246 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />