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CITY OF EVERETT <br />CONSTRUCTION <br />PERMIT PERMIT NO. 2821.0 <br />*25f0 <br />❑ DEMOLITION ❑COMBINATION ❑ BUILDING kkMECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS CITY ZIP PRONE <br />Sandra Richards 1328 - 73rd St Everett, WA 98203 355-1042 <br />TENANT MAILADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAILADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAILADDRESS CITY ZIP FaONE LICENSE <br />MECHANICAL CONTRACTOR MAILADDRESS CITY 710 PHONE LICENSE <br />Valley Nat. Gas 2605 McDougall Everett 98201 259-5492 VALLENG153L1 <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION Al ALTERATION ❑ REPAIR ❑ DEMOLITION 0 BUILDING RELOCATION <br />PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SO ARE FOOTAGE INVOLVED <br />Install gas furnace <br />PROPOSED USE OF BUIL nINO <br />Single family residence <br />LEGAL DESCRIPTION OF PROPEIITY(SHOW BELOW OR ATTACH FOUR COI ITS; <br />LOT- BLOCK _ OP <br />MECH 1,55.00 <br />MECH $65.00 <br />e4fie` 4 JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />ABC - AMNDLG UNITS - N.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-0 TU, MEA. <br />_ <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS -B.TU. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE A CHIMNEY <br />URINAL <br />ORRIKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PI IF <br />BACKFLOW PREVENTERS <br />I <br />OAS P' ING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUSTFAN <br />SINK (SERVICE - BAR, ETC.) <br />_SUBTOTAL f <br />PERMIT f <br />SUBTOTAL <br />PERMIT <br />t 40 <br />t 15 <br />OO_ <br />00 <br />FRONT SETBACK <br />TOTALFEE <br />PEAR SETBACK <br />f <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />TOTAL FEE <br />f 55 <br />RECEIPTNO. <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />❑YES ❑ NO <br />FEES <br />NAGICCO�E <br />FEE <br />BUILDING <br />klEE <br />TYPE O DDNSTRUCRON ALLOWABLE <br />TI PE O CONSTRUCTIONACTUAL <br />OCgW <br />NO OFDATUMUAS <br />PLUMBING <br />SIZE OF BLDO <br />NO OF STORIES <br />BASEMENT <br />'] YES ❑ NO <br />MECHANICAL <br />55 <br />DD <br />OCCUPANCYLOAO FIRESPRINHLERS REDO HEIGHT LIMITATION <br />I] YES ❑ NO <br />REASON FOR OPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLMATKNN ACC BY <br />PIANSAPPROVEDBY <br />CITY OF EVERETT <br />LOCAL SALES <br />LOCAL <br />TAX CODE IS <br />2T05 <br />PUBLIC WORKS <br />TOTAL <br />55 <br />00 <br />WHFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AnOHESS Fit E 28210 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />