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the F_'o"` <br />CITy Oi CONSTRUCTION CITY <br />everett PERMIT PERMIT NO. 24401 <br />259-8810 <br />n DEMOLITION ❑ COMBINATION [$ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITI <br />ZIP <br />PHONE <br />Elliott R. Medoff <br />P.O. Box 2485 Everett, WA <br />98203 <br />355-1757 <br />TENANT <br />MAIL ADDRESS <br />GTY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />OITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />Owner- <br />MECHANICALCONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK l4 <br />❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR CkDEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OIHLR THAN ADUVL <br />CONTRACT PRICE OF WORK $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Dismantle old storage shed - workshop and old sundeck <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT 2 BLOCK —OF Edaewood <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC - AMNDLG UNITS - H P. <br />BATHTUB <br />FORCED AIR SYSTEMS - B T U M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />CLOT 4ES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILA110N FAN <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 6 CHIMNEY <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 />f <br />SU <br />PERMIT <br />f <br />PERMIT f <br />TOTALFEE <br />f <br />TOT f <br />FRONT SETBACK <br />88, <br />REAR SETBACK <br />27' <br />SIDE SETBACK <br />51 <br />PLAN CHECK NUMBER <br />CASH i <br />EIPT NO <br />.50 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />DEB <br />BUILOINO cODF <br />FEE <br />BUILDING _ <br />S _D_ <br />_ _ <br />TYPE OFCONSTRUCTONAIIBIYABU <br />TYPE OF CONSIRUCTON ACTUAL <br />��` <br />NO aONTIIING UPoIS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS TIED D HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M.M. <br />PI ANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105I <br />PUBLIC WORK$ <br />TOTAL <br />9 <br />50 <br />WNFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCCD WITHIN ADURLSS f 11 f <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />24401 <br />