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0 " <br />t7l'ILI <br />Ly <br />>H <br />.OZS <br />aHc~i <br />r s <br />f< C7 <br />H '00 <br />w l-, <br />y r <br />o <br />H C7 <br />OH <br />ZO8 <br />z H <br />r z <br />H y <br />�N <br />c-) t7 En <br />[G <br />Z H Cn <br />I-3 O 14 <br />C3 <br />EATf l (INSTRUCTION <br />�I„ LII <br />everett PERMIT PERMIT NO. 2685 <br />259-8810 <br />❑ DEMOLITION <br />❑ COMBINATION J] BUILDING <br />O MECHANICAL L] PLUMBING SIGN <br />OWNIn <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Jose Susana <br />Prieto 2306 73 SE Everett) WA 98203 <br />347-2076 <br />_a <br />TENANT <br />MAIL ADDRESS <br />OITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />Design Lines <br />MAIL ADDRESS <br />20011 75th St. SE Everett,WA <br />Y <br />A64H49 D 03 <br />IP <br />353-0531 <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE. <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEA <br />CLASS OF WORK <br />❑ NEW O ADDITION OXALTERATION ❑ REPAIR ❑ DEMOLITION Cl BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO P OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK. $ <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />477 SF Convert Garage To Daycare Room <br />08/06/91 1:48PM ODOARS253 1#1:1 <br />PROPOSED USE Of BUILDING NDD026B52 <br />Child Care/Play Poom 96ya 64e6 90 <br />LEGAL DESCRIPTION OF PROPERTY I SHOW BELOW OR ATTACH FOUR COPIESI MECH $15 DO <br />LOT — BLOCK — Of - <br />8 SRCH $4.50 <br />In File 6IIE..I .— 60 <br />ADDRESS <br />2106 73rd St. <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 ITOILETI <br />AC A HNDLO UNITS - H P <br />BATHTUB <br />FORCED AIR SYSTEMS - B T U M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - BTU M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 6 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER ' <br />CLOTHESWASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EX RUST FAN <br />SINK (SERVICE - BAR. ETC I <br />SUBTOTAL <br />III <br />SUBTOTAL { <br />PERMIT <br />{ <br />PERMIT { <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />uU <br />FRONT SETBACK <br />-------- <br />PEAR SETBACK <br />Exising----------- <br />Sim S"PACK <br />PLAN CHECK NUMBER <br />91/26852 <br />FEE <br />46.80 <br />RECEIPT NO <br />49629 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANTS <br />u YES LXNo <br />FEES <br />BUILDING COD! VALUATION <br />FEE <br />BUILDING <br />S 10,732 <br />126 <br />00 <br />IVKM TANSIRUT.IFWAUCIVANI <br />V-N <br />RR P 4WSIPU tf(AA(:IIIAI <br />V-N <br />I'IwrP' <br />R-3 <br />MI DWIUMUMIS <br />1 <br />PLUMBING <br />SIZE OF OLDG <br />477 <br />NO OF STORIES <br />1 <br />BASEMENT <br />❑ YES [XNO <br />MECHANICAL <br />15 <br />00 <br />OCCUPANCY LOAD fIRE SMUNKLf RS REG D <br />N/A ❑ YES IXN0 <br />REAWN FOR SPRINKLERS <br />HFIGHT LIMITATION <br />28 <br />OTHER add. plan ck <br />35 <br />10 <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY <br />PLANS APPROVED BY <br />JII <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />180 <br />60 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 1110 DAYS. <br />26852 <br />