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'hem'" OF � CONSTRUCTION '� everett PERMIT PERMIT No. 24194 <br />259-8810 <br />i.' DEMOLITION ❑ COMINATION &XNUILDING 0 MECHANICAL ❑ PLUMBING ❑ SIGN <br />D WINE I MAIL ADDRESS CRY ZIP PHONE <br />James Nillsag? 9 74th St SW Everett 98203 zz9-395d <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE - <br />Dean Pratt Builders 2109 9SR-4R1A POaTTnr*777PR <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE - <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION XRREPAIR 0 DEMOLITION ❑ BUILDING RELOCATION —_ <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ARCYE <br />CONTRACT PRICE OF WORN: $ -- <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Re -roof (21 sq of shake roof) <br />PROPOSED USE OF BUILDING <br />LEGAL SCRIPTION OF OPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT— BLOCK— OF <br />01/26/90 10:57RM 00040653 :Mat <br />JOB ADDRESS 900024194 <br />PLUMBING u <br />MECHANICAL E SRCII $4.50 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EOUMIMT $76. <br />0 FEE <br />WATER CLOSET (TOILET) <br />NC — A'HNDLO UNITS — H P <br />BATHTUB <br />FORCED AIR SYSTEMS -- B T U M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS —B.T.0 M — <br />SHOWER <br />CLOTIICS DRYERS <br />KITCHEN SINK 6 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIRFPLACE 6 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC) <br />- <br />SUBTOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTALFEE f <br />FRONT SETBACK <br />PEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEE$ <br />BUILDING CODE( <br />VALUATIb <br />BUILDING <br />$ 5.000.00 <br />72 <br />00 <br />TYK OFCONSTRUCTKNALOWARLE <br />TYPE DF CONSTRUCTOR ACTUAL <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES 0 NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS PEO 0 HEIGHT IMITATION <br />❑ YES ONO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />it <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />76 50 <br />YOUR PERMIT <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITHIN ADDRESS FILE 24194 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />