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T <br /> Thr Ev CITY OF C 'I(SIISTRUCTION <br /> everett PERMIT PERMITNO. <br /> 259 -8810 <br /> C DEMOLITION KRCOMBINATION HKBUILDINO MECt1ANICAL Li PLOMRI NG U SIGN <br /> OWTRR MAIL ADDRESS I '+I <br /> Franasen/Vierthaler 5821 Central Dr. Everett 98204 745-6918 ' <br /> Tf NANT MAIL ADDRESS CITY :u• ATONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> 353-0531 <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY DP PHONE LICENSE. <br /> MECHANICAL CONLNACTOII MAR ADDRESS CITY ZIP PHONE LICENSE. <br /> (� PLUMBING CGNYRACIOR MAIL ADDRESS CITY DP PHONE LICENSE <br /> .�T. is CLASS OF WORN <br /> FjL lLl LAxIEW EI ADDITION ❑ALTERATION ❑ REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br /> Q 191'3 CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br /> s y� ca CONTRACT PRICE OF WORK$ Gunter Vierthaler 745-6918 <br /> tM" DESCRIBE WORK AND SQUARE FOOTAGE INVOW[O <br /> F3 F1 Construct new duplex <br /> 1< n <br /> 00 = f401 1^0 91 6't13DH nnnABCASo tttt <br /> CAI H PROPOSED I ISE OF MIILDING <br /> y Duplex <br /> Q � IEGAI DESCRIPTION Of PROPERTV(SHOW BEL OW OR ATTACH FOIA(COPIE51 BLDG $1018.50 <br /> 0 H g ori_BLOCK_Of Sp 25-89 <br /> W(1TEi $330 00 <br /> 800007073 <br /> ow 0 49=9999 <br /> H SEWER. $949.00 <br /> tO I W. RN 1129 09 <br /> y F3 JOB ADDRESS CHECK $2117.50 <br /> H 13 - 76th St SE <br /> n d SN�II <br /> PLUMBING MECHANICAL <br /> LA7 NOTYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 1 Ea WATLR CLOSET(TOILET( AeC-A'HNDLG UNITS-H P <br /> CAI 61 <br /> 4 BATHTUB FORCED AIR SYSTEMS-e T U MEA <br /> 6 LAVATORY(WASH BASIN( 2 UNICLT HES ERS DRYER B T U M <br /> SHOWER 2 CLOTHES DRYERS <br /> 2 KITCHEN SINK 6 DISP 6 VENTILATION FAN <br /> 1 2 DISHWASHER 2 RANGEHOOD <br /> LAUNDRY TRAY 2 WATER HEATER <br /> c� <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL 2 METAL FIREPLACE&CHIMNEY 60 00 <br /> DEINKING FOUNTAIN FIREPLACE INSERT <br /> FI OOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS X GAS PIPING <br /> ROOF DRAINS-RAINLEAOERS 2 EKHAUSTFAN <br /> SINK(SERVICE-BAR.ETC) 10 under <br /> _ new housina units 2000sf 120 0 <br /> f ,mw' BUB TOTAL f SUB TOTAL <br /> 416 . <br /> PERMIT PERMIT <br /> TOTALFEE120 50 TOTAL FEE <br /> ' 1Wilms,' FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NJ <br /> 201 20' S 90/25605 BASIC 41711 <br /> USE ZONE LOT AREA VACANT SITE FEES BUILDING DOGE FEE <br /> _ 82148$ YES ❑NO <br /> 1 1� VALUATION <br /> TrRaEaNSTwETIOR AuarATue nrtaEanTRucTnK ACTUAL �;,�,tT' wanival ;oan BUILDING 5 1 4 2 <br /> cL V-N V-N R-3 1 2 PLUMBING <br /> SIZE OF BLDG NO OF STORIES BASEMENT <br /> 2714sf+800sf garage 2 ❑YES WO MECHANICAL 180 00 <br /> OCCUPANCYLOAO FIRE SPRINKLER5REOD HEIGH?LIMITATION OTHER <br /> n a O YES ANO 281 <br /> STATE BUILDING SURCHARGE 6 <br /> REASON FOR SPRINALERs <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACC BY -. 'S APPROVED BY CITY OF EVEHETT <br /> LOCAL SALES ruaucwoRKs 20 00 <br /> TAX CODE IS ITOTAL 1,018 50 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT CO6'1$ENCED WITHIN ADDRESS FILE 25606 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />