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the F.ln "A•- <br />CITYITY Oi Oi <br />rONSTRUCTION '"'R" <br />everett <br />PERMIT PERMIT No. <br />23767 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION [S BUILDING ❑ MECHANICAL i PLUMBING <br />O SIGN <br />OYMER <br />MA,I ADDRESS CT1 )R' <br />PHONE <br />T A a Tnunatmeini, <br />P O Box 1796 Everett 98206 347-1944 — <br />- <br />TENANT <br />MAIL ADDRESS CITY III, <br />PHONE <br />G!c� <br />Blue Streak Finishers <br />P.O. Box 1796 Everett 98206 347-1944 <br />y En <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />H <br />Scott Miller Arch <br />10306 NE loth #109 Bellevue 98004 455-5549 <br />53 <br />"yz <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />IRHONE <br />LICENSE. <br />Ou%N <br />m o <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS I" ZIP <br />PHONE <br />LICENSE. <br />Tn H <br />F3O <br />RUMBINOCONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE. <br />H C1 <br />O n <br />CLASS OF WORK <br />�.I t0 <br />OT(IEW ❑ ADDITION <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />'nK CD <br />H <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />Z y <br />CONTRACT PRICE Of WORK: $ <br />CY" <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />HH <br />Cyy <br />New E'GnatrucN on <br />n uC4 <br />m�FFptL,�HII� <br />PROPOSED USE Of BUILDING <br />y0 CA <br />Man Hf t Hri n� ' <br />re / Aas Mhlyr <br />y <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW OR IACH FOUR COPIES, <br />LOT 22-233LMK_OF Aavwrly <br />RPrryr Add - <br />JOB AnnnESS <br />Bldg. A <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - AIHNOLG UNITS - H P <br />BATHTUB <br />FORCED AIR SYSTEMS -8.TU MEA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B T U M <br />SHOWER <br />CLOTHESDRVERS <br />KITCHEN SINK A DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAVNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <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 />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC) <br />SUBTOTAL <br />1 <br />SUBTOTAL <br />1 <br />PERMIT <br />1 <br />PERMIT <br />1 <br />TOTAL FEE <br />1 <br />TOTALFEE <br />II <br />FRONT SETBACK <br />20 <br />REAR SETBACK <br />0 <br />SIDE SETBACK <br />0 <br />PLAN CHECK NUMBER <br />90/23767 <br />FEE <br />1657.18 <br />RECEIPT NO <br />30127 <br />USE ZONE <br />M-M <br />LOT AREA <br />VACANT SITE <br />q(YES ❑ NO <br />FEES <br />ILDING CODE <br />BUVALUATION <br />FEE <br />BUILDING <br />$1, 124,852. <br />3789 <br />50 <br />RKOFOM1116IOKAHMARII <br />IIIb-N <br />RKOFCDNSIRIVIVIIAENAI <br />III-N <br />^!',y A„' <br />B-2 <br />IG a DMw%jjTis <br />0 <br />PLUMBING <br />'SIZE OF Dl DO V Z I Iwo <br />((JJ <br />NO OF STORIES <br />2 <br />BASEMENT <br />❑ YES 81 NO <br />MECHANICAL <br />OCOURANCYLOAD FIRE SPRINKLERS RED 0 <br />ISX EWES ❑ No <br />REASONfOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER Plan Ck <br />806 <br />00 <br />STATE BUILDING SURCHARGE <br />Q <br />SO <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H.B. <br />PLANS APPROVED BY <br />E. <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />— <br />PUBLIC WORKS <br />TOTAL <br />4600 <br />00 <br />WWFM DDEYDCDI V VAI <br />In ATCn Tum IC <br />VFl11D DeGwT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AUUBESS FILL <br />180 DAYS OR CEASFS FOR MORE THAN 180 DAYS. <br />23767 <br />