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L F3 En <br />H Z � <br />EG 1-3W 7D <br />00H"t <br />-3 z <br />H U <br />OH <br />O <br />I0I-Y. <br />C <br />txa <br />HF3 <br />t" <br />t"HH3 <br />H <br />nt❑❑7y <br />.qM� <br />LHCn <br />HOT4 <br />r `—' <br />the F vrgrren <br />CITY OF <br />everett <br />259-8810 <br />❑ DEMOLITION <br />` CONSTRUCTION' <br />PERMIT <br />❑ COMBINATION <br />PERMIT NO. 21515 <br />❑ BUILDING LI MECHANICAL �-4 PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS <br />J..L.G. L•Evestments PO Sox 1796 Everett 982OG <br />___...._ MAIL ADMEE I CITY ZIP 1110NE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PgNE <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE F <br />OENFAAL CONTRACTOR <br />CITY <br />ZIP PHONE. LICENSE <br />MECHANICAL AgIGLCONTRACTOR <br />MAIL ADDRESS <br />PLUMSINOCONTRACTOR <br />MAIL ADDRESS <br />CITY <br />98037 <br />ZIP PIOIIE LICENSEF <br />776-8627 WILLINI1440 <br />William Adams Inc. <br />18326 - 48th Ave <br />Lynnwood <br />CLASS Of WORK <br />❑ ADDITION <br />❑ ALTERATION <br />0 REPAIR ❑ DEMOLITION <br />(3 BUILDING RELOCATION <br />YXNEW <br />CONTACT PERSON AND PHONE NO If OTHER TITAN AROYE <br />CONTRACT PRICE OF WORK'. $ 3, 000 <br />Plumb new manufacturing building <br />PROPOSED USE Of BUILDING <br />Commercial <br />LEOM. OE4LRiPTION Of PiROPEPTY (SHOW BELOW On ATTACH FOUR COPIESI <br />LOT_ BLOCK— Of 04/30/90 4:45PM DOOPH1298 # <br />NCW24515 <br />PLBG $115.00 <br />IffCH t30.00 <br />JOB�OORESS .� o rucrP 11G9 DO <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />40 OO <br />A/C - A•HNDLG UNITS - H P. <br />B WATER CLOSET ITOILET) <br />FORCED AIR SYSTEMS - 0.T U M EA. <br />BATHTUB <br />UNIT HEATERS - BTU M <br />LAVATORY (WASH BASIN) <br />CLOES <br />SHOWER <br />VENTILATION FAN <br />VENTHATIONF N <br />KITCHEN SINK B DISP. <br />RANGE MOOD <br />DISHWASHER <br />2 <br />WATER HEATER <br />LAUNDRY TRAY <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE & CHIMNEY <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />HEAT PUMP <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL f <br />115 <br />00 <br />SUBTOTAL f <br />15 <br />00 <br />PERMIT f <br />15 <br />00 <br />PERMIT f <br />TOTALFEE f <br />TOTALFEE <br />f <br />SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />FRONT SETBACK <br />REAR SETBACK <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />BUILOINO COBS <br />FEE <br />❑ YES 0 NO <br />TYPE a CONITNICTION MLDNABIE <br />OR BF CONSTRUCION Ar,RM 'T},'aw'p' <br />NO Si DMlllN4 UMIS <br />BUILDING <br />$ <br />PLUMBING <br />115 <br />00 <br />SIZE OF ULM <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />30 <br />00 <br />OCCUPANCY LOAD FInE SPRINKLERS REOD IIEIOM IIAIITATION <br />OTHER <br />❑ YES ❑ NO <br />:TATE BUILDING SURCHARGE <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PAN4 APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />TAX CODE IS <br />TOTAL <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMFNr,ED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />24515 <br />