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the FD CITYOF CA)NSTRUCTION <br />CITY OF <br />everett PERMIT <br />259-8810 <br />PERMIT NO. _ 2 6 4 16 <br />❑ DEMOLITION ❑ COMBINATION 0 BUILDING a1 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS COY ZIP PHONE <br />Rose R Buell 2501 81st P1 SE Everett 98204 347-0790 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE. <br />NW Water Heater Inc <br />3110 Hill Ave Everett <br />98201 259-5331 <br />NORTHWH103R2 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSER <br />CLASS OF WORK <br />0 NEW ❑ ADDITION M ALTERATION ❑ REPAIR 0 DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK:$ 2200. <br />FOOTAGE INVOLVED <br />Install forced air Byetem and water heater, gas piping <br />PP POS USE OF GUIDING <br />ScingTe fami�y residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FCUR COPIES( <br />LOT - BLOCK - OF <br />eAF1RE91st Pl SE <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 (TOILET) <br />A/C - A/HNDLG UNITS - M.P. <br />BATHTUB <br />1 <br />FORCED AIR SYSTEMS - B.T.U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK S DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD <br />LAUNDRY TRAY <br />11 <br />1 WATER HEATER <br />CLOTHES WASTER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE S CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR ORAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />2 <br />1GAS PIPING 02/20/91 9:59AI <br />1 00005723 <br />'kV <br />ROOF DRAINS - RAINLEADERS <br />EXHAUSTFAN / <br />SINK (SERVICE - BAR. ETC) <br />000026475 <br />MECH $65. <br />H00026476 <br />SUBTOTAL f <br />SUB tew $65! <br />0 50 <br />0D <br />PERMIT s <br />PERMINFrX $130t <br />15 <br />00 <br />TOTAL FEE 1 <br />TOTAL FEE E <br />65100 <br />FRONT SETBACK <br />PEAR SE TRACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />L-T AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDIND COD' <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONSTRUCTION AUDIMBLE <br />TYPE OF CONSTRUCTDN ACTUAL <br />may'` <br />NO DF ONEIIMG UNitS <br />PLUMBING <br />SIZE OF BLOC <br />NO OF STORIES <br />BASEMENT <br />❑ YES [I NO <br />MECHANICAL <br />6 <br />OO <br />OCCUPANCYLOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />M.M. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />65100 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITHIN ADDRESS FILE 26476 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />