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thcF.11CI1Y F INSTRUCTION` � nv or /� <br />everett PERMIT PERMIT NO. 22164 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION 5d BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ . IGN <br />OWNER MAIL ADDRESS CITY IIP 111101,E <br />Wilfred Nain 1029 84th St SG Everett, WA 98203 89x 353-8956 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Il <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Damage Repair Service Box 2045 Everett, WA 98203 337-4222 DAMG1283D3 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br />CLASS OF WORK <br />❑ NEW O ADDITION ❑ ALTERATION CI REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 3, 000. <br />DECCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />Pire damage repair <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT- BLOCK _ OF <br />JOB ADDRESS <br />1029 84th St SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A,C — A/HNDLG UNITS — H P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. MEA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />FAETAL 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 />BUD TOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />f <br />TOTAL FEE <br />{ <br />TOTAL FEE <br />FRONT SETBACK <br />REAR 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 />FEESATICIL <br />/UI101K0 CODE <br />FEE <br />BUILDING <br />$3,000 <br />54 <br />00 <br />TYPE OF CONSTRIICTIN ALLOWABLE <br />THIEDFCSNSTRUCTIMAC1UA1 <br />^L AY <br />KDOFDWEUINGUNJ( <br />PLUMBING <br />,� <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS REDO <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTH SR <br />Lc 164 <br />STATE BUILDING SURCHARGE <br />B SRCH $3.50 <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />1 <br />APPLICATION ACC, BY <br />N.N. <br />_ <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />57 <br />so <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 22164 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />