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f ONSTRUCTION <br />everett <br />PERMIT <br />PERMIT NO. <br />n C'7 Q <br />?45I" <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION in BUILDING <br />LI MECHANICAL f 1 PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY br <br />I'UpN[ <br />David Chielens 926 <br />87th St. BE Everett, WA <br />742-9004 <br />TENANT <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Edmonds, WA <br />CITY ZIP PHONE <br />98020 774-2887 BRHOPC1102PL <br />LICENSE <br />B.R. Hopkins Const. <br />7700 209th <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE <br />CLASS OF WORK <br />ID NEW ❑ ADDITION <br />Cl ALTERATION 0 REPAIR <br />❑ DEMOLITION ❑BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK:$ 5,670.00 <br />Rink Hopkins 774-2887 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Add Garage to Existing <br />House 378SF <br />PROPOSED USE OF BUILDING 06/29/90 12:17PM DOWN2352 #i * <br />Garage -- I <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) MM45W <br />LOT - BLOCK - OF <br />6 SF.CH $4.50 <br />CHECK, $105.50 <br />JOB ADDRESS <br />91b u /tn SC. b <br />_ <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />A/C — A'HNDLG UNITS — H.P. <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS —BTM MEA. <br />BATHTUB <br />UNIT HEATERS—B.T.U. M <br />LAVATORY (WASH BASIN) <br />_ <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK 6 DISP, <br />DISHWASHER <br />RANGEHOOD <br />WATER HEATER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE B CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR GRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC) <br />SUB TOTAL t <br />BUS TOTAL f <br />PERMIT <br />{ <br />PERMIT t <br />TOTALFEE <br />S <br />TOTAL FEE t <br />FRONTSETBACK <br />nEARSETBACK SIDE <br />SET? CK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />20' <br />20' <br />90/24578 <br />52.65 <br />33011 <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />BUILOIF/0 CODE <br />FEE <br />R-1 <br />0 YES (A NO <br />BUILDING <br />S5 670.00 <br />81 <br />00 <br />IYFf OFLDNSiR11CIDN ALLOWABLE <br />RF[Of LDNSIRUCIIRK ALiIuI <br />° ' <br />NR aDWELLING UINIS <br />V-N <br />M-1 <br />1 <br />PLUMBING <br />SIZE OF BLDG NO OF STORIES BASEMENT <br />1 ❑ YES Xj NO <br />MECHANICAL <br />78SF <br />OCCUPANCY LOAD FIRE SPRINKLERS Cot' Hf�OHT LIMITATION <br />OTHER <br />Cl YES ❑ NO 28' <br />50 <br />STATE BUILLING SURCHARGE <br />4 <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANSAPPROVEDBY <br />CITY OF EVERETT <br />20 <br />00 <br />LOCAL SALES <br />PUBLIC WORKS <br />BE <br />TAX CODE IS <br />TOTAL <br />105 <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 24575 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />