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CITY � CJNSTRUCTION <br />CITY OF <br />everett PERMIT <br />259-8810 <br />PERMIT NO. 2 51 6 0 <br />❑ DEMOLITION ❑ COMBINATION fiA3UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP IMINE <br />Gary 6 Cindy Oates 306 - 88th St SE Everett 355-037] <br />TENANT MAIL ADDRLSS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONC LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORK <br />❑ NEW XX8 ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED UO/UIZTIJ 11•J7HI'I LAJOHRJMAIJ e11 <br />Rec Room addition / <br />000003124 <br />ELEC $ 5.00 <br />PROPOSED USE OF BUILDING #00025160 <br />Single family residence BLDG $216.00 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) E SRCH $ <br />CHECK $245.50 <br />LOT-- BLOCK _ OF <br />JOB ADDRESS <br />�VV — 004.1 L <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 />r <br />A/C - A,HNDLG UNITS - H P. <br />BATHTUB <br />FORCED AIR SYSTEMS - 8 T.0 M EA. <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 />LAUNDRY TRAY <br />WAVER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE S 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 />SUB TOTAL <br />f <br />SUBTOTAL <br />f <br />PERMIT <br />f <br />PERMIT <br />f <br />TOTALFEE <br />f <br />TOTALFEE <br />f <br />FRONT SETBACK <br />201 <br />REAR SETBACK <br />201 <br />OE SETBACK <br />51 <br />PLAN CHECK NUMBER <br />90/25160 <br />FEE <br />140.40 <br />RECEIPT NO <br />38772 <br />USE ZONE <br />R-jL <br />LOT AREA <br />9360sf <br />VACANT SITE <br />❑ YES MO <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE <br />- <br />BUILDING <br />E 2 2 <br />IYRpCIX151BULTON ALLONABI'. <br />TYPE OF L'DNSiPUCTDN ACTUAL <br />V—N <br />°iT <br />R-3 <br />ND OF IAYFILING MIIIS <br />1 <br />PLUMBING <br />SIZE OF BLDG <br />495sf addn <br />NO OF STORIES <br />1 <br />BASEMENT <br />10 YES ONO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS PIED <br />n/a ❑ YES KN40 <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />281 <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />BE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />220 <br />50 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILL 25160 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />