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"C' <br />the "" CITY OF <br />ONSTRUCTION <br />`^ <br />everett <br />PERMIT <br />PERMIT NO. <br />23960 <br />259-8810 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING fit MECHANICAL ❑ PLUMBING ❑ SIGN <br />OVMER <br />MAIL ADDRESS , 1 I 1 <br />ZIP <br />PRUNE <br />Dave <br />Brossard 814 88th St. SE Everett 98203 <br />355-8723 <br />TENANT <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Valley Natural Gas 2605 McDougall Everett 98201 259-5492 VALLENG153L1 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />0 NEW ❑ ADDITION QALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 5600.00 <br />Install furnace and water heater <br />PROPOSED USE Of BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT- BLOCK - OF <br />814 88th St. SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EO <br />WATER CLOSET (TOILET) <br />AIC - AIHNOLG UNITS -- H P <br />BATHTUB <br />1 <br />FORCED AIR SYSTEMS - D <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A OISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD <br />LAUNDRY TRAY <br />1 <br />- <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 6 CHIMN <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT CFEM---j33U7 <br />Kr <br />FLOOR DRAIN <br />HEAT PUMP <br />SACKFLOW PREVENTERS <br />2 <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.) <br />SUBTOTAL <br />f <br />SUBTOTAL <br />8 <br />80 <br />0 <br />PERMIT <br />f <br />PERMIT <br />1 <br />15 <br />0 <br />TOTAL FEE <br />i <br />TOTAL FEE <br />II <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NOLUATION <br />FEES <br />BUILOINO CODE <br />FEE <br />BUILDING <br />S <br />"RE OF CONSIRUCLON ALLOWABLE <br />RR OF CONSTRUCTION ACTUAL <br />orn�Iru»cr <br />NO OF DBEIIING UNIi6 <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />95 <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />— <br />APPLICATIO14 ACC BY <br />S. H. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />95 <br />100 <br />WNFN DRETDFRI V Val <br />InATpn THIR IR <br />VOLER PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENICED WITHIN ADDRESS FILE 23960 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />