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the F.'r T CITYY OOF -� ("INSTRUCTION <br />CITY I <br />everett PERMIT PERMIT NO. - 22098 <br />259-8810 <br />0 DEMOLITION ; ! COMBINATION] BUILDING LI MECHANICAL O PLUMBING <br />❑ SIGN <br />OWNER MAIL ADDRESS Clly ZIP <br />Don Brooks 8823 7th Ave SE Everett 98203 353-7201 <br />PHONE <br />TENANT MAIL ADDRESS CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP <br />Damage Repair Service P.O. Box 2045 Everett 98203 337-4202 DAMAGT2R3D3 <br />PHONE <br />LICENSE P <br />MECHANICAL CONTRACTOR MAILAODAESS CITY ZIP <br />PHONE <br />LICENSE• <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP <br />F"ONE <br />LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION 0 ALTERATION Cj REPAIR 0 DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: $ 2500.00 <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />— <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Fire damage repair <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK - OF <br />7n6 RGIth SF. <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 — AMNDLG UNITS — H.P. <br />BATHTUB <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 />KITCHEN SINK A DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 6 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 />SUBTOTAL f <br />SU <br />PERMIT f <br />PERMIT f <br />TOTAL FEE F <br />TOTAkfffilionnoaf <br />FRONT SETBACK <br />REARSETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />GI.W s5 <br />B SRCH $.50 <br />WEIPTNO <br />USEZONE <br />LOT AREA VACANT <br />❑ <br />SITE <br />YES ❑ NO <br />FEES <br />NO COD <br />FEE <br />BUILDING <br />$2500.00 <br />54 <br />00 <br />TYPE OF CONSTPUC110N ALLOWABLE <br />TYPE OF CMNSTRIMORR ACTUAL <br />NO OF DKTwNc uwrs <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS REDO HEIGHT LIMITATION <br />❑ YES ONO <br />REASON FOR SPE,INKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S. H. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />L <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />57 <br />150 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WIT HIN ADDRESS FILE 22098 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />