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9H <br />rG �H <br />9HxCn <br />HZH-1 <br />< <br />H0 <br />'Jl H <br />O <br />OH <br />�N n <br />H <br />azy <br />r HHH <br />( O <br />cl rI <br />c1Ccn <br />-oft A.. <br />i W"I <br />1 <br />the Even vrn <br />CITY OF <br />everett <br />959-8810 <br />;ONSTRUCTIOF <br />PERMIT <br />IY <br />PERMIT NO. 120 d <br />❑ DEMOLITION C COMBINATION [2 BUILDING <br />f MECHANICAL <br />❑ PLUMBING SIGN <br />MAIL ADDRESS <br />OWNER <br />LaVerAtt Spitzer 506 92nd St. SE <br />I,1' <br />Everett, WA 98208 <br />:.P 11 -INE <br />n�.. <br />TENANT MAIL ADDRESS <br />CITY <br />ZIP PIIGIIE i' <br />4 <br />ARCHITECT OF DESIGNER MAIL AODnrs% <br />CITY <br />I'P PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />2IP PHONE LICENSE <br />owner' <br />CITY <br />IIP PHONE _ICENSE• <br />MECHANICAL CONTRACTOR MAR AD[MFFS <br />AIAII FOORESS <br />CITY <br />ZIP PNONE LICENSE• <br />PLUMSIRO CONTRACTOR <br />CLASS Or WORK <br />3ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION <br />� <br />❑ BUILDING RELu ATION <br />❑ NEW <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVk <br />CONTRACT PRICE OF WORK $ 25,920 <br />LaVerne Spitzer <br />355,0956 <br />DESCRIBE WOBA AND SOUAnE FDOTAOE INVOLVED <br />Additon 576 SF <br />PBOPOSEO USE OF BUILDING <br />LEGAL CESC PfiONOr PRO TY ISHOW DELOW OR ATTACH IOUn COPIES' <br />— <br />LOT — TILEICK — Or <br />506 92nd St. SE , <br />PLUMBING <br />MECHANICAL <br />FEE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />A=C - A`HNOLG UNITS - H P <br />WATER CLOSET (TOILET' <br />FORCED AIR SYSTEMS - B T U M EA <br />UNIT HEATERS - B T U M <br />BATN T:IB <br />LAVATORY (WASH BASIN' <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK A DISP <br />RANGE HOOD <br />DISHWASHER <br />WATER NEATER <br />LAUNDRY TRAY <br />5 <br />00 <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE A CHIMNEY <br />_ <br />URINAL <br />HnEPLACE INSERT O• <br />GRINNING FOUNTAIN <br />HEAT PUMP <br />FLOOR DRAIN <br />BACKFLOW PREVENTEPS <br />OAS PIPING <br />EAHAUST f AN <br />ROOF DRAINS - RAINLEADERS <br />30 <br />00 <br />1 <br />ETL: <br />5 <br />00 <br />1 <br />11et Stove <br />SINK (SERVICE -BAR. I <br />15 <br />00 <br />1 <br />Fixture Fee mErH t45. <br />in <br />SUB TOTAL 1 <br />SUB <br />PERMIT i <br />PERMIT 1 <br />TOTAL FEE 1 <br />TOTAL <br />FEE <br />1 RECEIPT NO <br />BEAR SE TRACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />FRONT SETBACK <br />91/26841 <br />168.03 <br />49622 <br />20 <br />20 <br />5 <br />USE IONS <br />LOTAREA VACANT <br />SITE <br />DEB <br />BUILDING COO! <br />FEE <br />❑YES <br />R-Rlr[OfaBONAIISWLNF <br />1 25,920 <br />rvR6(pTNETON ACTUAL <br />NpNO <br />II <br />V-N <br />V-N <br />R-3 <br />PLUMBING <br />: E OF BLDG NO Or STORIES BASEMENT <br />❑ YES NO <br />MECHANICAL <br />576 1 <br />CUPANCY'LOAD FIRE SPRINKLERS REOD HEION1 LIMITATION <br />OTHER <br />Ina ❑ YES � NO <br />STATE BUILDING SURCHARGE <br />I FSON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />'.PPLICATIONACC BY <br />PL.ANSAWROVEOOT <br />CITY OF EVERETT <br />LOCAL SALES <br />Pueucwonxs <br />jy; <br />TAX CODE IS <br />Taut <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />AOORESS FILE <br />2bd41 <br />