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CITY OF EVERETT <br /> � �"'�ONSTRUCTION � '"� <br /> PERMIT PERMITNO. 27964 <br /> i 259-88f0 <br /> � ❑ DEMULITION ❑ COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING ❑SIGN <br /> ; OWNEP MAIL�bORE55 CITY [IP PMONE <br /> � O,�on Radelmiller 1710 Baker Ave Everett 98201 258-2079 <br /> � TENI��R MARRpVRF55 LItV 21P PHCNE <br /> I <br /> � AR:MITECTORDESIGNER MAIL�OORESS CiTV ZIP PIIONE <br /> k((( '1ENER�LCONTF/.CTOR MAILApDRE55 CITV 21P PNJNE LILENSE� <br /> F MECHANILALCONTRACTOR M�IL�DDRE55 CITV ZIP PMONE LICENSE� <br /> � Valley Natural Gas 2605 McDougall Everett 98201 259-5492 VALLENG153L1 <br /> PLUM7INOCONTRICTOR MAlI.�00RESS CI'V ZiP PMONE LICENSE� <br /> _ � <br />�� Y ClA$SOFWORN <br /> ❑ NEW ❑AODITION ❑ALTEFATION ❑ REPAIR ❑ OEMOLITION ❑ BUILUING RELOCATION <br /> CONTACT PE RSON ANO FIIONE NO IF OTHER TMRN Al10VE <br /> i CONTRACT PRICE OF WORK: $ G25.00 ___ ' <br /> OESCRIBC WORN�AD SOUARE FOOT�GE INVOLVED <br /> Install conv. burner 5 HWH <br /> rnonoseo use or oui�oir+a ` � ` � �R <br /> / <br /> �E6�LDESCRIPTIONOFPROPFN7Y�SNOWBELO\VORATfA'.HFOJRCOPIES) ' `� <br /> I�4' IOT�BLOCK_OF MECHL , SSS.W -- <br />� MECH 545.00 <br /> i — - � <br /> MECH 555.00 <br /> II� � ,p8A00PESS --� � ` <br /> 1710 Baker AVe MECH A45.00 <br /> PLUMBING EAECHANICAL ` <br /> 1 NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUI 7 � � FEE <br /> WATEH CIOSET(TOILET) NC-ftlHNDLG UNI fS-H.P <br /> FJATMTUB FORCEDAIRSVS�EMS -B.TU. MEA. <br /> � IAVATORV�WASHBASIN) UNiiHEATERS-B.TU. M <br /> SMOWER CLOTHES DPVERS <br /> KITCHEN SINK 6�ISP VENTILATION FAN _ <br /> DISHWASHER RANGEHOOD <br /> LAUNURYTHAV WATEFHEATER <br /> CLOTHES WASHER WO00 S10VE <br /> URINAL METAL FIREPLACE 8 CMIIdNEY _ <br /> ( DRINNING FOUNIAIN FIREPUCE INSERT _ _ <br /> FLOOR DRAIN HEAT PUMP <br /> � BACNFLOW PREVENTERS Z GAS PIPING <br /> � — <br /> i' ( ROOF�RA11J5-RAINLE40GflS _ E%HAUSifAN <br /> i SINH�SER49CE-BAR,ETG) _ <br /> � — <br /> I — - <br /> , SUBTOTAL S SUBTOTAL f <br /> PEHMIT S PEHMIT S <br /> TOT�L FEE S TOTAL FEE f 4S OO <br /> 1 FRONTSETBRCN nEAR 5E?OACN SICE SETO�CN FLAN CNECK NUMBER FEE REC9FT NO. <br /> USEZONE lOTRRE� ����NT'�i� FEES BUI�OIN�OTCOUE <br /> FEE <br /> ❑Y[5 ❑NO <br /> TYYEOFCANSiRUCTIUN�IIOWANIE �YPFOFCONSfR'S:tiONACiVAL ��� �i00I511ElliNGUHIt: PUILDING S <br /> PLUM6ING <br /> SIZEOFOLIXi NOOGSiORIES ONSEMENT <br /> ❑�ES O�:O MECHANICAL Q�i OO_ <br /> � OCCUPANCY LO�� RRE SPfiINNLFF�BEO� HEIGHi LiMITAiiON <br /> (` O7HER <br /> (. ❑vF5 ❑NO _ - <br /> { REASON FOR SPRiHKLERS STATE�UILDING SURCHAR3E _ <br /> i <br /> � STATEENERGVSURCHARGE <br /> � APPLIC�TICNACC UY PLINSAPVPpVEDOV CIT,( OF EVEFETT <br /> i i,UCALSALES runucwoaKs _ <br /> � TAX CODE IS TOTAL 45 00 <br /> 3105 -------— <br /> I — WHFH PROPERLY VALIDATED THIS IS YOUR PF.RMIT <br /> FERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 9 6 4 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. A•nnPESS FILE <br />