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theFu�.,���n � � �NSTRUCTI�N '� � <br />CITY OF C�7� <br />ev�rett PERMIT PERMI7N0. _ 2J I`,� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />awNen e�nn nnon[ss eirv zir rHOHe <br />Diane Searson 7309 Beverly Blyd. Everett, WA 98203 355-9393 <br />iENANT MAIL AppRE55 C�iY ZIP PMONE <br />�RCMITECTONDESiGNER M�ILr10DRE5S CrtV 2iP PHONF. <br />GENERRLCONTRACTOR AIAILADORE55 CITV ZIP PNONE LILENSE� <br />MECMANIC/•L GONTflRLTOR MRiL rI�DRE55 CITY 21P PMONE LICENSE • <br />Bob Hein Masonary Lynwood <br />PWMBiNGCONTNACTON MnILApORE55 CitY ZIP PNONE LICENSE� <br />CLASS OF WI.RR <br />❑ NEW ❑ ADDlTION [7 ALTEHATION ❑ REPAIH ❑ DEMOLITION ❑ BUILOING HELOCATION _ <br />I CONTRGT VERSON TN� PMONE NU IY V I nu� mnrv no..rc <br />CONTRAC7 PRICE OP WORK� S <br />OESCPIBE WORK AND SOUARE FOOTAGE INVOLVEO <br />Alrnady installed Woodstove - just needs a inspection <br />VNOPOSEO USE OG BUILDINO <br />Singel Family <br />LE6Al OESCRIPTION OF PROPERTY �SNOW OELOW OR ATTPCM FOUR COPIES� <br />LO�- ULOCK � OF <br />�oseooness <br />PLUMBING <br />NO. TYPEI <br />WATER CLOSET <br />BATMTUB <br />OR ITEM <br />KITCHEN SINK 6 DISP. <br />DISMWASHEF <br />LAUNDRY TfiAY _ <br />CLOTHES WASHER <br />URINAL <br />ORIMKMG FOUNTAIN _ <br />FLOORORAIN _ <br />BACKFLOW PREVEN'ERS <br />POOF DRAINS — PAINLEADERS <br />SINK (SERVICE— BAR, ETC.� <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />iRONTSETBRCN <br />USEZONE <br />iYK Of C0119RpCf10N ALIOWAI <br />SiZE O! OLDG <br />OCCU�PNCYLO/•0 <br />REASON i0P SPRINNLGf15 <br />APPLICATION ACC OY <br />10/03/90 11:37(kf OOORH3969 #l# <br />/ <br />MECHANICAL H00025736 <br />FEE NO. -T—YPE -O—F EO��KM�E�N—T <br />A/C — A/HNDLG UNITS — F}A� <br />_ FORCED Aiq SVSTEMS — B i U. M <br />UNITHEATERS—BT.U. �� <br />CL07HE5 �RYEFS <br />VENTILATION FAN _ <br />RANGEHOOD <br />WATER HEATER <br />_ 1 VlOOD STOVE <br />M[lAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />� <br />S <br />f <br />SiDESEiPSCK <br />PIAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />LOTAPEN 4ACRNTSITE FEES <br />❑ YES ❑ NO <br />rvttavronsieucronncruni �;;��„1°� xaarm4fui��cmai5 BUILDING 5 <br />PLUMBING <br />NCOFSiORIES OASEMENT <br />❑ VE.i ❑ NO MECHANICAL <br />�iRE SPRINNLERSREOD NP.IGNi LIMITALION p7HER <br />❑ VES ❑ NO <br />STATE �UILDING SURCHAPGE <br />STATEENERGYSURCHARGE <br />nNsnccnoveonr CITY OF EVERETT <br />LOCAL iALES P��BLIC WOPKS <br />TAX CODE IS rorn! <br />3105 ,. �,�.� .,.,...,�o� � „�� � <br />MITS EXFIRE IF WORK IS NOT COMMENCED WITHIN nnUnCSS I"ILE <br />DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FEE <br />PECEIPT NO. <br />� 11 <br />30 00 <br />PERMIT <br />25736 <br />