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theEvergrecn C�NSTRU�;TION �� � <br /> aTv or �; <br /> everett PERMIT PERMITNO. _ �� � �� �-1 <br /> 259 -8810 <br /> MECHANICAL ❑ PLUMBING i7 SIGN <br /> ❑ DEMOLITION !7 COMBINATION ❑ BUILDING � ZP p„ONE <br /> OWNER <br /> MAIL FODFESS ��TM <br /> Paul Garner 1415 Broadway Everett 98201 259-6666P pHONE <br /> TEHRNT <br /> MAII ADDNE55 CITY <br /> qRGHITEGT OR DESIGNER <br /> MAILADDRE55 GITV 21P VMONE <br /> GENEFALCONTR/.CTOR <br /> MAILADORE55 G17Y ZIP PMONE LIGENSE� <br /> MECHANICRLCONTRACTOR <br /> MAILRODFE55 CITY ZiP PHONE LICENSE• <br /> owner <br /> PLUMBING CONTRACTOR <br /> MAILADORE55 CITY 21P PMONE IILENSE• <br /> GUSS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ AITCHATION ❑ NEPAIR ❑ D' AOLITION ❑ BUILUING RELOCATION <br /> CONTACT VERSON ANO MONE NO.IF OTMER TIUN ABOVE <br /> CONTRACTPRICEOFWORK S <br /> DESLRIBE WORN RND SOU/RE FOOtAGE INVOLVEO <br /> Zero-clearance gas unit <br /> PRDPOSEO USE OF DUIIDING <br /> Retail <br /> IEGRL OESLRIPTiON OF FROPERTY ISMOW BELOW OR ATfAGM iOUN COPIES) <br /> LOT--BIOCN�OF - <br /> JOBADORESS � � <br /> 1415 <br /> PLUMBING MECHANI�AI <br /> Np, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE _ <br /> A/C—A�HNDLG UNITS—H P. <br /> WATER CLOSET 1TOILETj � <br /> FOPCEO AIR SVSTEMS—B.T.U. IA EP. <br /> BATNTUB <br /> UNITHEATERS—B.T.U. M <br /> LAVATORY(WASH BASIN) <br /> CLOTIi'cS DRY�RS <br /> SHOWER <br /> VENTILATION FAN � <br /> KITCHEN SINK 8 DISP. RANGE HO00 <br /> DISHWASHER <br /> N'ATER HEATER <br /> L�UNDRYTRAY <br /> WOODSTOVE <br /> I;LOTHES WASH[R <br /> URINAL ], METALFIREPLACEflCHIMNEY JO OO <br /> FIREPL�CEINSERT <br /> ORINKING FOUIlTAIN HEAT PUMP <br /> FLOOR DRAIR <br /> BACNFLOW PREVENTERS ], GAS PIPING <br /> ROOF OPAINS—PAINLEADERS EXHAUST FAN <br /> :� <br /> SIKK(SeRVICE—BAR.ETC.) <br /> SUB TOTAL f SUB t 30 00 <br /> PERMIT t �p s <br /> TOTALFEE S TOT � 3O OO <br /> FnCr+t SETBAGK REAR SETBACK SIOE SETBRCK PLAN CHECK NUMBER <br /> . 'EIPTNO. <br /> USE).ONE LOTRREA VPCINTSIT[ FEES BUR�INGCO�E FEE <br /> ❑YES ❑NO S <br /> 1YPEOFCONSiRUGi1�NALLOW4BtE 7YPEOFCONSIR�C110NRCiUAI °�qo�' M1�OFDWELLMGUNIfS BUILDING <br /> PLUMBING <br /> SiZE OF OLDG NOAF STOIiIFS OASEMENT MECHANICAL 3O O <br /> ❑VES ❑NO <br /> OCCUPANCYLOAD FiRESPPINNtER5RE0'0 HEiGMTLIMITAT1pN OTHER <br /> O�ES ❑NO <br /> S7ATE BUILDING SURCHARGE <br /> RE�SON�OiSPRINKLCflS <br /> ';7ATE ENERGV SURCHARGE <br /> nvrucnnoNacc av PLANSAPPPOVEDBY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 30 0 <br /> S.fi. 3105 yyHEN PAOPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT �:OMMENCED WITHIN ADDRESS FILE 21818 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />