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the Ecogrcen � —. ^ <br /> �,TY�F C"')NSTRUCTIOIV <br /> everett PERMIT PERMITNO. 23587 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OVMER MAILADDPESS CITY ZIP PHONE <br /> Mary E. Morgan 3225 Cedar St- Everett 98201 <br /> TENFNT MRiL AOOFESS CIN ZIP PH�NE <br /> Genesis Foundation 2931 Broadway Everett 96201 259-5371 <br /> APGN�TECT OR DESIGNER MPIL RDDRE55 dTY ZIP �NCNE <br /> GENERRL GONTiUGTOR MAIL ADORE55 GITY ZIP PHUNE LICENSE i <br /> MEGMANICALWNTRACTOR M/.ILADDPESS CITY ZIP PI'ONE LICENSE� <br /> Tcnant <br /> PWMBINGCONTRRLTOR MALLADDRESS CITY ZiP PHONE LICENSE• <br /> CUSS Oi WORK <br /> ❑ NEW ❑ ADDITION ❑ALTERATION ❑ REPAIR O DEMOLITtON ❑ BUILDING RELOCATIUN <br /> CONTACT PERSON AND PHONE N0.IF OTMER TNAN ABOVE <br /> CONTRACT PRICE OF 1VORM S <br /> OESCRIBE WORK ANO SOUARE FOOTpGE iNVOLVEO <br /> Install wood 3fdf8Yif Stove <br /> PROPOSEO USE OF 01/R01NG <br /> Retail <br /> IEWL DESCRIPTION OF FROPERTY{SHOW OELOW OR ATfACM FOUR COPiES) <br /> LOT- BLOCN-OF <br /> JO�A�DAESS I� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/G—A/HNDLG UNITS—HP. <br /> BATMTUB FORCEDi.IHSYSTEMS—� . MEA. _ <br /> l4VATORV(WASH BASIN) UNIT HEATENS—0.T U. ` <br /> SHOWEF CLOTHES URVERS <br /> KITGHEN SINK 8 OISP. VENTIIATION FAN <br /> DISNWASIIER RANGE HOOD <br /> LAUNDRYTPAY WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL PIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN NEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> HOOF DRAINS—HAINLEADEFS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.1 <br /> SUBTOTAL f SUBTOTAL f 30 0 <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f 3O O <br /> FRONT SETB�CK REAR SETBI.CH StDE SETORLK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOt ARE/ VACFNT SITE BUILDING CODE �E <br /> ❑vES O No FEES <br /> IYI'f0{CONSiNUCipNALLOWABIE 1VPEO�CONS7RUC110NACiUAL OO�a'�10" �OFOWEILINGUNiiS BUIIDING � <br /> PLUMBING <br /> iIZEOFOLDG NOOFSTORIES BASEMENT <br /> ❑YES ❑NO MECHANICAL 30 00 <br /> OCGUPPNCYlORO �IRESPPINKLERSFEOD HEIGNTIIMITATION QTHEFi <br /> ❑VES ❑NO <br /> n6•soNFORsraiNk�eas STATEBUILDINGSURCHARGE __ <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC I3V PLANSAPPROVEDBY CITY OF EVERETT <br /> LOCALSALES ruoucwoares _ <br /> TAX CODE IS TOTAL 30 00 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PEflM�T <br /> PERMITS EXPIRE IF WORK IS NOT Cf)MMENCED WITHIN �� ' ' '-� � <br /> nnniarssrur � " �,' 1 <br /> 180 DAYS OR CEASE:; FOR MORE THAN 180 DAYS. <br /> L <br />