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cirv oF evea�T <br /> � ��ONSTRUCTIO�V �� <br /> PERMIT PERMITNO. Z7761 <br /> zss-ssto JI <br /> � (']� ❑DEMOIJTION O COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING ❑SIGN <br /> l'. AIAIIADORE55 CRY ZIP PMONE <br /> W ONMER <br /> y 3215 Colb Ave Everett 98201 258-6446 <br /> p�7 x, � Santosh Kvmar �m, Z,P vnove j <br /> C y y " rcruxr <br /> M4LLADDRE55 � <br /> � cm zia oHo,� <br /> yH APGNRECTORDESIGNER /MILADWiE55 <br /> �H�.V �2�pppE55 G�TY ZIP PMONE JCENSE• �I <br /> � H� GENERALLONiMCTOA <br /> CA H CRY 21P R�OME 4CENSE� <br /> H z NECNRN�CALCONiFACTOR hUIIApOPE53 <br /> � y� Washin ton Nat Gas 112 SE Evetett Mall Way Everett ZP98204 35 oNE3331 `cens�� , <br /> wa�nooaess 01T`' <br /> O M PWMBINGLONTRAGTOR WASHING285CB <br /> �� g <br /> n. ("j C1A550FWOflK <br /> z y� p ryE�n/ ❑ADDITION �AL7EHATION O AEPAIR O DEMOUTION ❑BUILDING RELOCATI <br /> GONT�CT PERSON AND PNONE NOJF OTHER THAN AOOVE <br /> � N y GONTRA(.TPRICEOFWORK S 300 <br /> gy DESGRIBEWOAKPNDSOURREFOOTAGEINVOWED <br /> b� install gas piping for gas logs <br /> �� � I <br /> zyv, � <br /> H O V/ PROPOSE�USEOFBV�IDINO <br /> O£f1V`2 <br /> IEGAl0E5GFIPTIDN OF PROPERtt I6HOW BELOW OF AIiACM FOUP COPIES) � <br /> n <br /> �ot—BLOGK—oi / <br /> MECH 530.00 � <br /> JO�/DJRE55 <br /> 3215 Colby Ave I�i <br /> PLUMBING MECHANICAL <br /> FEE NO. TYPE OF EOUIPMENT FEE � <br /> NO. TYPE OF FIXTURE OR ITEM � <br /> WATER QOSEi(TOIIET) A/C-AMNDLG UNITS-H P. <br /> BATHTUO FORLEDAIRSYSiEldS-BT.U. MEA. <br /> ft LRVATOf7Y(VJASHBASIW UNITHEATER$-B.TL. �� <br /> SHOWER CLOTHESDRYEFS � <br /> '�' KITCHEN SINN 6 DISP. VENTILATION FAN II <br /> RANGEHOD� <br /> '�' DISHWA51iER <br /> WATER NEATEH <br /> LAUNDRVTRAY WODDSTOVE � <br /> ' ' CLOTNES VJASHER <br /> � URIIJAL METAL FlHEPLALE 8 CHIMNEY � <br /> FIflEPLAGE INSEflT { <br /> f�� DRINKING FOUNTAIN <br /> PLOOR DFAIN MEAT PU61P � <br /> ' ' 1 GAS PIPING ' <br /> BACKFL0INPREVENTE�S <br /> � ROOF�RAINS-flA�NLEADEHS E%HAUST FAN <br /> '�' SINK(SERVICE-6AR,ETC I � <br /> �' SUB TOTAL S SUB TOTAL f 1 S O 0 i <br /> '� PENMIT f PERMIT S �.S OO <br /> TOTALFEE S TOTALFEE S 30 OO r <br /> '�' RECEIP7 NO. I <br /> FAONi 5ErBnCK a[aa 5[ronCK Si0[SETeACK PIAN CHECK NUMBER F[E I <br /> � <br /> VACANTSIT[ BUILOMOCOUE fEE <br /> I� USEZONE tOTPREA FEES V l I1t10N <br /> ❑VES ❑N� I <br /> �' I <br /> TVPE0iCA45TF'JCiq4ALLOV/ABLE TYPEOfCOMS�RULi10NALiURt ��� ���LL�"'WiiS UUILDINQ <br /> � <br /> PWM9ING <br /> SIZEOFBLW. NO.OFSTORiE6 B�SEMENT I <br /> ❑vE5 ❑No ��ECHANICAL 3O 00 <br /> OCGUPAHCVLOAD FIRESPflINNLER9PW0 MEIGMLIMIiATiDN QTHER <br /> O YES ❑No STATE BUILDING SUHCHAflGE I <br /> pFJ�50N FOR SPNINKLERS , <br /> STATEENERGVSURCHARGE <br /> APPUC�TIONACG.O� PlANS�PPROVEDBV GTY OF EVERETT pUBLIC WOPKS <br /> LOCALSALES � <br /> TAX CODE IS TOTAL 30 00 <br /> 3105 yrHEN PROPERLY VALIDATED TNIS IS YOUR PERMIT <br /> I <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 7 61� � <br /> ...,.,....e no rcnccs Foa MORE THAN 180 DAYS. .�nnRESS FILE <br />