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[heGve �ee�� --� �NSTRU�CTION �' �� <br />���er�tt PEF�MIT PEi�MITNO. 246�3 <br />259-8810 <br />❑ UEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI L7 PLUMBING ❑ SIGN <br />.�c <br />pWN[H MAILADORESS CITV ZIP PMONE <br />TENANT MAILADORESS CITY ZIP PHONE <br />Squire Shoo ]402 SF FVArarr maii o-�a�, r..��rr qa�ng 3aR-5033 <br />ARCHiT[CTORDLiIGNER MAILADDflE55 GTY ZiP PMONE <br />GEIlERAL LONTRACTOR M�I-_ A[iDflE55 CITY 21P PHONE LICENSE M <br />I�e�)" Si.i�n 92Fi N. 1fi5f1� SPaftlF QR1'li ti�d_n�43 ldEYLRS*21486 <br />MECHANICALCONTRACTOR MAI:.ADORE55 CITY 21P PHONE LICENSE� <br />PWMBINGCOHTRACTOFl MAILADDRESS CITY ZIP PHONE LILENSE• <br />CLASS OP WOPH <br />f� NEW ❑ ADDITION ❑ ALTEflATION ❑ REP.41R ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I:ONTALT PEHSON AND PMONE D10. IF OTHER THAN ABOVE <br />CJNTRACT PRICE OF WORK: $ <br />VHOPOSED USE OF OUtLDiYG - � <br />Ra}ail <br />LEGAL DESLflIPTION OF PROPEFTY �SMOW BEIOW Ofl ATTACH FOUR CGPIES) <br />LOT - BLOCK _ OF <br />JOBA��PESS <br />PLUMB�NG <br />NO. TYPE OF FI%TURE OR <br />LAVATORV�WRS <br />SHOWER <br />KITCHEN SINK 8 <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW °REVENTEFS <br />ROOF DR'�INS — RAINL EADF.RS <br />SINK (SERYICc -- BAR. E7C] <br />FBONTSETBACK <br />USEZONE <br />C-lr <br />IYPE OF CONS7HOCi!ON AILOWABLE <br />SRGOF�LDG. <br />OCCUPANCYLOFD <br />REASONfOFSPRINK�ERS <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FF.E S <br />REPR SETBACK 51 <br />LOTAPEA V� <br />❑ <br />lYPoOFCLNSiPUCiiONACNAI � <br />NO.OFSTORIES Bi <br />❑ <br />FIRE SPRINNLEFS PEO D <br />7 YES ❑ ND <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />A/C—A/HNDLGUNITS—Q��OIIBO SL <br />FORCED AIR SYSTEMS — B.T.U. /M EA. <br />UNITHEATERS—B.T.U. flfl(i(1^4liSlZ <br />VENTILATION FAN HO <br />RANfiE 400D EL <br />WATER HEATER CH <br />WOOUSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HE4TPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />IESETBqGK PLAN CHECKNUMBER <br />CAIJT SITE <br />vcs ❑ NO FEES <br />:;!�d1;�� NOAF�WELUNGONItS BUILDING <br />YES ❑ NO <br />MEIGMT Llhtl?ATICN <br />"r'„""`"�, I Cll'Y OF EVERETT <br />LOCAL SALES <br />g_�, TAX CODE IS <br />3105 <br />PLUMBING <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />MECHANICAL <br />OTHEFi <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />7'OTAL <br />� <br />FEE <br />� <br />S <br />S <br />RECEIPT NO. <br />9 00� <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADORESS FILE ��(! (�; ,] <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />