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`��'��� � ('�NSTRUCTION � ^ <br />everett PERMIT PERMITNO. _ Z4610 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ER MECHANICAL %S PLUMBING p SIGN <br />OWNEH MAILA�DRESS LITY ZIP PHONE <br />Charles A. Pancerzewski PO Box 885 Mukilteo 98275 353-2048 <br />TENANT MAILAOORE55 CITY ZIP PHONE <br />AHCHITECTON�ESIGNER MRILAODNESS CITY 21V PMONE <br />pENER�LCONTRACTOR MAILADDRESS CITY 21P PHONE LICENSE• <br />Owner <br />MECHANICR:CONTRALTOR MARAODRE55 CITV ZIP PMONE LICENSE� <br />VLUMBINaCONTRACTOR MAILAODRE55 LITY ZIP PHONE LICENSEM <br />LLA55 OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION � ❑ REPAIN ❑ DEMOLITION ❑ BUILDINO RELOCATION <br />CONTAGT PEp50N AND VHONE NO. IF OTXEH TIinN ntlUVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORI( AND SOJARE FOOTAGE INVOLVED <br />Additional plwnbing/mechanical - remodeling rental (other items on permit #24542 <br />SFR <br />PROPOSED USE OF BUILDING <br />LE6ALOESCRIPT�ONOFVHOPERTY�SNOWBE�OWORATfACMFOURCOPIES� OS�SSI�IO B�ZSRI') ODOHNSSGB ��� <br />� <br />LOT � BIOCK - OF <br />xo�zabio <br />�ac ss.00 <br />i1ECH sso.� <br />PLUMBINO <br />Ave. <br />TYPE OF flIITURE OR ITEM <br />KITCHEN SINK 8 DISP. <br />TRAV <br />DRINKING FOUNTAIN <br />FLOOR DMIN <br />BACKFLOW PREVENTERS <br />ROOF DMINS — RAINLEADERS <br />USE ZONE <br />nv� a ca�sTnw <br />512E OF B�DG. <br />OCCUPANCYL <br />REASON FOR : <br />SUBTOTAL S <br />PERWT { <br />TOTALFEE f <br />PEAR SETBRCR 51 <br />LOT AREA <br />NO. OF STOPIES <br />FIPE SPRiNKLERS REO'D <br />❑ VES ❑ NO <br />MECNANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />/VC —!v'HNDLG UNITS — H.P. <br />T FORCED AIR SVS7EMS — B.7.U. M EA. <br />1 UNITHEATERS-3.T.U. M <br />VALANT SITE <br />] YES ❑ NO <br />��Wp� NO.OFDWELLING <br />9N,�iEMENT <br />❑ YES ❑ NO <br />HEIGHT LIMITATION <br />ev PLANSAPPROVEO9Y CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />1 VENTILATIONfAN <br />1 AANGEMOOD (�f OSE <br />1 WATERHEATER (re LdC <br />WOOD STOVE <br />METAL FIPEPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />MEA7 PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN <br />BUILDING <br />PLUMBING <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />NUMBER FEE <br />�EES euao <br />g <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WOFiKS <br />Y VALIDATED <br />t <br />RECEIPT NO. <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN pD�RESS FILE ���� O <br />180 DAYS OR CEASES FOR MORE THAN 180 DAVE. <br />