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`��' � ''�ONSTRUCTION "- <br />CITY OF <br />everett PERMIT PERMITNO.. ����� <br />259-8810 <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING XS MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEF MAILADDRE55 CITY ZIP PMONE <br />ClaudjiWilson 4131 Federal Ave Everett, WA 96203 252-3509 <br />TEN�NT MRILqUDRE55 CITY ZIP PNONE <br />ORpESIGNER MAILr1DDPE5S CITY ZIP PMONE <br />I <br />GENERALCONTPAGTOR MAILq�DNE55 QTY LIP PNONE UCENSE� <br />MECHANICAICONTflACTOR MAILA�DPESS CITV 21P PMONE LICENSEI <br />Northwest Water Heater Inc. 3110 Hill Ave Everett. WA 9A201 259-5331 NORTFIWIi137KJ <br />, PLUMBINOCONTNACTOR MNILADDRCSS CITY ZIP PHONE LICENSEI <br />ClAS50F WORK <br />❑ NEW ❑ AD�ITION �] ALTERATION ❑ pEPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT FERSOtv AND PMONE NO IF OTMER TMAN ABOVE <br />CONTflACT PRICE OF WORK: $ 300.00 <br />GESCRIBEWORNANASOUAREFOOTAGEINVOLVF.D <br />OonverEt wayfter A��c heater to gas <br />PROPoSED USE OF 6UILDIN(: <br />Single family residen@ <br />LEGAL OESCRIRION OF VROPERTY (SMOW BELOW OR ATTACM FOUR COPIES� <br />LOT- BLOCK � OF <br />J08 AOIXiE55 <br />4131 Federal Ave <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br />WATER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEq <br />LAUNDRY TMV <br />DRINKING FOUN7AIN <br />FLOOR URAIN <br />BACKFLOW PREVENTE <br />ROOF DMINS — RAINL <br />SINK (SERVICE — BAR, <br />FflONT SEfBACK <br />USE20NE <br />ne� a ea+srnuenox <br />512E OF BLDG. <br />OCCUPANCY�OAD <br />SUBTOTAL <br />PENMIT <br />TO7ALFEE <br />REARSETBNCK <br />LOT AREF <br />fYff OF GONSiPUCiIUN ACiUAL <br />N0. OF STOFIES <br />FIRE SPRINKLERS REO'D <br />] VES ❑ NJ <br />iH5 APPROVED BY <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIF SVS7EMS — B.T.U. M <br />UNITHEATERS-9.T.0 M <br />CI.OTHES DRVERS <br />VENTILATION FAN <br />RNNGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />PEflM1T { <br />VAC4NT SITE <br />❑ vE5 ❑ NO FEES <br />��o�;�• xooroHEwxcuwrs BUILDING <br />PLUMBING <br />BASEMENT <br />❑ vES ❑ NO MECHANICAL <br />HEIGHTLIMITATION OTHER <br />STA7E BUILDING SURCHARG <br />STA7E-ENERGYSURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />PROPERLY <br />PERMITS EXPIRE IF WORK IS N7T COMMENf:ED WITHIN A�UR[SS fILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FEE RECEIPTNO. <br />01/24/90 4� OOOHN9688 #+"# <br />'!'�i�! :' <br />THIS IS YOUR <br />Z <br />