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`hc�'��o '`�' C^1NSTRUCTION �� � C I <br /> everett PERMIT PERMITNO. 2302J � <br /> 259 - 8810 � <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING x�] MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER h1AILP0�RES5 CITV 21P PHONE <br /> Taleicxh Johnson 4903 Fowler Ev�rett aB�n� 75�-597R _ <br /> TENANT MAILADDflESS QTV ZIP PHONE <br /> AfiLHITECT 00 DESIGNER Mnll AOORESS CITY 21P PMONF <br /> GENERALCONTOACTOR M/ILADDRESS CITY ZIP PMONE LICENSE� <br /> Natural Gas Eauip Co 1625 E Marine Vie�� FVPYP�"F QR��1 �5R-�adl AIATfTRf]F"�7Q <br /> MELMANICALGONTR�CTOR 1AAILAOOPE55 CITY 21P PMONE N J C V�MSE <br /> �� ll <br /> YJMBINGCONTRACTOR MAILAODRE55 GTY ZIP PMONE IICENSE� <br /> ClA5S OF WORK <br /> ❑ NEW ❑ ADDITION �ALTERATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br /> CONTACT PERSON nN0 PHONE N0.IF OTMER THAN ABOVE <br /> CQNTRACTPRICEOFWORK'S Bob Perkins 258-2n41 <br /> OESCRIpE W011K AND SOUAqE FOOTAGE INVOLVEO <br />� Furnace chan e out <br />�";' <br /> �. <br /> PROPOSE�USE OF BUILDING <br /> -'� SFR <br /> - LEGAL OESCNIPTION OF PROPERTY�SHOW O[lOW OR NTTACM FOIIR COPIES� <br /> LOT_ BLOCK—OF <br /> JOB ADDRE55 <br /> 4903 Fowler <br /> PL:.�ABING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—NHNDLG UNITS—H.P. <br /> BATHTUB 1 FORCED AIP SYSTEMS—B.T.U.1 EA. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWEP CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN ' <br /> DISMWASHER RANGE HOOD . <br /> LAUNDRY TflAY ], WATER HEATER �� <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL PIREPLACE 6 CHIMNEV � <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR ORAIN HEAT PUMP ' <br /> BACNFLOW PflEVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTAL S SUB TOTAL S 1 S S O <br /> PERMIT S PENMIT S ZS OO I I <br /> TOTAL FEE S TOTAL FEE S 3O S O <br /> �RONTSEiDACK REARSEToaCK SiOESETeACK PLANCHECKNUMBER FEE RECEIPTNO. I I <br /> �,,.o, o ,u n nue : ...r.y..�. �� �� <br /> USE ZONE L,IT AREA VACANT SIiE FEES "e� oi cone ' ' � �FEE � <br /> ❑ YES ❑ NO <br /> P'PEOfLONSIFUf,710NALL01YABLE SYI'E0�::9�7PVC➢ONACiVAL ��^"p"��� NOOFONEILINGlIN175 DUILDING �l��L.��: <br /> PwMeING rSECIi :bO :;O � <br /> 512E Oi BLOG NO.OF 5�]RIES BASEMENT - ^' ^� I <br /> ❑VES ❑ NO ti�ECHANICAL MtCH a�F� OO 3O SO � <br /> UCCUPANCVLOAD FIRESPRiNKLERSRE00 HEIGHTLIMITATION OTHER �OUOGJOi'.S <br /> � c <br /> ❑VES ❑ NO - <br /> RensoN rOn svair�K�ens STA7E BUILOING SURCHARGE �HECI� 5SJ'J OO <br /> STATEENERGYSURCHARGE <br /> nPPLICATIONACC F11' PLANSAPPROVE�OV CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 30 50 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> �. � <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN pDDRESS FILE � J O � '� <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />