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'�`E°��" � --�'ONSTRUCTIO�� � <br /> everett PERMIT PEF;MITNO. _ � 4JO �" <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �?tMECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRESE CITY ZIP PI10NE <br /> Herman Boersema 4824 College Ave. Everett 96203 259-4470 <br />� TENANT MAILADO�iE55 CITY ZIP PMONE <br /> �RCHITECt OR DESIGNER MRIL AODRE95 QTY ZIP PMONE <br /> GENERRL CONTFACTOR b.f��ADURESS pTY ZIP GMONE ULENSE r <br /> MECHANICNLCONTRACTON MAILADDFE55 GTY ZIP PNONE LICENSE• <br /> N.W. Water Heater 3110 Hill Ave Everett 98201 259-5331 NORTHWH137KJ <br /> PIUMBINGCONTRACTOR MAILADDRE55 CITY 21P PMONE LICENSE� <br /> il <br /> CLASS OF WONK <br /> ❑ NEW ❑ ADDITION X%1 ALTERATION ❑ HEP�IR ❑ DEMOLITffJN O BUILDING qELOCAT,ON <br /> CONTACT PEFSON ANO PHONE NO :�OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK:S 400.00 <br /> OESC9IBE WORN RND SOUAN=fOOTAGE INVOLVED <br /> Install nas wgter heater <br /> PPOPOSED USE OF BUILDING <br /> Single Family Residence + <br /> LEGQ DESCRIPTION OF VROPEPTV ISHOW BELOW OB ATfACH FOUR COPIES� � � �# <br /> � <br /> LOi� BLOCN-OF <br /> � <br /> tfECN 330.W <br /> — , ., . <br /> JOBADDRESS <br /> 4824 Colleg� <br /> PLUMBING MECHANICA: <br /> N0. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FFE <br /> WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. <br /> BA fHTUB FORCED AIR SVSTEMS—B.T.U. M E0. <br /> LAVATORV�WASHBASIN) UNITHHATERS—BT.U. M <br /> SHOWER CLOTHESORVERS <br /> KITCHEN SINK 8 DISP. VEN TILATION FAN <br /> D�SHWASHER FANGEHOOD <br /> LAUNDRVTRAV WATERHEATER <br /> CLOTHES WASNER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKINGFOUNTAIN FIREPLACEINSERT <br /> FLOOR DfiAIN HEAT PUMP <br /> BACKFLOW PREVENTERS 1 GAS PIPING <br /> HOOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SEHVICE—BAR,ETC.) <br /> sue ror�� s sue ror�� s 15 00 <br /> PEPMIT S PENMIT f I.S On <br /> TOTALFEE S TOTALFEE S <br /> FRONTSETBnCN RFARSETOnCK SIpE5Ei0ACK PLANCHECKNUMB[R FEE RECEIPTNO. <br /> USEIONE LOTAPEF VACANTSITE FEES PUILDINGCODE FEE <br /> ❑VES ❑NO <br /> 1VRO�CONS7PUCIpYAILOWABIE ttffOFLONSiPOGiIONALiUAI ��;,���".°Y NOOFONfILINGON:15 BUILDING S <br /> PLUMBING <br /> SIZEOFp�OG NO.OFSTORIES OASEMENT <br /> ❑YES ❑ NO MECHANICAL 30 00 <br /> OCCUPANCVLORD FlRESPOINKLEFSREO'D HEIGMTLIMIiATION QTHER <br /> ❑ vES ❑ NO <br /> RERSON FOR SPPINKLERS STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE � <br /> qPPLICATIONACC.BY PLANSAPPPOVED�� CITY OF EVERETT I <br /> LOCALSALES PuoucwoaKs I <br /> TAX CODE IS Tora� 30 00 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PEAMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qD�RESS FILE 2 4 5 0 � <br /> i 180 UAYS OR CEASES FOR MORE THAN 180 DAYS. ___ _ � <br />