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CITY OF EVERETT <br /> ;ON'3TRUCTION <br /> wE�M� 1 PERMITNO. 2HO5E <br /> 259-8810 <br /> ❑ DE�.IOLITION ❑COMBINATION ❑ BUILDING f$MECHANICAL ❑ PLUMBING ❑SIGN <br /> 01VnEi <br /> MAILADDPESS CIN ZIP PNONE <br /> Patrick P1cLain 764 Cron�n Dr Cverett 98201 252-8777 <br /> tENANT <br /> MAILPDDRE55 CITY 21P FNON[ <br /> RRCHRECi OR UESIGNER MRILAO�RE55 <br /> GITY 21P PNONE <br /> � f{f{f{�.�.�.���fff H CITY 21P PNONE UCBJs!`• <br /> � b GENEPRLCONTRPCTOR AIAILPDDRE55 <br /> [tl y <br /> C y IAAILAODRESc. LIiV 2�P PHONE UCEuS[� <br /> n+ecHnwcn�cor+rnncior+ VALLCNG 153L 1 <br /> � � M Valley Natural Gas Inc 2605 P1cDougall Everett 98201 259-5492 pHo��E �,cens=_. <br /> n PLUMOING CONTRAGTOR <br /> M�ILA^09E°S CITY Z�P <br /> O � O <br /> � N M CLASSOFWOi1K <br /> 1, � ❑ NEW ❑ ADDITION Lq ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> ro � . CONTALTPERSONANDPHONEtIOJFOTHERTHANA00VE <br /> p n O CONTRACTPRICEOFWORK S 595 <br /> � � � �ESCPoOE4VOPHANDSOUAREFOOTAGEINJOLVED <br /> � y � <br /> Install conv burner and waterheater <br /> M 1�-3 <br /> � � 10/ilr'9l 1^=08FM C1�LAk0EC:� ',�:i:',�i: <br /> d y Pf�.OPO5E0USEOFOUILDING <br /> � r � Singkle family res <br /> � y LEGAL�ESCRIPTIONOFPROPERTY�SHOW�EIOWORATTAGHFOURCOP1E51 Et000zaos7 <br /> N � <br /> lpT__OLOCK_OF {iD002805b <br /> c 1 <br /> {����LB�Sf . _ <br /> aoonoeness C�i�Cf( k1�+5.L0 <br /> 7G4 Crown Dr <br /> pLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> FEE <br /> 1YATER CLOSET�TOILET� A�C-leMNDLG UNITS-H P <br /> FORCEDAIRSYSTEMS-B.TU. MEA. <br /> BATHTUB <br /> LAVATOPY(\NASHBASIN� UNITHEATEflS-B.TU. M <br /> � �� SHOWEFI CLOTHESORYERS <br /> � �� KITCHENSINK801SP VENTILATIONFAN <br /> � DISNK'ASHER RANGE HOOD <br /> � LAUNDPVTRAY 1 WATERHEATER <br /> I '__ CLOTHES WASHER W00�STOVE <br /> ' URINAL METAL FIREPLACE 8 CHIh1NEY <br /> �� FlREPLACEINSERT <br /> DRINKING FOUNTAIN <br /> � FLOOR ORAIN HEAT PUMP <br /> BACKfLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXNAUST FAN <br /> I ��� SINK�SERVICE-3Afi.ETCJ <br /> �� SU�TOTAL S SUB TOTAL 5 a_ <br /> '��I PER1.71T 5 PERh11T S <br /> I TOTnLFEE 5 TOTALFEE 5 <br /> r nor+r seroncn <br /> renr�semac� Sio[SEtonCK PLANCHECKNUAI�ER FEE RECEIPTNO. <br /> �` <br /> 1 �' � USL20NE LOiAH[4 VACANi51TE FEES �VA�UiIONE FEE <br /> ❑YES ❑NO 5 <br /> I I TYFEOFfANSiPUG➢04AllVNA�LE ttPECiCONSiROGt10NACiUAL ����`�'c' ��`D.�Eui•:',v:rt5 �UILDING <br /> �. PLUMDING <br /> '�I '� 52EOFOLDQ NOAfSTOPIES OASEAIENT <br /> O ves ❑r+o <br /> MECNANICA� <br /> OLCUPANCVLOAD fI�iESPRINNLEfiSREOD HEIGNTLIf.I'.TAtIO�I OTHER <br /> ❑YES ❑NO <br /> STATE BUILDING SUPCHAfIGE <br /> PEASON FOR SPRiNKLERS <br /> STATE ENERGY SUFCHARGE <br /> pPPLICATIONACC.DY P.AtlSAPPflOVE�DY CITYOFEVERETT p�ig�ICWORNS <br /> LOCALSALES <br /> TAX CODE IS TOTAL 45 0 <br /> 3105 yyHEN PROPERLY VAIIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN pn���SS FILE 2 8 O 5 6 <br /> 180 DAYS OR CEFSES FOR MORE THAN 180 DAYS. <br />