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'�e�'���o� "� �NSTRUCTION ^ '�� <br /> �verett PERMIT PERMITNO. _ 22034 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONMEF MAIL NDORE55 CITV ZIP PHONE <br /> Tom Guternez 1700 132nd St. Everett 337-6242 <br /> TENANT MAILAOOPESS CITY ZiP PHONL <br /> ARCHRECT OR OESiGNER MAIL ApDFESS CITV ZIP PHONE <br /> GENERALCONTflACTOR MAI�AOORESS CITY ZIP PNONE LICENSE� <br /> MECMANICAL CONTR4CTOR MAII AD�RE55 CITV 21P PHONE LICENSE• <br /> Ter.ry Clark 14630 21st Ave. SW Seattle 98166 296-7100 SOUNDB241K0 <br /> PWMBINGCONTRACiON MAILA�DRE55 CITY 21P PHONE UCENSE� <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTENATION O REPAIR ❑ DEMOLITION ❑ BUILDING NELOCATION <br /> CONTALT PERSON AND PHONE NO.IF OTHEN iMAN AB' 'E <br /> CONTRACT PRICE OF WORK:$ <br /> DESCRIBE WORI(AND SOUFRE FOOTRGE INVOI VEO <br /> Install wood stove <br /> PROPOSED USE OF BUILOING <br /> SFR ! <br /> �EGAI DESCRIPTION OF PROPERTY(SMOW BE�OW OB ATTACH FOUR COPIES� I <br /> LOT- DLOCN_OF <br /> I <br /> JOBADORE55 <br /> 4620 Delaware Ave. <br /> PLUMBING MECHANICAL , <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE ��� <br /> WATER CLOSET ITOIIET) NC—A/HNOLG UNITS—H.P. I <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M EA. i <br /> LAVATORY(WASH BASIN� UNIT HEATERS—B T.U. M <br /> SHOWER CIOTHES DRYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHN'ASHER FaNGE NOOD <br /> LAUN�RVTHAV WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPIACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREP�ACE INSERT <br /> FLOOR ORAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN _ <br /> SINK(SERVICE—BAR.ETC.) <br /> � SUBTOTAL S SUBTOTAL S 30 00 <br /> PERMIT S PER ....� <br /> 70TALFEE S TOTALFEE S O O <br /> FqpNTSETBRCK REAflSETBAGN SIOESET9.CN PIANCHECKNUMBER F66OOPLO3�F RECEIPTNO. <br /> 9U <br /> HECH S3 .UO <br /> USE ZONE LOT AREA VACFNi SITE p CODE <br /> ❑vES ❑NO FEES FEE • <br /> 1YfE0FLON57PU[710NALlN1'ABIE 7YPEOFCONSIq�;pONACTUAI a��'o� �OFDN4LLrvLONi15 BUILOING S <br /> PIUMBING <br /> SIZEOFBIDG NO.OFSTORIES BASEMENT <br /> ❑VES ❑ NO MECHANICAL 30 00 <br /> OCCUPANCYLOnD FIRESPPoNFLERSPEO'0 MEIGMTLIMITATION OTHER <br /> ❑ vES ❑ NO <br /> REASON FOR SPRINKlEHS STATE BUIIDING SURCHARGE <br /> STATEENERGYSURCHARGE � <br /> APPLICATIONACG.�Y PLANSAPPPOVE�DY CITY OF EVERETT �� <br /> LOCAL SALES PUBLIC WORHS <br /> s.H. TAX CODE IS TOTAL 3 <br /> $g 3105 <br /> WHEN PROPERLY VALIDAT�D THIS IS YOUR PERMIT <br /> PEHMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AODRESS FILE 2 � IJ �,1 f <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />