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`� �� � Q'�NSTRUCTION � � <br /> everett PERMIT PERMIT NO. _ 219 R 2 <br /> 259 -8810 <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> py�Eq MAILFDDRESS CITV ZIP PMONE <br /> Gil Davis 1613 Edgemoor Lane Everett, WA 98201 355-3006 <br /> TENANT MAILADDRE55 CIT" ZIP PNONE <br /> ARCHITECi OP DESIGNER MAIL AODRESS CITV ZIP PHONE <br /> GENERALG9NiPACTOR Nr1iLA0URE55 CITY 21P PHONE 4CENSE� <br /> MECHANIULCONTRr1CTOR MAILADDRE55 CITY 21r` PHONE 4CENSE� <br /> Valley Natural Gas 2605 McDougal Everett, WA 98201 259-5492 VALLENG153LI <br /> PLUMBINGCONTR�GTOR MRILApORESS CITY ZIP PHONE LILENSE� <br /> GU55 OF WORK <br /> ❑ NEW ❑ ADDITION �ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON ANO PMONE NO IF OTMER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ <br /> DESCNIBE WC9K AND SOU�RE FOOTAGE INVOLVED <br /> 57' of gas pipe in crawl � <br /> I <br /> I <br /> PROPoSEO USE OF BUILOING <br /> Single family residence <br /> LEGAL DESCRIPTION UF PROPERTY(SHOW BELOW OR ATTACM FOUR COPIES) <br /> lOT_— BLOGK_OF <br /> JOB�ODRESS <br /> 1613 Ed emnor Lane <br /> PLUMBIN(i MECHANICAL <br /> NO. TYPE OF FO(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-�A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M EA. <br /> UVATORY(WASH BASIN) UNIT HEATERS—D.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINK d OISP. VENTILATION FAN <br /> DISHWASHER RANGEHOOD <br /> UUN�RV TRAV WATER HEATER <br /> CLOTHES WASHEF WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT _ <br /> FLOOF DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS 1 GAS PIPING 3.00 � <br /> ROOF DRAINS—HAMLEADERS E%HAUST FAN _ <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTAL f S118 TOTAL f 3 O <br /> PEHMI7 S PERMIT f 15 O <br /> TOTA�FEE S TOTALFEE f IB O <br /> FRONTSETBFCN REARSETBRGN SIDESETOACK PLANCHECKNUMBER FEE RECEIPTNO. <br /> USEZONE LOTFREA VRCANT9iE FEES BUILUINOCODE �E <br /> ❑VES ❑ NO <br /> 7Yf40fCONSiPUCipNALL�1VABtE ttPEOFtONSiPUt➢UNALtUAI ��p' �OFOWFLLINGUNIiS BUILDING $ <br /> PLUMBING <br /> SIZEOFBLDG. NOOFSTORIES ONSEMENT <br /> ❑YES ❑NO MECHANICP.L / 18 00 <br /> OCCUPANCY lOAO FIPE SPqINNLERS REO D NEIGHT LIMITATI01! G L <br /> OTHER <br /> ❑VES ❑ NO <br /> FGSONFORSPPiNRLEPS STATEBUILDINGSURCHARGE CHEG� SI .00 <br /> STATEENERGYSURCNAFGE <br /> APPLICATIONACC.BY PlANSAPPROVEDBV CITY OF EVERETT �' <br /> LOCAL SALEF PUBLIC WORKS <br /> M.M. TAX CODE IS TOTAL 18 00 <br /> � 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXP!qE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 219 8 ? <br /> 180 DAYS OR Cti,SES F4R MORE THAN 180 DAYS. <br />