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-� <br /> "��'��� � C�VSTRUCTION -- '� <br /> everett PERMIT PERMITNO. _ 23O'JZ <br /> 259 -a810 <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDING [� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> 01VNER MAILAD�RE55 (;ITY ZIP PMONe <br /> William Dockstader 710 Edward Gverett 98201 <br /> TENRNT MAILA�ORESS qTY ZIP P110N[ <br /> ARCHITECTORDESIGNER MAILADDNESS QTY IIp PNONE <br /> GENERAL CONTRAGTOR MAIL qpDRESS CITV ZIP PHONE UCENSE� <br /> MECHANICP.CCNTRACTOR MAIL AD�FE55 CITY ZiP PIIONE LICENSE• <br /> i Seattle Pireplace Shop 13728 Aurora Ave. N. Seattle 96133 369-4700 <br /> PLUM9INGCONTRACTOR MAILApDFESS CiTV 21P PNONE �ICENSE• <br /> SEATTFS262MH <br /> CL�SS OF WORK <br /> ! O NEW ❑ ADDITION ❑ qLTEqATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION I <br /> CONTACi PERSON AND PNONE NO.li OTNER THAN ABOVE <br /> CONTRACT PRICE OF WORK:� <br /> DESCRI9E WOPN AND SOUAPE FOOTAGE INVOLVED <br /> Install insert <br /> PROPpSEU USE OF BUILOING <br /> SFR <br /> IEGAL OESCNIPTION OF PqOPERTV�SHOW BELOV/Oq ATTACH FOUii COPIES� <br /> LOT_ BLOCK- OF <br /> JOBAODNE55 <br /> �.1� EC�WdYCl <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOI�ET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M EA. <br /> LAVATORV�WASHBASIN� UNITHEATERS—O.TL. � p„� ..� ,,..,..�, <br /> SHOWEF CLOTHESDRYERS <br /> NiTCHEN SINN 8 DISP. VENTILATION FAN �� <br /> DISHWASHER RANGEHOOD <br /> i <br /> LAUNDRVTNAV WATER HEATER � <br /> CLOTHES WASHER WOODSTOVE � <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINNING FOUNTAIN 1 FIREPLACE INSERT <br /> FLOOR DRAIN MEAT PUMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEA�ERS E%hIAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL S SUBTOTAL S <br />� PENMIT f PENMIT S <br /> TOTALFEE S TOTALFEE S <br /> FRONT SEfBnCK NEnR SETBACK SioE SETBnCK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE �OTAPEA VACANTSITE <br /> ❑ YES ❑NO FEES euaoir�c cooe FEE <br /> tYfEpF�pNSiflULilOAALl01VFBlF iYPEOFCONSiqp[pONACiUAL a�q�p` NO�FON4LLINGUNi15 BUILDING S <br /> PLUMBING <br /> 512E OF pLDG NO Of STORIES BASEMENT <br /> O YES ❑NO MECHANICA� 30 00 <br /> OCCUP�NCYIOAD FlNESPRINNLERSREO'0 MEIGNTIINITATION <br /> �] YES ❑NO OTMER <br /> a�nsorv ron s+niNrueas STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIDNACC.BV PLANSAPPROVEDBY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> S.H, TAX CODE IS TOTAL <br /> 3105 µrHEN PROPERLY VALIDATED THIS IS VOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENf:ED WITHIN ADDR[SS FILE 2 3 G b � <br /> 780 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />