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,-. <br /> fheEvcrgreen � C��NSTRUCTION �� � <br /> CITY OF <br /> eV@Pett PER11111T PeRn�ir No. _ �? �� � <br /> 259 - 8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �c7 SIGN <br /> OWNER h1A1LA00RE5S CITY ZIP PMONE <br /> Regency Homes 1560 140th Ave. NE Bellevue 98005 797-1726 <br /> TENANT MAILAD�AE55 CITY ZIP PHONE <br /> ARCMRECf OR DESIGNEB f.'AIL�DDf1E55 CITY ZIP PMONE <br /> Thomas Berger and Assoc. 2021 Minor E. Seattle 325-6877 <br /> GENERALCONTRACTOR MAILAD�PESS CITY 21P PMONE LICENSE� <br /> Owner REGENHI126DD <br /> MECHRNICALCONTRr1ClOR ���ILAO�PE55 CITY ZIP �HONE IICENSE� <br /> PLUMBINGCONTPACTOR MAP.AD�Rc55 CITY 21P PNONE LICENSE• <br /> C1A550F WOPK <br /> IXNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON ANp PMONE NO.IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK�$ 3800 00 <br /> OESCRIBE WORK RND SOUARE FOOTAGE INVOLVED <br /> Install sign <br /> PROPOSEf]USE OF BUIl01NG <br /> LEGAL DSSCRIPTION OF VROPERTY(SHOW BELOW OR ATTACH FOUR COPIES� <br /> 1-9 <br /> LOT_— BLOCK—OF <br /> 07/25/B9 1:34FN O�OAt#6985 GKkk <br /> / <br /> HOQ0�25S4 <br /> EL�G �15.00 '� <br /> JOBAODRESS CHECK 315.00 <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMEN? FEE <br /> WATEH CLOSET(TOILET� NC—NHN�LG UNITS—H.P. <br /> BATliTUB FORCED AIR SYSTEMS—B.T.U. M EA. <br /> LAVATORV(WASH BASIN) UNIT HEATEFS—B.T.U. M <br /> SHOWER CLOTHESDRYER� <br /> KITCHEN SINK d OISP. VENTILNTIOIJ FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAV WATEP HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREFLACE 8 CHIMNEY <br /> DRINKING FOUN7AIN FIREPLACE INSERT <br /> FLOO 1 DRAIN HEAT PUMP <br /> BA�ffLOW PREVENTERS GAS PIPING <br /> F.GOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL S SlIBTO'iAL f <br /> PERMIT S PEflM�f f <br /> TOTALFEE S TOT/.LFEE f <br /> FRONTSETBnLN P[ARSETBnCR Si�ESETonCN PLANCHECKNUMBER FEE RECEIPTNJ. <br /> USE20NE LOTANEA �ACANTSITE FEES BUVLOINGCODE FEE <br /> R-S ❑YES ❑NO <br /> 7YPEOFCOMSiPULiIDNALLQJlABIE 7Vi£OFCONSiRUCi10NACNAL °wa� NOOfDKFILINGONRS BUILDING S $BOO.00 ZS OO <br /> PLUMBING <br /> SIZE 0�BL�G NO.OF STORIE$ B.15EMENT '—�— <br /> ❑VES ❑NO MECHANICAL <br /> OCCUPAI:CYLOAO FIRESPRINNLERSREO'0 NEIGHTLIFIITFTION �THER <br /> ❑ YES ❑ NO <br /> REASON iOf15VRINKlERS STATE BUILDING SURCHARGE <br /> STATEEWERGYSURCHARGE <br /> APPLICATIONACC.f3Y PlANSAPPPOVEDOY CITY OF EVERETT <br /> LOCAL SALES PU9LIC WORY,S <br /> B � TAX CODE IS TOTAL 15 00 <br /> 3105 yykEN PROPERLY VALIDATED THIS IS YOUR PGRMIT <br /> PERMITS EXPIRE IF WORK I:i N07' COMMENCED WITHIN qpppESS FlLE ;� G �) `.� ��� <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />