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r..__ <br /> IhrGt�ertireen �_7NSTRUCTION � <br /> CITY OF <br /> everett PERMIT PERMIT NO _ � nrO� <br /> 25g -8810 ❑ pLUMBING ❑ SIGN <br /> XXMECHANICAL <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING =p p��O��E <br /> rnni�nooness c'rr 355-333J <br /> o�""`° 112 SE Everett Dfall Way Everett <br /> lVashington Natural Gas Co �,� z,P P"o"E <br /> nia�aooness <br /> 1[nnr�r <br /> Mnl�AOORE55 <br /> CITY ZIP PHONE <br /> n�CNrtEGT OR C[SIGNEP <br /> � � � C�T. ZIP PNONE UCENS[+ <br /> MRIL AOONE55 <br /> � y GENERRLGONTPACTOR <br /> p� � Z�p PHONE LICENSE• <br /> ❑ H MAILAOORE55 QTY <br /> 7 H N '.�ECMPNILALCONTRAGTOP L i,r QR�nl 7Sg ZA41 NAT��R�V'��OPI+ <br /> H� <br /> � UIdt T' �UIREnt ('O InC 1 CITY ZIP <br /> y H � MRILRODlVESS <br /> 1� y � PWMOINGCOHTi1PGTOA <br /> � N � ❑ BUILDING RELOCATIOH <br /> GLFi50F WORK � pEpp�q ❑ DEMOLITION <br /> � o � ❑ NEW ❑ADDITION �ALTERATION <br /> GONTACT PERSON AND PHONE NO.IF OTMER THFN ABOVE <br /> � F3 3 2��.�� <br /> O H <br /> � p C CONTRACT PRICE OF WORK: e <br /> H [C O <br /> G7 • C1 OESCBi6EWGBNANO50UAREF00TAGEINVOWEO <br /> zy y � <br /> r H H <br /> n O m N o�oseouseoFow�oirvc <br /> � � � _ <br /> $ H N LEGALDESCRIPTIONOFPPOPEHTY�SHOWBELOWONATTACMFOURGOPIES� <br /> H O tp <br /> LOT�-BLOLN�OF <br /> I <br /> JOBAODRESS� <br /> MECHANICAL <br /> pIUMBING TYPEOFEOUIPMENT FEE <br /> FEE NO. <br /> NO. TYPE OF FIXTURE OR ITEM N�_p�HNDLG UNITS—H.P. <br /> WATER CLOSET ITOILET) FORCED AIR SYSTEMS—�.T�U. M EA. <br /> BAThTUB UNITHEATERS—B.T.U. M <br /> LAVATORY�WASH BASIN) CLOTHESDRYERS <br /> i'�_�., SHOWER VENTILATION FAN <br /> _—' KITCHEN SINK 8 OISP. qpNGE HOOD <br /> DISHWASHER Wq7ER HEATER <br /> 1 IAUNDFY TRAY WOOD STOVE <br /> '__ CIOTHES WASHEfl METAL FlREFLACE 8 CHIMNEY <br /> _-_1 UflINAL FIRLPLACE INSERT <br /> �RINNING FOUNTAIN HEAT PUMP <br /> FLOOR DRAIN GAS PIPING <br /> � BACKFLOW PREVENTERS E%HAUST FAN <br /> i ' ROOFORAINS—AAINLEADERS <br /> ��/� <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL S <br /> " ��1� SUBTOTAL S PERMIT f <br /> �� PERMIT s TOTALFEE S <br /> I TOTALFEE S FEE RECEIPTNO. <br /> GRONTSET�AGK <br /> REPl15ETBPCK SiDE SETBACN PLAN CHECK NUMBER <br /> J _ <br /> e,s. LO7AREq vacAr+rsrte FEES euipowccooe FEE <br /> USEZONE <br /> ❑YES ❑NO S <br /> � oa��`�+ YOOF�NEIIiNGONI:S BUILDING <br /> iYifOiCONStPUCllONAll06'.,dlE 1VPEOFWtiSiPUtfIONACTUAL � <br /> ' _ 4 PLUMBIMG <br /> ����' SIZEOFOL�G NO.OFSTORIES OASEMENi MF�N4NICAL {{QQOL40Se 65 � <br /> ❑VES ❑NO t <br /> OLCUPANCYLOA� <br /> FIPESFflINKLE�5AE0'0 NEIGHTLIMITATION OTHER � <br /> ❑YES ❑NO STATE BIIILDING SURCHARGE <br /> REASON FOR SPflINHlEfiS <br /> ' STATEENERGVSURCHARG' <br /> pPPLICATIONACC.BY PLANSAPVROVEDBY C�TY OF EVERETT pUBLICWONKS <br /> LOCAL SALES 65 0 <br /> TAX CODE IS TOTAL <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AODRESS FIL[ �'T O� " <br /> 180 DAYS Ofl CEASES FOR MOHE THAN 180 DAYS. <br />