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theEuergreen �-� C�NSTI�UCTION '� �� <br /> CITY OF ' • <br /> everett PERMIT PERMIT NO. �� 92� <br /> 259 -8810 <br /> ❑ DEMOLITICN ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SiGN <br /> OLYNER MAILAD�RE55 CITY ZIP PHONE <br /> " -is Hill 1026 Lombard Everett, WA 98201 252-1375 <br /> .,. ..�T MAILACORESS CITY ZIP PHONE <br /> ARCHITEGTOFOESIGNEfi M1IAILf�DRESS CIT' ZIP PMONE <br /> GENEfiFLCONTRACTOR MAILADDFiE55 CITV ZIP PHONE LICENSE+ <br /> Viking Const. <br /> MECNANICALCONTHACTOR MAILAOORE55 CITY ZIP PHON[ LICENSE� <br /> PWMBINGCOMFACTOR MAILAO�PE55 CITY ZIP PMONE UCENSEa <br /> Art's Plumbing 102 Ave D Snohomish, WA &��fl8 98290 568-1237 ART��123BD <br /> CLA55 OF WOPK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> � WNTACT PERSON AND PHONE NO.IF OTHER TMAN AdGYE <br /> CONTRACT PRICE OF WORK:$ g§�g� 3500. <br /> DESCRIBE WOPK AND SOUARE FOOTAGE INVO�VEO <br /> Plumb addition <br /> FROPOSED USE OF BVILDING <br /> �A�2bxk�mlaaa� Sinule familv residence <br /> �EGAL DESCRIPTION OF PROPERiY�SHOW BELOW OR ATTqCH FOUR COPIES) <br /> LOT- OLOCK--OF <br /> JOO ADOFE55 <br /> 1026 Lombard <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> 2 WATERCLOSET�TOILET) ZO OO aC-A/HNDLGUNITS-H.P. <br /> 1 BATHTUB S OO PORCED AIR SYSTEMS-B.T.U. M EA. <br /> 2 �AVATORV�WASHBASIN) ],O OO UNITHEATERS-B.T.U. M <br /> 1 SHOWER 5 OO CLOTHESDRYERS <br /> 1 KITCHEN SINK 8 DISP. S OO VENTILATION FAN <br /> ], DISHWASHER S OO RANGEHOOD <br /> LAUNDRVTflAV �. WATER HEATER C SO <br /> 1 CLOTHES WASHER 5 p WaOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> ORINKING FOUNTAIN FIREPLACE INSEFT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOFDRAINS-RAINLEAOERS EXHAUS7FAN <br /> SINK�SERVICE-BAR,ETC.) <br /> SU[iTOTAL S �IS OO SUBTOTAL 5 ( SQ <br /> PpRMIT S -- PEflMIT S ].S OO <br /> TOTALFEE S �IS OO TOTALFEE 5 21 SO <br /> FRONTSETBACK �1EAiiSETOACH SIDESETEiACK PLANCNECKNUMBER FEE RECEIPTNO. <br /> US[ZONE LOT RREA VACANT SITE FEES OUILDING COOE E <br /> ❑ VES ❑ NO ...•e•.. <br /> IYPLOFCONSiFOC11nNALL01YA�lE iYPEOPCON5iNI1LilONAGiUAI ""cacu��� �'OOFDNELlINGOAIIS BUILDMG 5 � <br /> PLUN'BING NOOO�iSGS 45 00 <br /> St2E OF pLOG. NO.OF STORIES BASEMENT <br /> ❑ YES O NO MECHANICAL �fECH S�[ .SO zl SO <br /> OCCUP�NCYLOAD FIRESPRINKLERSFEO'D HEIGHi�11.11TATi0N OTFIER CHECY EO .SO <br /> ❑ VES ❑ NO <br /> aenson FOR saawH�Eas STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACG�V PLANSAPPROVED�Y CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> hf.M. TAX CODE IS rorn� 66 50 <br /> 3105 WyEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT CO�dMENf:ED WITHIN ADDRESS FILE � ' ''-i � <br /> 180 DAYS OR CEASES FOR MORE THAN �80 DAYS. `' � � <br />