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lheEve�green '`"` �..�N�TRIUCTION %��. i`-- <br /> GTl'OF <br /> ever�tt PERMIT PERMITNO. � � � �, � <br /> 259 - 8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> O\YNER IdA�LA00RE55 CITY Z�P PMONE <br /> Dean Morrison 1328 Lombard Ave. Everett 98201 259-1916 <br /> TENaNT h1AILF��PE55 QTY Z:P PMONE <br /> ARC�iiTECTORDESIGNER M/ILAODflE55 CITY ZIP CHONE <br /> GENERALGONTRNCTOR MAILAO�PESS QTY ZIP PMONE LICENSE� <br /> ldECMANICALCONTRRCTOP MAILA�DRESS CITY 21P PHONE LICENSE� <br /> Valley Ne.tural Gas 2605 MCDougal Everett 98201 259-5492 %Fi VALLENG153LI <br /> PLUMBING CONTRACTOR MAIL A�OFESS CITY ZIP PHONE �ICENSE u <br /> CLASS OF WORK ' <br /> ❑ NEW ❑ ADDITIOk 6u� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PMONE NO IF OTMER THAN ABOVE <br /> CONTRACT PRICE OF WORK: � <br /> �ESCFI�E WORK AND SOUAFlE i00TAGE INVOLVE� <br /> Install furnace and water heater. <br /> PROPOSEO USE OF OUILOIIJf, <br /> srx <br /> LEGFL�ESCRIPTION OF PROPERTY(SHOW BELOV.'OR ATTACM POUR COPIES) <br /> I.OT-- BIOCK� OF <br /> JOB A�ORESS <br /> 1328 L�mbard Ave. <br /> PLUMBING MECHAMICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. T'.'PE OF EdU1PMENT FEE <br /> WATER CLOSET(TOILET) .VC—A/HNDLG UNITS—H.P. <br /> BATHTUB ]. FORCED AIR SYSTEMS—B.T.U. M EA. 9 O <br /> LAVATORY(WASH BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER _ CLOTIIESDRYERS <br /> KITCHEN SINK 8 DISP. VEfJTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TFAY ], WATER HEATER Fi SO <br /> CLOTHES WASHER WOOD STOVE <br /> METAL FIflEPLACE 8 CHIMNEY <br /> URINAL <br /> DRINKING FOUNTAIN <br /> FIflEPLACEINSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVEN'(ERS Z GAS PIPING <br /> ROJF DRAINS—RAINLEADERS E%HAUS-f FAN <br /> SINK(SFRVICE—BAR,ETC.) <br /> SUB TOTAL S SUB TOTAL S ].S O <br /> PERMIT 5 PEflMIT S ZS C <br /> TOTAL FEE 5 TO �+. • [ S ' <br /> FRONT SEiBnCK aEn^SETBncK SiDE SEronCN PLAN CHECK NUMBER FEE � RECEIPT NO. <br /> �����G1�7 '� <br /> USE :ONE LOTAREA VACANTSITE FEES �F�p �NGCO� ,1 , U FEE <br /> ❑ YES ❑ NO �i� �+.? .J <br /> t11E0FCONSi00G110NALLOWABLE ttPEOFCOHSiHOCiIONACiUt�l °O<<iou"v°° �''O.OFpWELLINGUN05 BUILDING <br /> PLUMBING <br /> SiZEOFBL�G. NOOFSTORIcS �FSEMENT <br /> ❑VES ❑ NO MECHANICAL O S <br /> OCCl1PANCVLOA� FIPESPRINHlEf15RW'� MEIGNTLIMRATION QTHER <br /> ❑VES ❑ NO <br /> STATE BUILDING SURCHARGE <br /> REASON FOR SPRINNLERS <br /> STATEFNERGYSURCHARGE <br /> APVLICATIONACC.BV PLNNSAPPROVEDBY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS _ <br /> �'AX CODE IS TOTAL 30 50 <br /> S.H. 3105 WHEN PROPEHLY VALIDATED THIS IS YOUR PERMIT <br /> PFRMITS EXPIRE IF `NORK IS NOT CONIMENCED WITHIN qD�iRE�S RL[ �l ::1 i ',' � <br /> �80 �AYS OR CEASES FOR MORE THAN 180 DAYS. <br /> N <br />