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the Evergreen �� C-���T R U�T I O N � � <br /> CITY OF 9 <br /> everett �F��IYI� 1 PERMITNO. 22U �� <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION G BUILDING �E] MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEP MAILAOORE55 CITV ZIP PHONE <br /> Mabel Conklin 1828 Lombard Everett 98201 _ <br /> tENANT MAILADpRESS GIII 2IP PMONE <br /> ARCHRECTOR�ESIGNER � MAILADDRESS CITY ZIP PHONE <br /> GENERALLONTRACTOq MAILA�DRE55 LITY ZIP PHONE UCENSEx <br /> MECHANICALCONTRFCTOR MAILAOpRE55 CITY ZIP PMONE LICENSE� <br /> Ya}�ex Valley Nat. Gas 2605 McDougal Everett 98201 259-5492 VAiLENG153LI <br /> PLUMBINGCONTRACTOR M1IAILADORE55 CITV ZIP PHONE LICENSEd <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITiON ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PMONE N0.IF OTMER THAN ABOVE <br /> CONTRACT PFICE OF WORK:$ _ _ <br /> DESCRIBE WOPK AND SOUARE FOOTAGE INVO�VEO <br /> install gas furnace and water heater. <br /> PROPOSE�USE OF BUILDING <br /> SFR <br /> LEGAL�ESCRIPTION OF PROPERTV(SHOW BELOW OR ATTACH FOUR COPIE51 <br /> LOT- �LOGN-OF <br /> JOB ADDPESS <br /> 1828 Lombard Ave. <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> N.^�TER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB gl F'�RCED AIR SVSTEMS—B.T.U. M EA. <br /> LAVATORY(WASHBASIN) UNITHEATERS—B.T.LL M <br /> SHOWER CLOTHESDRVERS <br /> KITCHEN SINK 8 OISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAV ]. WATER HEATEF <br /> CLOTNES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS Z GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL S SUBTOTAL 5 <br /> PERMIT S PENMIT S <br /> TOTAL FEE 5 T�S•����^^ '$' ^ , <br /> FRONTSETBACK FEFRSETDACK SiDE5ET8ACN PLANCHECKNUMBEfl �� / E I ^ . <br /> �OOQ22P,35 <br /> USEZONE LOTAREA `/�GANTSRE �.` pINGCOU6�O SO FEE <br /> FEES <br /> ❑YES ❑ NO (aj��4: Y.t� 5� <br /> iYPEOfCONSiFUCTIONALIOwABLE ttPE0fWN5iPUCiiJNFCiVAL °�'"�.�'�.'�`' NOOFORELUNGUNIiS OUILDING <br /> PLUMBING <br /> SIZE OP OLDG NO.OF STORIES BASEAIENT <br /> ❑VES ❑ NO MECHANICAL <br /> l`CLUPANCYLORD FlRESPPINNLERSREOD HEIGHTLIMITFTION OTHER <br /> ❑VES �NO <br /> HEASON FOR SPRINHLERS STATE BUILDING SURCHAFGE <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACC.�Y PLANSAPPROVEDBY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> s.H. TAX CODE IS rorn� <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ' , ;'ti -,. <br /> ADDRESS FILE i� '� - . - <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />