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�,�<.�.�`,xT�aF r'�NST'RUCTION <br /> e�e�ett PER11�iT PERMITNO. _ J ��� C <br /> 259 -8810 <br /> �] DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANII:pL ❑ PLUMBIN:i ❑ SIGN <br /> .H�. � � n�ni�noonEss crtr �r. aHonE <br /> � oc:mEn <br /> !Lp y Helen Olson 2503 Lombard Ave. Everett 259-1895 <br /> A N x ' 1CYANT MAllh0�FE55 C�TY ZIP PHONE <br /> C, H <br /> 9HCn <br /> 4 <br /> FRCHITECT OR�ESIGNEA lAAIL AODRE55 CITV ZIP PHONE <br /> H H <br /> � f] �) GENERALCONTRRGTOR �aAILADDFESS CITY ZIP PMONE LICENSE• <br /> � H � <br /> � �"� .4ECHnNICALCONTFnGTOR MAI�AODRE55 CiT! ZIP PMONE LiCENSEr <br /> � o � Valley Nat Gas 2605 McDouqall Everett, 96201 259-5492 VALLENG153L1 <br /> y � CWMpINGCONTRACTOR MAILAD�RESS CITY Z�P fHONE UCENSEv <br /> OH �yy <br /> H ClJ lJ CLASSOF WG(iK <br /> 'n� n ❑ NEW ❑ AUDITION ❑ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING PELOCATION <br /> H <br /> ',y'Jy' H GONTACT PERSON AND VMONE NO.IF OTMEII THAN AOOVE <br /> [-� y "1,' CONTRACi PRICE OF WOFK:S Q�OOO.00 <br /> H y pE5CRi9E\VORrcnND50UnREP00TAGEINVOlVEO <br /> � <br /> n d y Znstall furnace & watzr Tank <br /> � � t+f <br /> 7+ HV) PROPOEEOUSEOFpUILDING <br /> HOCn SFR <br /> L[GA�I]ESCflIPTION OF PflOPEPTY�SHO W DELOW OH ATTACM POU�COPIES� <br /> LOT_ BIOCK-OF <br /> JCF1:,IJ'.)i1[55 � <br /> 2503 Lombard Ave. __ '. <br /> PLUINBING MECHi.NICAL <br /> NO. , TYPE OF FIXTUHE OP ITEM FEE NO. TYPE OF EOUIPMENT FEE _ <br /> WATER CLOSET(TOILET) A/C—A/HN�LG UNITS—H P. <br /> BATHTUB ], FORCED AIF SYSTEMS—B.T.U. M EA. � <br /> LAVATORY�WASHBA$!N� UNITHEATERS—BTL. A7 <br /> ' 1 SHOWEfl CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP. VENTILATION PAN <br /> 1�I �)ISHWASHER RANGE HOOD <br /> f�� LAUNDRV TRAV j \YATEfl HEATEfl <br /> CLOTHESWASHER WOO�STOVE <br /> ' ' URINAL METAL FlREPLACE 8 CHIMNEY <br /> � DPINKING FOUNTAIN FIREPLNCE INSEflT <br /> 1�' FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTEflS GAS PIPING <br /> ' ' _ ROOF DRAINS—RAINLEA�ERS EXHAUST FAN <br /> � SINK(SERVICE—BAR.ETCJ — <br /> ' � SOB TOTAL S SUB TOTAL 5 (() 00 <br /> PEHMIT S PERMIT S LS OO <br /> '�' TOTAL FEE 3 T� � I <br /> FRONiSEienCN fGRSEi�pCrc SiDESEiEIACn PLANGHECKNUMBER � / E <br /> 1cl — -- --- N000k.;731 , <br /> USE20NE LOTAREA VACr1NT51i[ FEES ��INGC006g,'�S.00 FEE . <br /> �' ❑YES ❑ NO . <br /> �� iVf40F[ONSiNUC11CNALlONA9LE ttttOPCONSiflULiIONACiUFI o�� NOOfpWflLf:GUtaIS BUILDING �000`J7Z� <br /> � x pnervcv � . . . .. � <br /> � PLUMBING �{�Q(�',..`�730 * <br /> SIZEOFBI.�G NOOFSTOPIES BPSEMENT <br /> ❑YES ❑ NO MECHANICAL ��H g7 � �S OO <br /> � <br /> OCCUPPNC�LOAD nRESPRINHLER5RE00 HEIGMTLIIAITATION OTHER I <br /> ❑YES ❑NO <br /> eenSON Foa SramK�ens STATE BUILDING SURCHARGE ' <br /> STATE ENERGV SURCHAfiGE <br /> APPLICATIONACC.BY PLANSAPPfiOVEDBY CITY OF EVERETT ' <br /> LOCAI SALES Puoucwcr�rcs �I <br /> TAX CODE IS TOTAL 75 00 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PEAMIT �� <br /> � <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITFdIN -' <br /> ADDRESS FILE � 3 � �� �I <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAl'S. <br />