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1heEuergrecn ��' ��NSTRUC���ON �, <br />CITY OF <br />eV@Y'@� pERiVIIT PeRnniT No. _ 2�� ��-' � <br />259-8810 ' <br />❑ DEMOLITION ❑ COMBINATION Q BUILDING ❑ MECHANICA.. ❑ PLUMBING ❑ SIGN <br />O0.'NEF MAILA�pRE55 CITY ZIP PHONE <br />Leonard Wold 701 Madison St. Everett, 98203 348-3477 <br />TENNNT MAILADDliESS CiTV ZIG �PHONE <br />ARLHITECTORDESIGNER MAIIADDRE55 GITY 21P PHONE <br />GENERPLCONTRACTOR MAI�ApORE55 CITV ]IP PHONf. UCENSE� <br />Valley Nat. Gas %OS MCDougall Ave. Everatt, 9E201 25�-549i V?.LLENG15321 <br />MECHANICALCONTflACTOR MARAODRESS CITY ZIP PHON[ LIL6N9Ea <br />PLl1MBINGCONTRACTOF MAILAD�RESS GITY ZIP PMONE LICENSE+ <br />CLA55 OF N'ORN <br />❑ NEW ❑ AGC�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITI9N ❑ BUILDING RELOCATION <br />I CONTAGT PERSON AND PHONE N0. IF OTHER THAN A90Vt <br />:.ONTRACT PRICE OF WORK: S 1591. SO <br />JESCFI9E WORK AND SOUAFE FOOTAGE INVOLVED <br />install furnace & water tank <br />PROPOSED USE OF BUILOING <br />SFR <br />LEGAI DESCRIPTION OF PROPEFTY �SHOW BELOW OR ATTACM FOUR COPiES) <br />LOT - BLOCK - OF <br />JO�ADDF[55 <br />701 Madison St. <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />WATER CLOSEf ITOILETI <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNf1RY TRAV <br />CLOTF ES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVE�TERS <br />ROOF DRAINS — RAINLEAJERS <br />uINK (SERVICE — BAP, ETQ) <br />FRONTLEiBACK <br />USE ZONE <br />ttff OF CONS7PUCTION ALLOWA <br />SI2E UF BL�G <br />OCCUPANCYLOA� <br />liEF50N FOR SPRINKLERS <br />APPLICATION ACG BY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REARSETBACK <br />LOTAREA <br />IVPE OF CONSiflUCTION CCTUAL <br />NO. OF STORIES <br />FIRE SPRINKLERS AEO'D <br />❑ YES ❑ NO <br />5 <br />s <br />S <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />NC — A/MNDLG UNIT� — H.P. <br />fORCED AIR SVST[MS — B.T.0 <br />UNIT HEATERS — B.T.U. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />F"IREPLACEINSERT <br />HEAT PUMP � <br />2 GAS PIPING <br />EXHAUSTF�N <br />SUB <br />PLANCHECKNUMBER �FEE <br />❑ vEs n n,o FEES ° �` <br />������ r�o.oFov.Ewn�curnts BUILDING $ <br />PLUMBINCa <br />BASEMENT <br />❑ VES ❑ NO �1ECHANICAL <br />HEIGHTLiMITATION OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS rorn� <br />3105 WHEN PROPERLY VALIDA <br />'RMITS EXPIftE IF WORK IS NOT COMMENCED WITHIN ADDH[SS FIi.E <br />-DAYS OR C�ASES FOR MORE THAN 180 DAYS. <br />M <br />S 4U VU <br />s o0 <br />f I <br />RECEIPT NO. ' <br />FEE <br />55 0a <br />�55 <br />IS IS YOUR PERM <br />r'i ;� �' �`� � <br />Li�JJ � <br />