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� �hcFcergreen �NSTRUCTION � � <br /> CITY OF <br /> �verett PERMIT PERMITNCI. 2� 2 � � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINP.TION ❑ BUILDING �{]{MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEA MAILN�[1PE55 GTV LP PMONE <br /> Fred & Cheryl O�aen 1317 Hoyt Everett 98201 339-1354 <br /> TENANT MAi�A0DFE55 CITY 21P PHONE <br /> ARCMITECT OR OESIGNER MAIL RD�RE55 CITY 21P PHONE <br /> GENERRLGONTRACTOR Mn�LFD�AE55 C�TV ZiF P!i�NE LICENSEr <br /> MECHANICFLGONTRACTOii MAILA�ORE55 CITY ZIP PHONE LICENSE� <br /> Valley Natural Gas 2605 Mcdouqall Everett 982G� 259-5492 VALLENG153L1 <br /> PWMDINGCONTRACTOR MAILAODPE55 CITY Z�P PIION[ UCENSE� <br /> CLASS OF WORN <br /> ❑ NEW ❑ AUDITION �ALTERATION ❑ REPAIR ❑ DEMOL'TION ❑ BU�LDING RELOCATION <br /> CONTACT PERSON ANp PMOHC NO IF OTHEF 1NAN A9CVE <br /> CONTRACT PRICE OF WORK:S 3 OOO - - <br /> �ESCPIBE WpPK RN�SOUARE i00TPGE INVOLVED <br /> Tnttal' - <br /> FROPGSEJ USE OF p01LDING U / � Y _� U '1" I.t U,i :_ � <br /> / <br /> Sinqle familv residence <br /> LEGAlDESCPIPTIONJFPROGERT\'�SHOWDELON'ORATT�CHGOURCOPiE9 '- � � <br /> iiE�H 465.Q17 <br /> LOi— OLOCK—OF � <br /> LJG <br /> n�cN s�o.00 <br /> ' V� � t <br /> nECH �es.ar� <br /> �oonooaess " "� ' <br /> PLUMBING MECHANICR.L <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—lvFINOLG L�NITS—H P. <br /> BATHTUB FORCEDAIRSVSTE615—BT.U. MEA. <br /> LAVATORYIWASNBASINI UNITHEATERS—BT.U. M <br /> SHOWEF CLOTHE$OC,YERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN _ <br /> DIShIWASHER RANGE HOOD _ <br /> IAUNORYTNAY WATER HEATER _ _ <br /> CLOTHESWASHER WOCJSTOVE _ <br /> URINAL MF.TFI.'IREPLAC:8 CHIMNEV <br /> DRINKING FOUNTAIN FIREP_ACE INSERT _ <br /> FLOOR DRAIN HEAT PUMP <br /> 9ACKFLOW PREVENTER$ 2 GAS PIPIIJG <br /> ROOF DR41NS—RAWL61DER5 E%HAUST FAN <br /> SINK(SERVIGE—BAR,ETG� <br /> SU9 T'JTpL S SUB TOTAL S SO OO <br /> PEHMIT 5 PERMIT S ZS OO <br /> TOTAL FEE 5 TOTAL FEE S 6S OO <br /> fROf+T�ETOnCK REARSETBACK SioE5ET0ACK PLANCHECHNUMBER FEE RECEIPTNO <br /> USE 20N[ LOT A{iER VPCANT SrtE gN�01NG CO�E FEE <br /> FEES _ <br /> ❑VES G NO <br /> tYlEOFCONSIflUCiiOYFlLON'AlllE ttPE0iL0Y5iNUCLJN4CiU�l 'K��f'^'0' NOOGOWEIIINGlINi15 EUILDING S <br /> PLUMBING _ <br /> 54EOF9lDG NOOFSTOfUES �ASE1dENT <br /> ❑VES ❑NO MECHANICAL 6S OO <br /> OCCUPnNCYLOAO FIRESPRINKLERSFEOD MEiGMTUMITNTION OTHER <br /> ❑ VES ❑ NO <br /> ��[nso�+roe SaairvK�Ens STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> nrriicnnarancc uv v�nNsnrrnoveoov CITY OF EVERETT <br /> LOCAL SAL.ES PUBLIC WORKS _ <br /> TAX CODE IS 70TAL 65 00 <br /> _____ _ 3105 _ WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIFE IF WORK IS NOT COMtdFNCED WITHIN � !- ` <br /> ADUR�:S �iIL ... ,i �-- �.. � <br /> 180 DAYS OR CLASES FOR MORE THAN 180 DAYS. <br />