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(he E�ergreen '""� ��w'C�p���'O w 1 � <br /> CITY OF 1 V J 1"1 �r <br /> @VeY'e� PERMIT �eRnnirr�o. _ �Z6o'! � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C�] MECHANICAL ❑ PLUMBING ❑ SIGN <br /> �1„�.Fn MAILAD09E55 CITV Z�P PMOGE <br /> Chuck Atkinso n 1415 Hoyt Ave Everett, SdA 98201 339-8509 <br /> IENANi MPIL�D�RE55 CIiY ZIP PHONE <br /> PRCHITECTOFOESIGNER MFILApO�E55 CrtV ZIP PHONE <br /> GENERALCONTFnGiOR 1ARILA0041E55 CITY ZIP PMONE UCENSEu <br /> M'CHANICALCONTRAGTOF MAILAODRE55 CITY ZIP PHONE LICENSE� <br /> Idash. Natural Gas 112 SB Gverett Mall iday Everett, WA 98208 355-3331 WASHING285CB <br /> PLUAIBINGCONiPAQOR MfILA0DRE55 CITV ZIP PHONE UCENSEv <br /> CLA55 OF WORK <br /> ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O BUIL�ING RELOCATION <br /> �CONTACT PERSON AHD PHONE N0.IF OTHER THnrv�90VE <br /> CONTRACT PRICE OF WORK:S 16Z.OO <br /> �ESCHIpEWORKAN�SOUAREFOOTAGEINVOLVED <br /> Install Fuel Line & Gas Range <br /> i'ROaOSED USE OF BlLL01NG <br /> SFR <br /> L[GAL�ESCBIPTION OP VBOPERTY�SHOW BELOW OR ATTACM FOUR WFIES� <br /> LOT-- OLOCN—OF <br /> 04/17/91 9�10t1M OOORH650B ::k::t::� <br /> �ooaooness NOOD�68Q8 <br /> 1415 Hoyt <br /> MECHANICAL �' � � <br /> PLUMBING '�' <br /> ryp, TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET�TOILET� A/C--F:HNDLG UNITS—HP. <br /> BATHTUB FORCED AIR SVSTEMS—B T.U. h1 EA. <br /> LAVATORY�WASH BASIN) UNIT HEATERS—BS.U. M <br /> SHOWER CLOTHESDFVERS <br /> KITCHEN SINK&DISP. VENTILATION FAN <br /> ;��ANGE HOOD <br /> DISHWASHEF <br /> LAUN�RV TRAV <br /> VIATER HEATER <br /> CL0INF.S lYASHER WOOD STOVE <br /> METAL FlREPLACE 8 CHIMNEV <br /> URINAL <br /> ORINKING FOUNTAIN FIHEFLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> GACKFLOW PREVENTEflS 1 GAS PIPING <br /> ROOF DRAtNS—RAINLEADERS EXHAUST FAN <br /> SINK�SERVICE—BAfl,ETC.) <br /> SUBTO?Al S SUBTOTAL S LS �� OO <br /> PERMIT 5 PERMIT S LS <br /> TOTAI FEE S TOTAL FEE 5 3O OO <br /> FnOrvi SETanCK REnr�seienCK 90[SEi�nr✓, PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTAREA VACNNTSIT[ FEES BU�q IH�GCOOE FEE <br /> ❑ YES '7 NO <br /> iYfEOFGON9[IULLO�iNL09ld9LE 1V1'EOFGaNSiFVCiIONACiWI ��,�;���� NOOFp1YELLIt1GUNiiS BUILDIN(i S <br /> PLUMBING <br /> S�ZEOFOIDG. ND.OFSTORIES BnSEMENT <br /> ❑YES ❑ NO MECHANICAL 3O OO <br /> CCCUPANCYLO�D FlRESPFINNLER`_"�`-O�C HEIGMTLIMITATIOH OTHER <br /> ❑ YES ❑ NO <br /> S7ATE�UILDING SUPCHAHGE <br /> p[ASONFOfiSPRINNLER$ <br /> STATEENERGYSURCHAflGE <br /> n��riican�u;.cc ur ���Nsnvrr�ov�oev CITY OF EVERETT <br /> LOCAL SALES PU�LIC WORKS <br /> TAX CODE IS TOTAL 30 00 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> V <br /> PERNITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE ;�,C1 �i'' '. <br /> 780 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />