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theE�c�recn � CONSTRUCTION � � <br />CI7Y OF <br />everett PERMIT PERMITNO. 23341 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />nwr+cn uni�nooncss cirv zm rnor+e <br />Kirtley-Cole PO Box 605 Snohomish, 98290 568-3175 <br />rENnNr mnRnooness Grv zm rHONe <br />npCHITECTOR�E5IGNEF MAILpDDRE55 pTY $IP p110NE <br />GENERRLCONTRACIOR MRILA�OnE55 CITY $IP PIIONE UCENSE� <br />GEClIpNICAIGONTIIACTOR MAILAD�l1E55 GTY ZIP FIIONE UCENSE• <br />Puget Heating PO Hox 33E Lk. STevens, 98258 334-4111 PUGETH26480 <br />PLUMBINOCONTq�CTOIi MqILqDDRE55 GTY ZIP VNONE UCENSEI <br />�LA550� WOqK <br />❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ OEMOL�TfON O BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: § <br />OESCRIOE WORK r1Np SOUARE FOOTAI <br />Venting of fans <br />nqOPOSED USE OF pUIL01NG <br />SFR <br />L[GRl DESCIiIPT10N OF PROPEATY �SHOW BELOW Oq ATfACH fOUf1 COPIES� <br />LOT _ OLOCN - OF <br />JOo r10DfiE55 <br />3208 Hoyt <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATMTUB <br />LAVAiORY �WASH BASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />�ISHWASHER <br />FLOOR ORAIN <br />BACKFLOW PREV <br />ROOF DRAINS — I <br />SINK ISERVICE — <br />�RONTSETBACK <br />hIE OF CONSI�UCIION RLtOWA <br />'H2E Of OLOQ <br />accurnNcviono <br />riensor+ron srnrt�K�Ens <br />nrrUCnTlorv ncC. Ov <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />BEARSETpACK <br />LOT AREA <br />ACIIIAL <br />I.OF $TUPIE$ <br />iE SVf1iNKlERS RCOO <br />YES O NO <br />CONiAGi PERSON AND PIIONE NO IF OiHER TMRN ADOVE <br />MECHANICAL <br />FEE NO. TYPEOFEOUIPMEN7 <br />A/C — A/HNDLG UNITS — H.P. <br />I'ORCEDAIRSYSTEMS—O.T.U. MEA. <br />UNITHEATERS—B.T.U. M <br />12 CLOTIIES DAYERS <br />36 VENTILATION FAIJ <br />lZ flA4GEli00D <br />WATER HEATE(i <br />WOODSTOVE � <br />METAL FIFEPLACE 6 CHIM � �+z <br />FIREPLACEINSERT <br />HEATPUMP .� <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTqL <br />PENMI7 <br />TOTALFEE <br />SioE SETonC�: PLAN CHECK NUMBER FEE <br />v4G�NTSIIE <br />❑ rES ❑ NO FEES <br />^«;r�!�• rrooroxuuuou�;us DUILDING <br />PLUMOING <br />O�SEMENT <br />❑ YES ❑ NO MECHANICAL <br />��eicrrtuurcnnon OTHER <br />STATE BUIL�ING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT <br />LOCALSALES ruoucwonKs <br />TAX CODE IS TOTAL <br />3105 <br />$ <br />PROPERLY VALIDATED <br />FEE <br />f 1$ �0 <br />s 333 00 <br />R[CEIPT NO. <br />MIT <br />