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❑ D�:IdOLITION J COMB(NATION ❑ BUILDING C3 �SECHANICAL ❑ PLUMBInG ❑ SIGN <br />GNNER 1.1AIL40DiES5 CITY ZIP PhONE <br />Howard S. Liebell 73e 13oyt Ave. Everett 98201 252-0067 <br />TCNANT MAILAOORESS CITY ZIP PHONE <br />��GCHrtECTORpESIGNER MAILAOORE55 CITY ZiP PHONE <br />GEhERAt CONTRAQOR <br />!'.[GbWICaL COHiRhCiOR <br />Reliable Sheet Metal <br />CLA55 OF WORH <br />❑ NEW ❑ ADDITION <br />6�ARApDRE55 CITV ZIP PHONE �ICENS[P <br />ldAILA�ORE55 CITY ZIP PHONE LICENSEP <br />11447 120th Ave. NE Kirkland 98033 823-6868 RELIASM437R5 <br />MAILA�DRE55 CITY ZIP PHONE �ICENSE+ <br />[$ALTERATION ❑ REPAIR ❑ �EMOlIT10N ❑ BUILDING RELOCATION <br />— I CUNTACT PERSON AND FHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: S <br />DESCRIBE N'OPK AND SOUARE FOOT4GE INVOIVED <br />Replacement of furnace and hot water heater. <br />PRGFCSED USE OF pUILOING <br />kesidence <br />LLGI�L CESCRIPTION OF PpOPEBi <br />LOT — OLOCK — OF <br />BEL01V OR PTiNCM FOl1R COPIES� <br />JO[3ADOPESS <br />732 Hoyt Ave. <br />PLUMBING <br />NO. TYPE Or FIXTURE �R ITEM <br />WATC-R CLOSETlTOILETI <br />NITCfiEN SIIIK d DISP. <br />DISHWASHER <br />L,:UNDRV TRAV <br />CLOTHES WnSHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTEFS <br />ROOF DFAINS — iiA1NL EADEHS <br />SINK (SERVICE — BAR, ETC.) <br />FFONTSET�ACK <br />USE ZONE <br />rv!l �i CONSiPOC110N AILOWA <br />. IZc OF OLDG. <br />OCCtIPANGY �OAO <br />R[ASON FOR SPRINKLEFS <br />APPLICATION ACC. BY <br />S.H. <br />SUBTOTAL 5 <br />PEPMIT S <br />TOTALFEE 5 <br />11EARSET�FCK 5'� <br />LOTAPEA K <br />E OF COYSiPUCiION ALiOf.l <br />�. OF STORIES <br />IE SPRINKlERS REOD <br />VES ❑ NO <br />S APPROVE� DY <br />MECHANICAL <br />FEE NO. TYPE OF EOUI�MENT <br />.Y'C — A�HNOLG UNITS — f IP. <br />1 FOPCED AIR SYSTEMS — B.T.LL M EA. <br />UNITHEATERS—�.T.U. M <br />CLOTHES ORVERS <br />VENTILATION fAN <br />RANGEHOOD <br />I. WATERkIEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />PIREPLACEINSERT <br />� FIF_AT PUMP <br />GAS PIPING <br />, EXHAUSTFAN <br />SEt�ACK � PLAN CHECK NUMBER <br />❑ vES O NO FEES <br />a��ou�� NOocUc.E�uqcU`ll[5 BUILDING <br />PLUMBING <br />BNSEMENT <br />❑ YES ❑ NO MECHFNICAL <br />MEiGHTLIMiTATION OTHER <br />STATE BUILDING SUflCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 _ yyHEN PROPERLY VR <br />PERMITS EXPIRE IF WORK IS NOT CO�dMENCED VJI"i HIN n��rf:,,;' i! . <br />1�0 DAYS OR i:EASES FO� MORE THAN 180 DAYS. <br />FEE <br />� <br />RECEIPT NO. <br />JU <br />32 I50 <br />, <br />, � � <br />� _ <br />:. : ` <br />