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theFrcrgreen �--� ��NSI'RUCTI�RI ���� �� <br /> CITI'OF <br /> �verett p�RMIT PERMI7 NO. _ � � �� � �_� <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINA710N ❑ BUlLDING %E] MErHANICAL ❑ PLUMBING ❑ SIGN <br /> GLVNER IAMLApDRESS Cliv �IF v��O�F <br /> t9illiam Burns 7215 Juniper Dr Everett, WA 96203 355-0815 <br /> TENANT M/IlA0DPE5S CiTY ZIP PMONE <br /> AFGNITECTOROESIGHCR MAILApDRE55 CITY ZIP PMONE <br /> GENEFALCON1flACTOR MAlIAppRE55 i.rtY ZIP PHONE IiCENSE= <br /> NELHANICALLLNTRACTOR pIq�LAOORESS QTY [IP PHONE LICENSE� <br /> Valley Natural Gas 2605 McDougal Everett, [9A 98'.'O1 259-5492 VALLENG153LI <br /> PWMBINGCONTqqCTOR MAILApDRESS bTY ZIV PHOGE LICENSE• <br /> CL/.SS OF WORN <br /> ❑ NEW ❑AODITION �{ALTERATiON ❑ REPAIfl ❑ DEMOLITION C BUILDING RELOCATION <br /> CCNTHCi PERSON ANp PHONE NO IG Oil1ER THAN ApOVE <br /> CONTRqCT PRICE OF WORK:S 3�000 <br /> OES�fiIBE W ORK AND SUUApE GOOTAGE INVOlVEO <br /> Install gas furnace and water heater <br /> VPOVOSSp USE O�oUiLDiNG <br /> Single family residence <br /> LEGRL pESCHIPT10N OF PRO�ERTY�SHOW 9ELOYJ OR ATfAGM FOUR COPIES� <br /> LOT__ dIOCN_OF <br /> JOB AOORE55 <br /> pq�g�g�x���g 7215 Juniper Dr <br /> PLUMBWG MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) 0.iC—A/HNULG UNiTS—H.P. <br /> BATHTUB ]_ FORCED AIR SVSI EMS—B.T.ULOO M EA B OO <br /> LAVATORV(WASHBASIN) UNITHEAT°fl5—O.T.0 M <br /> SHOWER CLOT:IES DRVERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY ], WATERHEATER 6 SO <br /> CLOTHES WASHER WOOD STJVE <br /> UHINAL METAL FlREPLACE B CHIMNEV <br /> OHINKING FOUNTAM FIPEPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> r,i na ;.r- a nnin.ni. <br /> BACKfLOWPREVENTERS GASPIPING � � � �� � ���� � <br /> ROOFDRAINS—RAWLEADERS F%HAUSTFAN �� � .�-�.�;.; <br /> SINK�SEqVICE—BAR.ETC.� �..,i,�� <br /> ;::�.'p.i.,- . <br /> �'-.u �9 <br /> SUB TOTAI s sue TOT 4� < ,s 15 50 <br /> PERMIT S PERMIT f LS 00 <br /> TOTALFEE 5 TOTALFEE f 30 SO <br /> rnon*5eioacrc q¢nn SEtencK siuesereacK PLAN CHECK NUMBEA FEE RECEIPt NO. <br /> USE20NE LOTAREA VACnNT51TE <br /> ❑ vES ❑ NO FEES eu��oinccooe FEE <br /> tYl'EOfCGNS1flU61iQNALLOH'pOIE tVCECFCONSiNUC11UNACIGA! �„���` NOOfOVitltiNGONRS BUILDING $ <br /> PLUMBING <br /> SiZEOFp�pG NOOFSTOqiES BASEMENT <br /> ❑YES ❑ NO ��ECHANICAL 3O SO <br /> OCCUPANCYLOAp FlRESPRINKIERSREOD HEiGMiLiMiTAliON OTHER <br /> ❑ YES ❑NO <br /> �+Ensou ror+Sveiurct[ns STN E�UILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> n��Fiic.,nouncc nv r�nNsaaanoveoev CITY OF EVERETT <br /> LOCA� SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 30 �So <br /> ���'`�' 3105 <br /> WHEN PFOPERLY VALIDATED THIS IS YOUR PERMIT <br /> PEP.MITS EXPIFiE IF V'ORK IS NOT COMMENCED 4VITHiN qp�HES;; fll � . <br /> 180 DAYS OR �EASES FOR MORE THAN 1S0 pA�S. <br />