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1heF,ucrgrern �'� C�NSTRUCTION -y- � -��� <br /> CITY OF <br /> everett PERMIT PERMIT NO. ' `�" � <br /> � , ,, � � <br /> L L '� � ! <br /> 259 - 8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING �1 MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ev.nen r,+na nwness ei.v zin FHor:e <br /> Lois Stark 3404 Kromer Ave Everett, WA 339-2373 <br /> TENAIlT MAILAODflE$5 CITY ZIP PHONE <br /> PRCHITECTORD[SIGNER iAAILApORE55 CITY ZIP PHONE <br /> GE�+ERAL CONTRAGTOP MFIL A�DFE55 C�i� ZIP PIIONE LICENSE• <br /> MEGHANICALCONTRACTOR �AAILAD�RESS CITY ZIP FMONE LiCENSE• <br /> Reliable Sheet Metal 11447 120th Ave NE Kirkland, 47A 98033/622-3450/R�LIA537RS <br /> PVJ�a�WGCONTRaCTOR MAILAODRESS GITY ZIP PNONE IICENSE• <br /> C1A55 OF VlOFK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIN�3 RELOCATION <br /> — CONTACT PERSON AND PNONE NO.IF OTHE9 THAN PBOVE <br /> �CNTRACT PRICE OF WOFK � <br /> pESCPiBE W ORN AND SGl1AFE GOOTAGE iNVOWED <br /> P.eplacement of Purnace and Hot Water Heater <br /> PROPOSED USE OF BUILDING <br /> Fesidential — <br /> IEGAL�ESCRIPTION OF PROPERTY(SHOW OELOW OR ATTPC4 FOUR COPIES) <br /> LOT_ BLOCN�OF <br /> JO�A�D(iESS <br /> 3404 Ki•omer Ave <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WqTER CLOSET�TOILET) NC—A/HNDLG UNITS—H.P. <br /> — 1 FORCEO AIR SVSTEMS—B T.U. M EA. <br /> BATHTUB <br /> LAVATORV(WASH OASIN) UNIT HEATERS—B.TL. M <br /> CLOTHES DRYERS <br /> SHOWER <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER f�ANGEH000 _. ,_ . <br /> ]. WATEHIIEATER 6 50 <br /> LAUNDRVTRAY <br /> CLOTHESK'ASHER WOODSlOVE <br /> META' PIREPLACE 8 CHIMNEV <br /> URINAL <br /> FlREPLACEINSEHT <br /> DRINKING FOUNTAIN <br /> FLOOR DRPIN HEAT PUMP <br /> BACKFLOW PRLVENTERS GnS PIPIMG ' ' <br /> ROOF DRAINS—R,1INLEADEHS EY.HAUST FAN <br /> SINK(SERVICE—BAR.ETQ) � <br /> SUB TOTAL S SUB TOTAL S _ 20 SO <br /> PERMIT S PEflMIT S LS �O <br /> TOTALFEE S TOTALFEE f 3S <br /> FRONTSETBACN nEAnSETBnCK 5i0[SETeACK PLANCHECKNUMBER FEE RECEIPTNO. <br /> US[ZONE �OTAREF V�CANTSRE FEES BU�LDINGCOOE FEE <br /> ��E K. �o�Eu�ncuwrs 3WLDING 6�=��49 L::7 'Ff OGOfiN6458 t I:Sk <br /> rvtt or coxstauctioN numvnoie rvv�or consinucnorv a:ivai ,�,,,. � <br /> PLUMBING WOOOG�S'�:I <br /> s¢C:OF9LDG NO.OFSTORiES BASEMENT MECH Y+�S.SO j SO <br /> ❑VES �NO MECHANICAL � <br /> :)CCUPANCYLOnO FIPESPRINNLERSPEO'D ME�GNiLIMITATIOPI OTHER <br /> ❑YES ❑ ��O <br /> � STATE 9UILDING SURCHARGE <br /> REASON FOR SPRINKLE115 <br /> STATEENERGYSURCHAFGE <br /> APPLICATIONACC B� PLANSAPPROVED�Y CITY OF EVERETT <br /> LUCAL SALES �'UBLIC WORKS <br /> _,� �,� TAX CODE IS TOTAL 3_ so <br /> I __ _3105 WHEN PROPERLV VALIDATED THIS IS YOUR PERMIT <br /> PERMITS E;iPIRE IF WORK IS NOT COMMENCED WITHIN qpppESS flLf: <br /> 180 DAYS OR CEASE3 FUR MORE THAN 180 DAYS. <br />