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(heErergreen ��' C�NSTRIJCTIONI �� - - <br />CITY OF <br />�VePe� PE1�14�11T PeRnnir No. _�� G i ��-� <br />?59-8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING �E3 MECHAYICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILApDRE55 CITV 21P PHONE <br />Wallace Hanning 1818 Leland Dr Everett 9R7n'� zs�_�Saa <br />LENANT MAIL�ODRESS CITY ZiP PHONE <br />PRCNRECT OR pE51GNER MAIL �OpRE55 CITY 21P PHONE <br />GENERALCONTRACTOR IdAILADORES$ CITY ZIP PIIONE LiC[�SE� <br />uFCNANICALCONTRACTOR MAILAODRE55 CRY ZIP PIIONE LiGENSE� <br />Reliable Sheet ideLal 11997 120th Ave NF x.rk7anr3 4ana't a�z-�6g F,gL�nSM937P8 <br />PWu91NGCONTRlCTOR M�ILAp0��6ai CITV tiV VHONE LiCENSEd <br />CLA55 OF 1vORH <br />❑ NEW ❑ ADDITION L9 ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />rT pcpcnr.� enin ounNF Nn IF OTHF.fi 1Mnrv A[30`�e <br />CONTRACT PRICE OF WORK: S <br />OESCRIfIE VlOPK ANO SOU�f1E FOOTAGE INVOLVED <br />Replace ix existina furnace and hot water h at� ��'t�9yG <br />PPOPOSED USE Of OUILOING <br />SFR <br />L[Gnt DESCRIPTION OF FROPERTY (SHOW DEL01V OB I.TTACH FOUR COPiE51 <br />l0' _— EaLOCH _ OF <br />AI�P•! <br />PLU!ABING <br />NO. TVPE OF FI) <br />WATER CLOSEf (TOILI <br />BATHTUO <br />LAVATORV�WPSHBA: <br />SHOWER <br />NITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNORV T!iAV <br />DRINKING FOUNTAIN <br />FLOOF DAAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS— RAINLEADE <br />SINK �SEf7VICE — BAR, E'i C � <br />vRONT 5[TBlCN <br />USE 2CNE <br />1 YCE Of CuNSiflpLLION AIIOWAEIE <br />vi2E O� BL�G <br />OCCUP/NCVLOPD <br />n[n�orv�oR <br />pY <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REARSETOACK <br />t.OT NRE4 <br />ttff OF CONSfRUQION FGiUAL <br />NO OFSTORIES <br />FiRE SPRINKLERS REO'D <br />❑ �ES ❑ NO <br />MECHANICAL <br />fEE NO. TVPE OF E�UIPMENT <br />4i(. — A� HNDLG UNITS — H.P. <br />S FC. -7 Alfl SVSTEM$ — D TL. M EA <br />UM iEATERS—B.T.U. M <br />CL •fHESDRYERS <br />VENTILATION FAN <br />NANGE1100� <br />' 1 WATERHEATER <br />WOODSTOVH <br />METAL FIREPI.AC[ 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAi PUMP � � <br />Z GAS PIPING <br />EXHAUST FAN .�.__`�„" f�`� <br />S SUB <br />S PER <br />y TOTA <br />Sin[ °ETBnCrc PLAN CHECK NL1h1BER FEE <br />_._.... _.._ <br />❑ VES Cl N0 FEES <br />�'��o��• x00GOWFluNGunuS BUILDING $ <br />PLUMBING <br />P45EMENT <br />O YES ❑ NO MECHANICAL <br />NEIW�1 LIIATATION QTHER <br />STATE BUILDING SURCHAFii.E <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALGS <br />TAX CODE IS TOTAL <br />.',105 WHEN PROPERLY VALI <br />FEE <br />RECEIPT NO. <br />THIS IS YOUR <br />FEE <br />PERMITS EXPIRE IF WORK IS NQT COMMENCED WITHIN '� 7�I `� ' <br />ADDRFSS FILE , , � ' <br />�80 DAYS OR CEASES FOR MORE TFIAN 180 DAYS. <br />3olso <br />