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theEcergrcen C�-�STRUCTI4N �� <br />C�TI' OF C <br />ever�ett PERMIT PERMITNO. _��U i i <br />259-8810 <br />❑ DEMOLITION ❑ COMBINA710N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />A1AILfiO0RE55 CITY ZIP PIIONE <br />Lewis A Dah1 1822 Leland Dr Everett, wA 98203 353-9010 <br />tENANT <br />MAILAOORESE CITY ZiP P��ONE <br />PPCHR[CTOR�ESIGNER b'nILADD(ESS CITY ZiP PHONE <br />GENEl1ALGONTRACIOR <br />IdAILPODRE55 f,ITY ZiP FMONE UCENSE� <br />Owner <br />MEGHANICAICONTRACTOR <br />MRILAOORES dTY ZIP PNONE ��CENSE� <br />PLUMBING CONTRACIOR <br />MAILAD�RE55 CITY ZIP PMONE IICEN$E• <br />cuss or woRn <br />❑ NEW ❑ AODITION <br />❑ ALTERATION <br />❑ flEPAIR <br />❑ DEMOLITION ❑ BUIL7ING RELOCATION <br />�CONTPCT PERSOI! ANO PHJNE NO IF o�nv� innn no...c <br />rnuiRAc:T PRICE OF WORK: S <br />DESCFIBE WORK ANO SOUARE fOOTAGE INVOLVED <br />Fireplace insert installation in uyper floor fireplace <br />Single family residence <br />LEGRL �ESCRIPTION OF FFOPEHTY ISHOW BELOW OR ATTACM FOl1R COVIE51 <br />LOT _— BL�CH — OF <br />1822 Leland Dr. <br />PLUMB�NG <br />NO. TYPE OF <br />WFTEF ClOSEi (Ti <br />KITCHE4 SINK 8 DISP. <br />DISHWASHEP <br />LAUNDRVTPAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, E7C.) <br />FRONTSETBACK <br />usE zor�E <br />tYiF 0( CONSiPpCll�`I �LL011FBI` <br />s¢eo�s�oc <br />OCCUPtiNCYLOAO <br />REn50NFOR SPfliNNL[RS <br />[1V <br />SUBTOTA� <br />PERMIT <br />5 <br />S <br />S <br />MECHANICAL <br />tEE NO. TYPE OF EOUIPI <br />A/C — NHNDLG UNITS — H.P. <br />FOP.GED AIR SVSTEMS — B T.U. <br />UNIT HEATEPS — BS.U. <br />CLOIMESDFYERS <br />VENTILATIOM FAN <br />P.4NGEHOOD <br />WATERHEAiER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />1 FIREPLACEINSEFT <br />HEAT PUMP <br />CAS PIPING <br />E%HAUSTF4N <br />PLANCHECK <br />SI/B TOTAL <br />PENMIT <br />TOTALFEE <br />FEE <br />�araaEn vncnr�rsirE FEES <br />❑ YES ❑ NO S <br />nfEo:caxSiNucimNactuaL ��;;��'V" NoafnWELL�Ncurviis BUILDING <br />PLUMBING <br />NO OFSTORiES �NSEMENT <br />❑ YES ❑ NO MECHANICAL <br />FiRES�'PWNLERSPEO�� HEIGHTIIMRATION QTHER <br />❑ VES ❑ NO <br />— STATE BUILDING SURCHARGE <br />STA7EENEPGYSURCHARGE k <br />ANSAPPROVE��V CITY OF EVERETT <br />LOCAL SALES �'U6LIC WORKS � <br />TAX COCiE IS '[OTAL <br />� 3i05 - WHEN PROPERf_Y VAL <br />M EA. <br />M <br />FEE <br />�S <br />� <br />S <br />RECEIPT NO <br />IS <br />30 <br />-�,.� - <br />PERMITS EXPIRE IF WORK IS NOT COM!t4EN��D WITHiN �' I i� <br />,;�i, r_ss ���� �_ .: J �� <br />186 DAYS OR CEASES FOFi MORE TH,�N 18u DAYS. <br />