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�� <br />ciTv oF <br />everett <br />259-8810 <br />❑ DEMOLITION <br />{"'` �JNSTRUCTION ''Z � <br />PERMIT PERMITNO. 22� 27 <br />❑ COMBINATION ❑ BUILDING <br />MAIL <br />MECHANICAL ❑ PLUMBING ❑ SIGN <br />W1111d1R CC .iu + ••--^- ' - Z�p PHONE <br />TENANT <br />M�IL ADDRE55 C�TM <br />MRILADDRE55 CITY ZIP PMONE <br />�RCHITECT OP DESIGNER ' <br />GENER�ICONTRACTOR <br />MAIL�DURESS CITY 2�F PHONE LIGENSE� <br />M�ILAOOPESS CITY 21P PHONE ���N�� <br />MECMANIGL CONTH�CTOH _ _ _ _ _ _ <br />�iCll b],e [1eeL BLdl '�+ ��� Z�p PMONE LICENSE� , <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />� CUSS OF M/ORK <br />n�ry ❑ ADDITION L�FAITENATION ❑ REPAIN ❑ DEMOLITION ❑ SUILDINCi RELOCATION '. <br />� CONT�GT PEPSON �ND PHONE NO. li u mcn i nnn no�.vo <br />CONTRACT PRICE OF WORK: S <br />pE^aCPIBE WORN MlDSOU�RE FOOT�dE INVOLVE� <br />Replace existing furnace with gas <br />vnoaoseo use oF euaon+c <br />SER <br />LECu1l DESCRIPfION OF PROPERTY �SNOW BELOW OR �TT�CM FOUR COPIE51 � <br />I <br />LOT —� BLOCI( � OF <br />i <br />� <br />.. �� � JOBADDRES9 <br />2002 Highland Ave. <br />� PLUMOING <br />Np, TrpE OF fll(TURE OR 17EM <br />( WATERCLOSET(TOILET) <br />f B/�THTUB <br />j LAVATORV (W� BASIN) <br />� SHOMIEq <br />NITClIEN SINK 6 DISP. <br />( DISFIWASMF.fi <br />i <br />uurronv rrar <br />� CLOTMES WASHER <br />i <br />URINAL <br />� ORINKINO FOUN7AIN <br />i FLOOR OMIN <br />BACKROW PREVENTERS <br />ROOF DRAINS - NAINLEADERS <br />i <br />� SIHK (`�RVICE - BAR, ETC.) <br />� <br />!IN TOT1LL = <br />PERMR : <br />! TOT1LL FLE i <br />use <br />NR Of <br />�E LOT �REA <br />IN5TIi11LilONAILOWRBIE 7YPEOFCONSiPUC11 <br />BLOG NO.OFSTORIES <br />LOAD <br />S.H. <br />FIRE SPRINNLERS REO'D <br />❑ VES ❑ NO <br />MECHANICAL <br />�E NO. TYPE OF EOUI <br />A/C - NMNDLG UNITS - H.f <br />FORCED AIR SVSTEMS- B.T <br />CRNT SITE <br />"ES ❑ NO <br />�•�• �a oroi <br />BASEMENT <br />p VES ❑ NO <br />HEIGHT LIMI � ATION <br />Bv ICITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />pEpMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAVS OR CEASES FOR MORE THAN 180 DAYS. <br />UNIT HEATERS - B.T.U. <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOU <br />WATERHEA7ER <br />WOOD STOVE <br />MEfAL FIREMACE S CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />6AS PIPING <br />EXHAUST FAN j�j[J <br />CHECK <br />�� <br />FEES <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />ADDRESS FILE <br />M EA. <br />M <br />z41oo <br />22127 <br />u <br />A <br />N <br />