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"��' � C^NSTRUCTION � � <br />CITY OF <br />e��erett PERMIT PERMITNO. 221 93 <br />259-8810 <br />❑ OEMULITION � COMBINATION ❑ BUIIDING ❑ MECHANICAL ❑ PLUMBING ❑ SIfiN <br />pyM�q MAIL RDORE55 CITY 21P VNONE <br />John Stone 6615 Highland Dr. Everett 98203 355-2661 <br />rcueut MAILADORESS CITY ZIP FNONE <br />ARCHITECTOHOESIGNER MRILAU�RESS Cltt ZIP PNONE <br />Impression Design 2229 Jackson Everett 98203 355-3200 <br />GENERALCONTPACTOF MAILAODRE55 CITY 21P PHOYE LICENSE� <br />Harstad Const. Inc. 2820 86th St. S� Everett 98208 337-4654 HARSTCI144AT <br />MECH�NICRLCONTqAGTOR MRIIADURE55 CITY ZIP PNONE LILENSE� <br />i ' <br />PLUMBINGCONTHACTOF MAIIFUDRE55 GTY' ZIP PNONE LICENSE� <br />GUSS OF WORK <br />:7tNEW ❑ ADDITION ❑ ALTEpATION ❑ REPAIR ❑ DEMOLITON ❑ BUILDIN6 RELOCATION <br />� I CONTACT PERSON AND PMONE NO. �F OTHEn in�N ntlove <br />CONTRACT PRICE OF WORK: S <br />CPIBE WORK AND SOUARE FOOTAGE INVOLVED <br />H New Conatruction <br />PHOPOSED USE OF BUILDING <br />Duplex <br />LEGAL DESCfiIPf10NOf PROPERTY (SNOW BELOW OH ATTACH FOUR COPIES� <br />LOT � BIOCN—�- OF z � nQ' F�'' �° n ly- Daslc aiv 2 - - <br />JOBADDRE55 <br />� 6617 As8 Hiqhland Dr. <br />i <br />PLUMBINO <br />�' NO. riPE OF flXTURE ON ITE <br />�I Z WATER CLOSET (TOILETI <br />UUNDHY TRAY <br />CLOTHES W�SMER <br />URINAL <br />ORINNIN6 FOUMAIN <br />ROOF DMINS — RAINI <br />I SINK�3ERVICE—BAR. <br />SIZL OF BLDG <br />1820+56E <br />OCCUPANCYLORD <br />N/A <br />REFSON FOR SPRI� <br />APPLICATION ACI <br />M.M. <br />tUlTOTAI <br />PERMIT <br />TOTALFEE <br />NO. OF STORIES <br />1 <br />FIRE SPRINKLERS REO'D <br />❑ VES �1 NO <br />4NS APPROVED BV <br />J.W. <br />f <br />s <br />FEE <br />10 <br />1� <br />CRNTSRE <br />VES C NO <br />?M^,�' ND OFDWEIUNG <br />YES �1 NO <br />MEIGMT LIMIiAT10N <br />�o� <br />MECNpNICAL <br />TYPE OF ECUIPMEN7 <br />!VC — NHNDLG UNITS — H.P. <br />FORCED AIR SVSTEMS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />ME'fAL FIREPLACE 8 CHIMNEY <br />FIPEPLACEINSERT <br />HEAT PUMP <br />GnS PIPING <br />EXHAUSTF?V <br />89/2219t3 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />M EA. <br />M <br />SU! TOTAL i <br />PENMR f <br />TOTALFEE f <br />��^cb/89 9:1 � <br />342/55 20942 <br />�� <br />MECH S4 .00 <br />L . <br />E S�iCH S1 .00 <br />STATE BUIL�ING SURCHARGE _�O� <br />STATEENERGYSURCHARGE ELDG <br />CITY OF EVERETT f00�'7 <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL PND I <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDRESS FILE L G��,) <br />- 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />