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CITY OF EVERETT <br />� ``:ONSTRUCTION '`' � <br />PERMIT PERMIT NO. � 8161 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION p BUILDING [� MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />6fAILP��RE55 LITY ZIP PMONE <br />.Tohn Connur 5116 id Highland Everett 98203 <br />TENANT <br />� MAILADORGSS CITY ZIP PHONE <br />ARCHITECT OR DESIGNEF <br />MAILADDRESS CITV ZIP PMONE <br />GENERALCONTRACTOR <br />MAILADDRESS CITY ZIP PMONE LICENSE� <br />MECHANICALCONTRRCTOR MAILADORE55 CITY ZIP PMONE LICENSEr <br />Northwest Waterheater 3110 Hill Ave Everett 98201 2�59-5331 ZP NORTHWHE03R2 �ICENSE� <br />PW MBING CONTPRCTOF MAII AUDRES$ <br />cuss oF woaK <br />7d] NEW <br />❑ ADDITION <br />❑ ALTERATION <br />' CONTRACT PRICE OF WORK: J 1/ U/ <br />DESCRIBE WORK ANO SOU�RE FOOTAGE INVOLVED <br />Install gas furnace and waterheater <br />❑ REPAIR <br />C04TACT <br />❑ DEMOLITION <br />AND PdONE N0. IF 0 <br />❑ BUILDING RELOCATION <br />PFOPOSEO USE OF BUIIOING <br />Sin le famil res =��... �. qlf;l7�i K:tY:: <br />LEGAL DESCFIPTION OF PROPERN (SH014 BELOW OR ATTACM FOUR COPIES) / <br />iOT. _BLOCK�OF �- 1JJ <br />JOBADDRE55 <br />S11G Il lli..l.t�nd RA <br />PLUMBING <br />Np, TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASFI BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRFY <br />CLOTHES WASHER _ <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOP DRAIN <br />. BACKFLOW PREVENTERS <br />ROOF ^qAINS - FAINLFADERS <br />ISItM�SERVICE-BAR,ETC.1 <br />t <br />i <br />� SUBTOTAL 5 <br />( PEFMIT S <br />I TOTALFEE 5 <br />' FRONT SETBAGK REAR SETOACN SIOE SET�RCK <br />f <br />� ll$E 20NE LOT AficA VACANT SRE <br />n vFs ❑ No <br />SIZE <br />9Y <br />iYPE OF LOrv51 NUt <br />N0. OF STORIES <br />FlRE SPRINKLERS <br />❑ YES ❑ NO <br />aarocr <br />cFaa <br />MEIGIIT <br />°V I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />NO. TYPE OF E�UI <br />NC - NHNDLG UNITS - H.P. <br />FOfiCEO AIR SVSTEMS - B.T <br />UNIT HEATERS - B.T.U. <br />u���' <br />GAS <br />t1ECN �55.00 <br />� o <br />MEC4 5.75.QQ <br />� .. . �+ <br />MECH 565.00 <br />ctll <br />arau� x... , . � FEE <br />FLACE 8 CHIMNEY <br />INSERT <br />FEES <br />PERMIT <br />s� 151QQ— <br />FEE <br />BUILDING � <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGV SURCHARGE <br />PUBLIC WOPKS <br />TOTAI SS.00 <br />WHEN PROPERLY VALIDATED THIS IS YOUR <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 8161 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. AD�Fi-SS F�l E <br />