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_� <br /> "��'��QoF "�' C�NSTRUCTION �-� '� ' <br /> everett PERMIT PERMITNO. _ 225� 8 i <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMB!NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMB;NG ❑ SIGN � <br /> OWNER MAILAOORESS CITY 21P PHONE i <br /> Pat Sebald 1326 Grand Ave Everett, WA 98201 252-8439 <br /> i <br /> TENFNT MAILADDRESS CITY ZIP PMONE <br /> ARGMITECT OP OESIGNER MAIL ADURESS CITY 21P PHONE <br /> GENERRLCONTRRCTOR MAllA0DRE55 CITV ZIP PMONE LILENSEM <br /> MECHANICAI CONTRACTOR IARIL AUDRE55 CITY ZIP ONE LIGENSE� <br /> Valley Natural Gas 2605 McDougal Everett, WA 98201 259-5492 VALLENGI�3LI <br /> PLUMBINGCONTPACTOR MAILAOORE55 CITY 21P PHONE IICENSE• <br /> C�ASS OF WORK <br /> O NEW ❑ ADDITION {�l ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACi PERSON NNO PMONE NO.IF OTMER TMAN ABOVE <br /> CONTRACT PRICE OF WORK'$ 1200.00 <br /> DESCPIBE WORN FND SOUARE FOOTAGE INVOLVED <br /> Install natural gas furnace and hot water heater <br /> PROPOSED USE OF Bl' .DING <br /> Single family residence <br /> LEGAI DESCRIPTION OF PpOPERTY�SMOW BELOW OR ATTRCN FOUR COPIES� <br /> LOT_ BLOCN-OF <br /> JOB ADOiiESS � <br /> 1326 Grand Ave <br /> PLUMBING MECHANICAL � <br /> N0. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE ', <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNITS—H.P. I <br /> BATHTUB 1 FOFCED AIR SVSTEMS—B.T.U. M EA. 9 � �� <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 6 DISP. VENTIIATION FAN <br /> D�SHWASMER RANGEI100D <br /> LAUNDRVTRAY 1 WATER HEATER 6 O <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DR�NKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADEPS E%HAUST FAN <br /> SINK(SEPVICE—BAR,ETC.) � <br /> SUBTOTAL S SUBTOTAL S �_ <br /> PEPMIT f PERMR f 1 00 <br /> TOTAL FEE S TOTAL FEE f <br /> FRONT SETBACN REAR SETBACN SIOE SETBACK PLAN CHECH NUMBER � <br /> ` � <br /> ,,lp ,8 I <br /> USE20NE LOTAPEA VACANTSITE � INOCODE <br /> ❑YES ❑NO �ES y i SJ .SO �E <br /> ttPEOFCON51RUCiqNPLL01VABLE lYVEOiLON51PUCilONACi11AL O1Y°"'"^-`' �OfONSIUNGUNlfS BUILDINCa Y00�`GS`� <br /> GRWn <br /> PLUMBING CHECk �S .SO <br /> S12E OF BLOG NO OF STORIES �ASEMENT <br /> ❑VES ❑NO MECHANICAI 30 50 <br /> OCCUPANCYLOR� FIRESPRINNLERSREO� NEIGHTUAIITATICN OTHER <br /> ❑ VES ❑NO <br /> REASON FOR SPRINNLERS STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC.BV PLANSAPPROVEO�V CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> M �� TAX CODE IS TOTAL 30 50 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 2 5 3 8 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />