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thcEuc�nren _ �NSTRUCTION � <br />CITY OF r1 <br />everett PERMIT PERMITNO.. �U I �C <br />259-8810 <br />❑ DEMOLITION ❑ CQMBINATION ❑ BUILDING ��IECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILPDDPESS CITY ZIP PMONE <br />Clark Jones 723 Grand Ave. Gverett 98201 259-0794 <br />TENRNT MRILAOORE55 CITY ZIP PHONB <br />ARCMITECTORDESIGNEN MAILAODRE55 CRY 21P PMONE <br />GONTRRCIOR IAAILADDRESS CITV ZIP CIIONE IICENSE• <br />MECHRNICALCONTRACTOR MAILAODRESS CITV 21P PMONE LICENSE• <br />va>>ey Nat ras aFnS M� q ii F� rf Xf�(YY q82oi 259-5492 VALLENG153L1 <br />PWMBINGCONTFACTOR MRILAO�aE55 CITY 21P PNONE LICENSE� <br />CUSS OF WONK <br />❑ NEW ❑ RJDITION 7�.y( ALTENATION ❑ HEPAIR ❑ UEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK� $ (10 00 I <br />OESCRIBE WOHN ANO SOUARE FOOTRGE INVOLVEO <br />Install conversion Y,urner and water heater <br />PROPOSED USE OF BUILDING <br />Single family rasidence <br />LEGRL DESCRIPTION OF VROP� dTY �SNOW BEIOW ON ATSACH fOUR COPIES� <br />LOT- BLOCK - OF <br />JOB�DDFESS <br />PLUMBING <br />TYPE OF FUITURE OR <br />SHOWER <br />KITCHEN SINK d OISP. <br />DISHWASHER <br />UUNDRY TRAY <br />DRINNING FOliNTAIN <br />FIOOH DRAIN <br />BACKFLOW PREYEN7ERS <br />ROOF DRAINS — RAINLEADERS <br />CINI[ IS@VICF — RAR FTC 1 <br />lUBTOTAL <br />PERMIT <br />FRONTSETBRGN <br />115EZONE LOTAREA <br />LYVE Of LpI57PULT10N AIlONABIE ttPE Of LON <br />OCCUPANCYLORD <br />REASONiOR50PINNlERS <br />NO OF STORIES <br />CONTACT PERSON NNO PHONE NO. IF OTHEfl THAN ABOVE <br />MECHANICAL <br />FEE NO. TYPE OF EI <br />ac - aHNn�c uNirs - <br />FORCED AIR :iVSTEMS — <br />UNIT HEATER:� — B.T.U. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 6 CHII <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />� <br />f <br />f <br />SIDE SETBRCK <br />YES ❑ NO <br />/.`,":!"_�` NJ OFONTLIING <br />❑ YES ❑ N� <br />FIRESFPINNLERSRW'D HEIGHTL'AIiAT10N <br />❑ VES ❑ NO <br />BY IPLANSAPPfiOVE09Y I CITY OF EVERETT <br />LOCALSALES <br />TAX COUE IS <br />SUBTOTAL <br />PENMIT <br />TOT�LFEE <br />;EE <br />FEES <br />BUI�DING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILOIN:. SURCHAfiGE <br />STATE ENERGV SURCHAFa3E <br />PUDLIC �'�'ORKS <br />TOTAI <br />WHEN PROPERLY VALI <br />f <br />� <br />� <br />PERMITS EXPIRE IF WORK IS NOT COMMENr.ED WI7HIN qp�F��SS FILE 2 613 0 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />45 I 00 <br />