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(he F.brryQrcH•n ^ C'� N ST R Ls i;T I O N - <br />cirv or <br />eveY�P� PERMIT PERMITNO. 22O 1�:'' <br />259 - E�810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING P9 MECHANICAL ❑ PLUMBING I� 1 SIGN <br />OWNEf1 <br />Mnanooness cirv zir �•r�oNe <br />Daivd Cross 817 Grand Ave Gverett 258-32G0 <br />tENqNi ANRr1D011E55 GTV ZIP PIONE <br />OP OES�GNER <br />GENERAI CONiR4CTOR <br />MRIL ADORE55 <br />IA41L ADDRESS <br />CrtV <br />CRV <br />21P PIIONE <br />Z�p PMONE UCENSE • <br />MECHANICALCONTRlCTOR MNLADDRE55 CITV ZIP PHONE LICENSE� <br />Northwest W.H. 3110 Hill St. Everett 96201 55- <br />PLUMBINGCONil1RCTOR RINLn00R[55 dTY ZIP PMONE IICENSE• <br />CL�55 OF WORK <br />❑ NEW ❑ ADDITION �] ALTERATION ❑ REPAIR ❑'JEMOLITION ❑ BUILDING HELOCA I <br />CONTRACT PRICE OF WORK: S <br />OESCN�BE WORK �ND SOUARE FOOTAGE INVOIVED <br />25' of gas i in and as water heater. <br />PROPOSED USE OF OUIIDING <br />SFR <br />LEGAL DESCRIPTION OF PqOPERTY �SHOW B[LOW OR RITACM LOUR COPIES� <br />LOT �— BLOLN — OF <br />817 Grand Ave. <br />PLUMBINCa <br />N0. TYPE OF FIM <br />WATER ClOSET (TOILE <br />BATMTUB <br />LAVATORY�WASH BAS <br />SHOWER <br />KITCMEN SINK Q DISP. <br />u5E <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN _ <br />BACKFLOW PREVENTERS <br />a00F OFAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETCJ <br />SUBTOTAL S <br />pERMIT S <br />TOTALFEE S <br />ITSETBRCH AERRSET�AGK 5 <br />!ONE LOTAREA � <br />C <br />IfLONSiRUL7WNALLON>BlF iVPEOG[ONSiPUC00NALNAt ° <br />pF BLDG NO OF STORiE� � <br />C <br />UPANCYLOAL fIRESPPiNNLER5AE0D <br />❑ YES ❑ NO <br />R[ASON <br />SH.. <br />FEE <br />SEt�ACN <br />CANT SiTE <br />YES ❑ NO <br />c; �—�o� <br />YES ❑ NO <br />MEIGNT LIMITATON <br />F.FNSAPPROVEO�Y I CITYOFEVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />CONTACT PERSOrv nnu rn�ne n� �� vmc.. ��,..�....,.... <br />MECHANICAL <br />�p, TYPE OF EOUIPMENT <br />A/C — aHNDLG UNITS — HP. <br />POFCED AIF SVSTEMS — 87 U M EA. <br />UNIT NEATERS — 8 T.U. M <br />CLOTHESORYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />1 \YATER HEATER <br />WOODSIOVE <br />METAL FIFEPLACE 8 CFiIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXIIAUST FAN <br />SUBTOTAL <br />CHECKNUMBER FEE ' <br />a000�2079 <br />BUILD�NG S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE DUILOING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIG WORKS <br />TOTAL <br />WHEN PROPERLY VALI <br />FEE <br />S <br />RECEIPT NO. <br />THIS IS <br />21�50 <br />21 50 <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT CO�dMENCED WITHIN '%'�-' "- <br />AD�RESS FILE L �_. i. � ; �, <br />180 DAYS OR GEASES FOH MORE THAN 180 DAYS. <br />