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! <br /> CITY OF EVERETT <br /> � ;ONSTRUCTIAN � <br /> PERM17 FERMITNO. 2$1O5 <br /> 259-8810 <br /> ❑ DEMOLITION ❑COMBINATON ❑ BUILDING P�MECH4NICAL ❑ PLUMBING ❑ SIGN <br /> y �� JWNER AtARAD�NESS CitY 21P PHONE - <br /> [] Keith Porter 2607 Panaview Blvd. Everett, WA 98203 397-2151 <br /> y reHar�. r.iai�nooaess ci.v rv vroi+=_ <br /> � � N . <br /> � Hcn <br /> ARCNiTECTO�iDE51GNER h1AiLp��HE55 CRV ZIP VnONE <br /> K�� GENERALCONTRACt0i1 MAILAD�FE55 CiTY 2iP PHONE IICENSE� <br /> � ~ � EiECMANICALCON*PACTOq RIAILAODRESS CITY IIP PHONE LICENSE• <br /> Hy <br /> �pr z f4ashinyton Natural Gas 112 SE Everett Dtall Wy Everett 98208 355-3331 WASHING285CB <br /> G'1 O � PIU�IOMGCONTRAGTOR t.IRILA�Di1E55 CItY Z�P PNONE LICENSE� <br /> H <br /> O�yN �y <br /> r � Y CIAySOFWORK <br /> C�l� (�'] ❑ NEW ❑ AODITION ❑ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> LONTACTPERSONANDPNONENO iFOTNEfiT�MNApOVE <br /> .�.� 3 CONTRACT PRICE OF WORK� S 170.00 - <br /> H 1-3 pE5CRi0E\VOReANDSOI/RREFOOtAGEiNVOIVED <br /> g y H Install 25' gas piping _ _ _ - <br /> f]C�n .,.. �,.. u <br /> �� PROPOSEDUSLOFOUILOING � ��J <br /> �� Single family residence MECH� ?"0.00 <br /> _� <br /> L[GRL DEGCRiPtiON OF GROP[RtV�SMON OEIOW OP ATTACH FOUF LOPIES� <br /> IOT���LOCK_OF <br /> JOOADO�E�S <br /> 2607 Panaview Blvd. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> \YATER CLOSET(TOILEi� NC-h'NNOLG UNITS-M.P <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. 1A EA. ' <br /> LAYATORY(WASH�ASIN� UNIT HEATERS-B i.U. 61 <br /> '�' SHOVJ[R CLOTHES ORYERS <br /> ' � KITCHENSINK8015P VENTILATIONFAN <br /> � DISHWASHER FANGE HCOD <br /> LAUNORY TRAV \YATER HEATER <br /> � ' CLOTrIES\YASHER WOOD STOVE <br /> URINAL h1ETAL fIREPLACE 8 CHIMNEY <br /> '�I DRINKING FOUNTAIN FIREPLACE INSERT _ <br /> FLOOR DRAIN HEAT PUMP <br /> ' � DACKFLOV/PREVENTERS X GASPIPING - 2S� <br /> ROOF DRAINS-RAINLEA�ERS E%H 4UST FAN <br /> ��� SINK�SERVICE�-BAR.ETC.� <br /> �' SUBTOTAL S ZS 00 <br /> SUBTOTAL 5 <br /> '� PER1.11T 5 PER1.11T S ZS OO <br /> �' TOTAL FEE 5 TOTAL FEE 5 3O OO <br /> PHONi5Ei0�cfl �'���1«1o��Cn Si�ES[T[1^CK PLANCHECKNUIdBER FLG RECEIPTNO. <br /> � <br /> �� USF.ZOqp IOTARLrI VACANT5IIE BOILOINGCOUE FEE <br /> FEES VILUCTION <br /> '=' ❑vcs ❑�+o <br /> �i'i.C=COS51eULi'�ONAlLO'tiABLE tvFEO�CONSTPUCiIONACiUAL a��;�,°gv NOOFO:�ilu•6Cv]5 OUILOING S <br /> _' PWh1BING <br /> 59L O�+LUG ��QAF STORIES U45EI.IENT <br /> ❑Y[5 ❑NO MECHANICAL 3O OO <br /> O�NPANCYLONO FIRESPRINNLERSRE00 HFiGNTLIh11TAi104 OTHER <br /> ❑YES ❑NO <br /> i+[:.;or+ron saRrt+KtEns STATE BUILOING SURCHARGE <br /> SiATEENERGYSURCHARGE <br /> APPLICATIONALC.�Y PLANSAPPPOVEDOY CITY OF EVERETT <br /> LOCALSALES Pusuc�vonKs <br /> TAX CODE IS rorn� so 00 <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 810 5 <br /> 1D0 DAYS OR CEASES FOR MORE THAN 180 DAYS. �<i�� "`--'�'� ' " ` <br />