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CITY t)F EVERETT <br /> �"' �ONSTRUCTION ��-�� � <br /> PERMIT PERMITNO. �7713 <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Q�AECHANICAL ❑ PLUMBING ❑ SIGN <br /> 01VNER <br /> MAILAD�RESS CITY ZIP PNONE <br /> Steve Proko ovicli 2625 Panavieca Blvd �verett 98203 355-9831 ZP PHONE <br /> TENANT MAILA�OPESS ��T� <br /> ARCMITECT OR DESIGNER <br /> MPILADORESS :ITV ZIP PHONE <br /> GEHERALCONTRACTOR M1IAILAODRESS C1TV ZIP PMONE LICENSEu <br /> IAAILAD�RE55 Clh 21P PNONE LICENSE� <br /> ldECMANICAL CONTRAQOFl VALLENG 153L 1 <br /> Valle Natural Gas 2G05 Ptcdou all N�verett 98201 259cTM492 ZP FHONE ucer+se� <br /> P W�d91NG GONiRACTOR MAIL AOORESS <br /> ClAS$OF WOFK <br /> ❑ NEW ❑ ADDITION 6� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIYG RELOCATI <br /> CONTACT PERSON AND PHONE N0.IF OTHER THAN FBOVE <br /> CONTRACTPRICEOFWORK S 1 503 f79/1"/91 ^•i� M nnnnueooc —_:t�t,: <br /> D[SCRI�E W OPK AN�SOUARE FOOTAGE INYOLVED � <br /> � n <br /> Install furnace and water heater <br /> M�CH �55.00 <br /> n� <br /> PROPOSEDUSEOFBUILDING ifECH 555.00 <br /> � <br /> LEGALDESCRLTICNOFPROPERTY(SHO\V�ELOWORATTACMFOURCOP�ES) NECH S4�S.00 <br /> n c <br /> LOT--OLOCK_OF <br /> HECN 3�0.00 <br /> .. <br /> t1ECH 355.00 <br /> eoonooAess NECH� �55.00 <br /> 2625 Panavieca Blvd , ,,,, .� �.,,,, <br /> PLUMBING MECHADIICAL <br /> NO. TYPE OF FIXTURE OR ITEM <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE7) NC-AMNDLG UNITS-H.P. <br /> FORCEDAIRSVSTEA75-B.T.U. NEA. <br /> BATHTU� <br /> LAVATORV(WASHBASIN) UNITHEATEFS-B.T.U. h� <br /> CLOTHESORYERS <br /> SHOWER <br /> KITCHEN SINK 8 Dlf�. VENTILATIGN FAN <br /> DISHWASHER f1ANGE HOOD <br /> WA7ERHEATER <br /> LAUNDRYTRAV <br /> CLOTHES WHSHER WOOD STOVE <br /> METAL FIREPLACE 8 CHIMNEY <br /> URINAL <br /> FIREPLACEINSERT <br /> DRINKING FOUNTAIN hi[AT PUh1P <br /> FLOOR DRAIN <br /> BACKPLOWPREVENTERS _ GASPIPWG <br /> HOOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICL-BAR,ETC.) <br /> Sl1BTOTAL S SUBTOTAL 5 <br /> PERMIT 5 PEHMIT 5 <br /> TOIALFEE 5 TOTALFEE 5 <br /> FNONTS[T�nCK fi[A'.i5[IDACK <br /> SIOEScTOACK PLANCHECKNUMBER FEE RECEIPTNO. <br /> USElONE LOTnREA VACI.NTSITE OUIL�INGCOOE FEE <br /> FEES VALURTION <br /> ❑YES ❑NO S <br /> ���iG°f,ONSTRUCilOYALlOWAOIE TYPEOPCONSTRIICiIONACiWI ttGPa4e� �`OCfOltiElIV:GJSi15 BUILDINCi <br /> PLUMBING <br /> SVLOF�LDG. NOAFSTORIES DASEMENT <br /> M1fECHANICAL <br /> ❑VES ❑NO <br /> OCCUFnNCVLOAO flRESPRINKLERSREOD MEIGMTUAtIinllO.V OTHER <br /> ❑vEs ❑NO STATE BUILDING SURCHARGE <br /> R6150N FOii SPRINKlEFS <br /> S7ATEENERGVSURCMARGE <br /> pn���ICATIONACC.�V PLANSAPPROVEDOV CITY OF EVERETf pUBLICWORKS <br /> LOCAL SALES 55 00 <br /> TAX CODE IS TOTAL <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> pERtdITS EXPIRE IF WORK IS NQT COMMENCED WITHIN ���nprSS FII.[ � � / 1 � / <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />