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"�E°�'�' � C4NSTRUCTION -- � <br /> CITY OF <br /> everett PERMIT PERMIT NO. _ 25914 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING E] MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEA MAILAODRESS CITY ZIP PMONE <br /> Alan Fliehman 2809 Panaview Blvd Everett 98203 348 0747 <br /> TENFNT MRILADCNE55 CITY ZIP PMONE <br /> ARCHITECT OP DESIGNER MAIL AOORESS CITY 21P PHONE <br /> GENERALCONTRRCTOR MAILADDNESS CITY 21P PMONE LICENSE• <br /> MECMANICAL CONTPACTOR MAII p00RE5S CITY 21P PMONE LICENSE� <br /> Ownei <br /> PLUMBINGCONTNRCTOR MAILADDNESS CITY 21P PHONE LICENSE• <br /> CLASS OF WOPN <br /> ❑ NEW ❑ ADDITION ❑ALTENATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING NELOCATION <br /> CONTACT PERSON AND PHONE NO.IF OiMER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ <br /> �ESLRIBE WONN AND SOURfiE FOOTAGE INVOLVEO <br /> Install metal fireplace <br /> PROPOSE�USE OF BUIl01NG <br /> Single Family Residence <br /> LE�AL DESLRIPTION OF FROPENTV(SMON'BELOW OR ATTRCH FOUR COPIES) <br /> 117 Platt of Valley View <br /> LOT- BLOCK-OF (�(����p� <br /> 1���� �Ji1Q�{ alalalr�rtT�AG � <br /> N000^c5914 <br /> !£CH «0 t10 <br /> JOBADDRE55 �� �Q�� <br /> 2809 Panaview Blvd <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FOITURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET) A/C—A/HNDLG UNITS—H.P. <br /> BA`HTUB FORCEDAIPSYSTEMS—B.T.U. MEA. <br /> LAVATORV(WASM BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER F7ANGE HOOD <br /> LAUNDRV TRAY WATEH HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINRL METAL FIREPLACE 8 CHIMNEV <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACNFLOW PREVENTEFS GAS PIPING <br /> ROOF DFAINS—RAINLEADERS E%HAU�T FAN <br /> SINK�SERVICE—BAR,ETC.) <br /> BUBTOTAL f SUBTO7AL <br /> PENMIT f PERMIT f <br /> T0TI1L FEE S TOTAL FEE S 3O O <br /> FqONTSETBACR ��EARSETBqCK SIOESETORCK PLANCMECNNUMBER FEE RECEIPTNO. <br /> USE 20NE �OT AREA VACANT SITE FEES OUILDING CODE �E <br /> ❑VES ❑ NO <br /> iYPEOFCON57NUCilONAILOWABLE ttPEOFCON51NULfIONACNAL ��W� NOOFONFILINGUNIiS BUILDiNG S <br /> PLUMBING <br /> 512EOFOLOG NO.OFSTORIES 6ASEMENT <br /> ❑YES ❑ NO MECHANICAL 3O OO <br /> OCCUPANCYL040 FIRESPRINKIERSREOD MEIGHTLIMITATION QTHER <br /> ❑ YES ❑ND <br /> neasor+Fonsvniuraens STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACC.BY PLANSAPPPOVEDBY CITYOFEVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 30 00 <br /> 3105 WHEN PROPERLY VALICATED TH�S IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qUUHESS PILG 2 5 91 � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />