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'hc�'"'"'��" �^ C�' NSTRUCTION -- � <br /> CITY OF <br /> everett PERMIT PERMITNO. _ 22460 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OYMEP MAILA�URE55 CITY ZIP PHONE <br /> Rene Lebournis 2921 Panaview Everett, WA 98203 353-5949 <br /> TENANT MAILAD�RE55 CITV ZIP PMONE <br /> ARCMR�!'"OROESIGNER MAILA��RE55 CITY ZIP PMONE <br /> GENERALCONTRACTOP MRILADORE55 CITY 21P PHONE LIGeNSE� <br /> X� Owner <br /> MELHANICALCONTRACTOR MAILAUDRESS CITV ZIP FHONE LIGENSE♦ <br /> PWMBINGCONTHACiOR MAILAODRE55 GITY ZIP PHONE II�ENSE� <br /> CLASS Oi WOPN <br /> p NEW ❑ ADDITION IXALTERATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON ANO PHONE NO.IF OTHER THRN RBOVE <br /> CONTRACT PRICE OF WORK:S1200.00 <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVEO <br /> Cunvert carage to living area <br /> VNOPOSEO USE OF BUILOING <br /> Single family residence <br /> LEO�L OESCFIPTION OF PROPERTY�SMOW BELOW OR ATTACH FOUR COPIES) - <br /> LOT-BLOCR-OF <br /> JpBA00RE5S <br /> 2921 Panaview <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FO(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILETI A/C—A/HNDLG UNITS—H.P. <br /> BA7HTUB FORCED AIR SVSTEMS—B.T.U. M EA. <br /> LAVATORV(WASH BASIN) UNIT MEA7ER5—B.T.U. M <br /> SHOWER CLOTHESORVERS <br /> KITCHEN SINK 6 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> UUNDRV TRAV WATEH HEATER <br /> CLOTHES WASHER �'dOOD STOVE <br /> URINAL METAL PIREPLACE 6 CHIMNEV <br /> DRINKING FOUNTAIN FIREP!4CE INSERT <br /> FLOOR DRAIN HEAT r+UMP <br /> BACNFLOW PREVENTERS GAS PIPING '�' � <br /> ROOf ORAINS—AAINLEADERS EXHAUST FAN _ <br /> SINK(SERVICE—BAR.ETC.1 <br /> SUBTOTAL S SU! f <br /> PERMIT S �p � � <br /> TOTALFEE S TOT � i <br /> FPONT SETBAGK REAR SETBnGR SiDE SETBACN PLAN CHECK NUM6ER FEE RECEIPT NO. <br /> 20' 6� g9/ZZq60 18185 23304 <br /> USE20NE �OTANEA VACANTSITE <br /> R-1 �Eg sunoiHacoce �E <br /> ❑YES KJ NO <br /> 1YPEOFCONSiRUCiqNALIOWA�IE 7VPEOFCON9RIIC710NALNAI �p`' NOOF014FLLINGUNIiS BUILDING $ l�2QQ 29 �� <br /> V-N V-N R-3 1 pLUM81NG <br /> SREOFBLOG. NOAFSTOHIES BRSEMENT <br /> 210 S£ X ❑VES K]NO MECHANICAL <br /> OCCUPANCYLORD FIPESPPINNlERSREOD MEIGHTLIMITATION OTHER <br /> NA ❑ves �No 28' � <br /> REASON FOR SPRINNLERS STATE BUILDING SURCHARGE SO <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC.BV PLANS�PPqOVEDBY CITY OF EVERETT <br /> LOCAL SALES PUBIIC WORKS <br /> M.M. Be TAX CODE IS TO7AL 3 50 <br /> 31(15 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 2 4 6 � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />