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� <br /> "���'�" C' 7NSTRUCTION '� <br /> cirv oF CC <br /> everett PERMIT PERMITNO. 24�JJ <br /> i <br /> 259 -8810 <br /> i, ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING Gk MECHANICAL ❑ PLUMBING ❑ SIGN <br /> I OWNER MRILAOURESS CITY ZIP PMONE <br /> � SX David Sieminski 2931 Panaview Blvd Everett 9820'� ZSS-5997 <br /> � TENANT MIILAODRESS CITY Z�P PHONE <br /> APCMITCCT OR DESIGNEN MAIL AODRESS CITV Z�P PMONE <br /> GENERALCONTRRCTOR MAILADDRESS CITY ZIP PMOYE UGENSE• <br /> MECHANIC/LCONTRACTOR MAILROORE55 CITY ZIP PMONE LICENSE� <br /> Sunlok 19915 124th Ave NE Kirkland 980a4 8�7-4542 S11NL041T1dFT9 <br /> PWAIBINGCONTRACTOR MAILAODRESS CITY ZIP �'MONE LILENSE <br /> CLASS OF WONR <br /> ❑ NEW ❑ ADDITION �ALTERATION ❑ HEPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br /> C0�fPCT PERSON AND PMONE N0.IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK'$ 1770 00 � <br /> DESCRIBE WORK ANJ SOUARE FOOTnGE INVOlVEO <br /> install -as fuanace - <br /> PROi'OSED USE OF BUILDING <br /> SFD <br /> LEGAL DESCRIPTION OF FROFERiV(SMOW BELOW OR A�TACN FOUR COPIES) <br /> LOT- BLOCN�OF <br /> JOBADf]RESS � �� ����I� I�� <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIKTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNITS—H.P. <br /> BA7HTUB FORCEDAIRSVSTEMS—BT.U. MEA. _ <br /> LAVATORY�WASHBASIN) UNITHEATERS—B.T.U. M <br /> SMOWER CLOTHESDRYERS <br /> KITCHEN SINK 6 DISP. VENTILATION FAN <br /> I DISNWASHER RANGEHOOD <br /> LAUNDRV TRAV WATER NEA7F.R <br /> � CLO7HES WASHER WOOO STOVE <br /> URINAL METAL FIREPLACE d CHI ,� <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOP DRAIN HEAT PUMP <br /> BACKFLOW PREVENTF.RS GAS PIPING <br /> ROOFDHAINS—RRINLEADEHS E%HAUSTFAN �+ <br /> SINK(GERVICE—BAR,ETC.) <br /> n <br /> SUB TO'fAL S S�8 f <br /> PENMIT f �p <br /> TOTALFEIi S TOT � fp�{; � <br /> FRONT SETOnGN REaR 5[TBnGK SIOE SETOnCK PLAN CHECR.NUMBER �H ss �{J�JEIPT NO. <br /> 11000^c4351 <br /> ❑SE ZONE LOT AREA VACANT SITE �=EES ING CO �E <br /> ❑YES ❑NO <br /> iYfEOFCONSIRUL➢�NALLONABIE ttPEOFCON57BlICfIONRtiUAL a�pW�`' NOOFDNfLLINGUN175 BUILDING f. <br /> PLUMBING HOO�iZ�F.EB <br /> 512E OF BLDG NO.O°STORIES tlRSEMENT <br /> ❑YES �NO MECHANICAL SS 00 <br /> OCCIIPANCYLOAD iIRESPRINRLEpSRE00 MEIGNTLIMITATION OTHER IiCH SS .00 <br /> ❑VES ❑NO <br /> RERSON FOR SGRINKLERS STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE CHECY. SS. .00 <br /> APPLICATIONAGG.OY PLPNSAPPROVEDOV CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS _ <br /> TAX CODE IS TOTAL 55 00 <br /> 3105 �yHEN PROPERLY VALIDtiTEU THlS IS YOUR PERMIT <br /> % � ; r <br /> PERMITS EXPIHE IF WORK IS NOT COMMFNCEU WITkIPi qDURESS FIL< <1 � � �� � <br /> 1fl0 DAYS OR CEASES FOR MORE TNAN 1d0 DA'fS. <br />