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i � <br /> I theFuergreen � �NSTRUCTION �-� � � <br /> CITY OF <br /> eyerett PERMIT PERMITNO. 2JU3� <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I� MECHANICAL O PLUMBING ❑ SIGN <br /> OWN[q MAILADORE55 CITY ZIP PNONE <br /> Sharon Langus 313 Park P1 Everett 252 2356 <br /> T[NANT AIAILAODRESS CITV 2iV PHONE <br /> ARCMITECTOFDESIGNER MAILADDFESS CIiV ZIP PHONE <br /> f.ENERALCONTRACTOfl MAILADORE55 dTY ZIP PNONE LICENSE� <br /> Valley Natl Gas 2605 McDo�!ga1 Av 98201 25 499 vAiTF*�� i <br /> MECM4NICALCONTRRCTOR MAILADORE55 CI?Y ZIP PNONE LICENS[• <br /> PWMBINGCONTRAp70R MAILqODRE55 CITV 21P PHONE �ICENSE• <br /> CIASS OF WORK � <br /> ❑ NEW ❑ qDDIT10N � ALTEHATION ❑ pEPAIR O DEMOLITION ❑ BUILDING HELOCATION <br /> CONTACT PEflSON AND PHONE NO.IF OTNER THAN ABOVE <br /> CONTRACTPRICEOFWORK:$1 S3� <br /> OESCRIBE WORK NND SOUARE FOOTAGE INVOLVEO �� <br /> Insall Furnace & AWM <br /> 09/19/90 3=45FIf O�RN3746 ?*tt <br /> PROPoSEO USE Of BUILDING / <br /> SFR � <br /> IEGAL DESCPIPTION OF PqOPEflTY(SNOW OELO W OR ATfACN FOUf1 COPIES) �yyr��� <br /> �M188lLJOJ <br /> lOT� pIOCK_OF _ ��`� t'^ _ � <br /> �4lllllLJ� <br /> �lGW� <br /> JOOn�ONE55 <br /> E�t P (�CK t17U.00 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEf) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS— <br /> B T.U. M EA. <br /> LAVATORY(WASM BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESORYEqS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGENOOD <br /> LAUNDRV TRAV Wq7ER HEATER <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL METAL FIqtlPLACE u CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GA�PIPING <br /> ROOF DRA�NS—RAINLEADERS E%HAUST FAN — <br /> SINK(SERVICE—PAR,ETQ) <br /> SUBTOTAL s <br /> SUBTOTAL S <br /> PERMIT S PERMIT f �- <br /> TOTAL fEE S TOTAL FEE { <br /> FRONTSETBACI( qEARSETpACK SIDESETOACI( PLANCHECKNUMBER ��� <br /> FEE �ECEIPTNO. <br /> USEZONE LOTAREA VACFNTSITE <br /> ❑vES ❑No FEES B���oixc cooe FEE <br /> iYffO�CONSIRULfIONALIOWABLE 7VF40fCON5iPUC110NA�NA� ���+:� lqpFONRIINGUNiiS BUILDING � <br /> 5izeoFo�oc - PLUMBING <br /> NO.OFSTORIES DASEMENT <br /> ❑YES ❑NO MECHANICAL SS OO <br /> OCCUPANCYI,OAD FIRESPRINRLERSFEO'D M[IGHTLIMITATION <br /> ❑YES ❑ NO OTHER <br /> qFJ�50N FOfISPqiNNLERS STATE BUILDING SURCF,ARGE <br /> APPLICATIONACC.DY PLANSAPPROVE�DY STA7EENERGYSUFCHARGE <br /> CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS rora� 55 0 <br /> 3105 <br /> WHEN PROPERLY VAL�DATED THIS IS YOUR PERMIT <br /> PE9MITS EXPIRE IF 1YORK IS NOT COMMENf:ED WITHIN <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. �DDRESS FILE � � � � � <br />