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, � <br /> �heEv�� ^ONSTRUCTION'"� <br /> everett PERMIT PERMITNO. G392 � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ON'NER <br /> MAILApDRE55 CITY ZIP PNONE <br /> Lyn Dfay 319 Park Pl. Everett 98203 259-5370 <br /> TENNNT <br /> MAiLA0DRE55 CITY 21n PHONE <br /> ARCMITEGT ON DESIGNER <br /> MAIL FOORESS CITY 21P PHONE <br /> GENERALCONTRACTOR MAILApDPESS CITV 21P PMONE 4CENSE• <br /> MEGHANICALCONTRACTOR MAILADOFESS CITY 21P PHONE LICENSE• <br /> NW Water Heater 3110 liill A�e. Everett 98201 259-5331 NORTHWH137KJ <br /> PLUMBING CONTRACTOR <br /> MAIL AO�RESS CITY ZIP PHONE 4CENSE� <br /> CUSS OF WOFN <br /> O NEW � ADDITION '� ALTEflATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCA I <br /> CONTACT PERSON AND PHONE NO.IF OTHER THAN ABOVE <br /> CONTRACTPRICEOFWORK $ 300 00 - <br /> OESGRIDEY;ORKANDSOUAPEFOOTPGEINVOLVED <br /> Install cir� heater. and gas x4tM AWH <br /> PROPOSED USE OF pUIL01NG <br /> Single XSMX2yt Family Residence <br /> LEGAL OESCRIPTIOK OF PROPERTV�SMOW BELOW OR nTTACH FOUR COPIESI <br /> LOT� OLOCN—�OF <br /> JOBPOURESS <br /> 319 Park Place <br /> pLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> A/C—A/NN�LG UNITS—H.P. <br /> WATER CLOSET�TOILET) E <br /> BATHTUB 1 FORCEDAIRSYSTEMS— <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> CLOTHESDRYERS — <br /> SHOWER <br /> VENTILATION FAN <br /> NITCHEN SINK 8 DISP. <br /> RANGEHOOD <br /> DISHWASHER <br /> LAUNDRVTRAY 1 WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> METAL FIREPLACE 8 CHIMNEV <br /> URINAL <br /> FIREPL�CEINSEPT <br /> DRINKING FOUNTAIN <br /> HEATPUMP <br /> FLOOR ORAIN <br /> BACKFLOWPREVENTERS y GASPIPING <br /> ROOF DRAINS—RA�NLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAP.ETC.) <br /> SUBTOTAL f SUBTOTAL S LS <br /> PERMIT S PEPMIT S S <br /> TOTAL FEE S TOTIIL FEE S <br /> �i <br /> FRONTSEToaCK REARSETOacK SIOESETDACK PLANCHECKNUMBER FEE RECEIPTN . <br /> � USE20NE LOTAREA VACANTSITE FEES BUILDINGCO�E FEE <br /> U YES ❑ NO 5 <br /> IYROFCONSfNUCiIONAtlPVABLE iVPEOFCON51RUCilONAC7UAl ���jW;�` �OfUWEILINGU41i5 BUILDING <br /> PLUMBING <br /> SILE Of OLDG NO OF STOPIES BRSEMENT <br /> ❑YES ❑NO MECHANICAL <br /> OCCUPANCYLOAO FIRESPRINNLERSREO� HEIGHTLIM1UTATON nTHER <br /> ❑YES ❑NO <br /> STATE BUILDING SURCHARGE <br /> fiEFSON FOR SFRiNKLEliS <br /> STATE ENEFiGY SURCHARGE <br /> APPLICATIONACC BY PLANSAPPROVEDBV CITY OF EVERETT <br /> LOCAL SALES PUOLIC WORKS <br /> TAX GODE IS 30 00 <br /> TOTAL <br /> s.x. 3i05 <br /> WHEN PROPERLY VALIDATE�THIS IS YOUR PERMI <br /> PERMITS EXPIRE IF WORK IS NOT COMMEN(:ED WITHIN �DDNESS F ILE G � C� �� 1 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />