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theEtiClTrgreen �°• �NSTRUCTION � '�" <br /> everett PERMIT PERMITNO. 23367 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> OWNER MAILADORESS CITY 21P PMONE <br /> Mark Primozich 535 Pilchuck Path Everett <br /> TENRNT MAILAOORESS CITY IIP PMONE <br /> AFCIiITECTORDE5IGNEN IAAILAOORE55 CITV 21P PMONE <br /> GENERAICONTRACTOR MAILAD�RESS CITY ZIP PMONE LILENSE� <br /> MELNqNICFLCONTRACTOR MAILADpRE55 LITY 21P PHONE LICEN56• <br /> Valley Nat. Gas 2605 McDougall EVerett 259-5492 VALLENG153LI <br /> PWMBINGCONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE� <br /> CLA55 OF 1YORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACt PEFSON AND PHONE NO.IF OTMER TMAN ABOVE <br /> CONTRACT PRICE OF WORK:$ <br /> DESCRIBE WOfiK AND SOU!RE FOOTAGE INVOLVED <br /> Install furnace and water heater <br /> PROPOSED USE OF BUILOING <br /> SFR <br /> LE WL OESGRIPiION OF PpOPERTY�SMOW DEIOW OR ATTACM iOUR COPIES� <br /> LOT_ BIOCK_OF <br /> JOBADORE55 <br /> 535 Pilchuck Path <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A'HNDLG UNITS—H.P. <br /> BATHTUB 1 FORCEDAIRSVSTEMS— . .0 o E •• p � Qy�' <br /> LAVATORV(WASH BASIN� UNIT MEATERS—U.T.U. �M <br /> SHOWER CLOTHES�RVERS � n-�� <br /> KITCHEN SINK a OISP. VENTILATION FAN r a^ c <br /> DISHWASHER NANGEHOOD c <br /> LAUNDRVTRAV 1 WATERHEATEH 6 SO <br /> CLOTMES WASHER �NOOD STOVE <br /> URINAL METAL FIREPLACE d CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—B�R.ETC.) <br /> SUB TOTAL S SUB TOTAL S 15 S 0 <br /> PEqMIT f PENMIT S �.S OO <br /> TOTALFEE S TOTALFEE S 3O SO <br /> FRONTSEiOnCK HEnRSEiBnCK Si0E5ETOnCK PLANCHECK�JUMBER FEE RECEIPTNO. <br /> USE 20NE LOT AREA VACANT SRE FEES BUIl01NG CODE FEE <br /> ❑YES O NO <br /> iYGEOfCONSiFUGiIONALIONABIE 7VPEOFCONSfRI1CilONACiVAL �`�`' N80FON'fLUNGUN175 BUILDING S <br /> PLUMBING <br /> S�Z[OF BIOG. NO OF StORIES BASEMENT <br /> ❑VES ❑ NO MECHAN�CAL 3O SO <br /> OLLUPANCYLOAD GIRESPqINKLERSREOD MEIGMTIIMITATION UTHER <br /> ❑YES ❑NO <br /> REAiON FOP SPRINKLERS STATE BUILOING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC.9Y PLANSAPPROVEDBY CITY OF EVERETT <br /> LOCAL SALES PU�LIC WORKS <br /> TAX CODE IS TOTAL 30 50 <br /> 3105 WHEN PAOPERLY VAIIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMEN�:E� WITHIN qDDNESS FILE C� � � b f <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />