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CITY OF EVERETT <br />� "�ONSTRUCTION '`` '�' <br />PERMIT PERMITNO. 2%311 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER h1AILPDDRE55 CITY ZIP PHONE <br />Everett Housing Authority 1401 Poplar St EveretL 98201 258-9222 <br />7ENANT MAILAODRE55 CITY ZIP PHONE <br />ORDESIGNER MAILADDRESS CITY ZIP <br />GENERALCONTRACTOR MPILADURE55 CITV ZIP PYONE LICENSE� <br />MECMANICAICONTRACTOR MAILAD�RESS C61 21P PMONE IICENSEM <br />PLUMBINGCONTRACTOR MAIIADURESS CIN ZIP PHONE LICENSE� <br />Joe's Flumbing PO IIox 1137 Lk Stevens 98258 334-1309 JOGSP**235C2 <br />L� NEW ❑ ADDITION <br />CONTRACT PRICE OF WORK: � <br />Plumbing <br />❑ ALTERATION ❑ REPAIR <br />PROPOSED USE OF BUILDING <br />6-plex <br />LEG�L OESCPIPTION OF PROPERTV (SHOW BELON' OR ATTACH FOUR COPIES) <br />IOT�_BLOCN._OF <br />1216 Poplar <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />WA7ER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVEN7ERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, E7C.) <br />� SUBTOTAL 5 <br />PERMIT S <br />USEZONE <br />ttPE OF CpNSiRUCT10N ALIOWi <br />SIZE OF OLDG. <br />OGCUPANCVLOAD <br />REn50N FOF SPRINNLERS <br />LOT <br />OF <br />FIRE SPPiNKIEfl: <br />❑ VES ❑ NO <br />❑ DEMOLITION <br />AND PMONE NO. IF O <br />❑ BUILDING RELOCATION <br />NUOVt <br />07/il/91 3�36FH OOORk78�9 Fkkk <br />q00027•?10 <br />MECHANICAL NOOOc7i11 <br />FEE NO. TYPE OF EOUI�NT <br />A/C-NHNDLGUNITS-H.P. `� � <br />rnorvneiccvcTCnAC-RT I MEA. <br />SETBAGN <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />DRYERS <br />ON FAN <br />W.1TER HEA7ER <br />WOODSTOVE <br />ME7AL fIREPLACE 8 <br />fIFEPLACEINSERT <br />GAS PIPING <br />EXHAUSTFAN <br />TOTAL <br />S <br />BUILDING � <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUIL�ING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VALIDATED THIS IS <br />aDDAESS FIL� <br />4 <br />PERMIT <br />i <br />I <br />27311 <br />