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`�eEL��� ' "ONSTRUCTION � � n <br />everett PERMIT PERMITNO. _ 23`�U`� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />Qy�.�Eq MAIIR�DPE55 CITY ZIP PNONE <br />Wendla Edwards 1915 Rainier Everett, 98201 258-4658 <br />rcueut MAILADDNESS CITV ZIP PHONE <br />ARCMITEGTOHDESIGNER MAILqD�RE55 CITY 21P PMONE <br />GENERRLCC�NiRAGTOR MAILAOORESS CITY 21P PMONE LILENSE� <br />Nalback Const 2132 Highland Ave. Everett, 98201 252-7450 NALBACK*2300H <br />MECMANICRLCONiRRCTOR MAILADDNE55 GTY 21P PHONE LILENSE� <br />PlUM01NGCONTRFCTOR .NAILADORESS CITY ZIP PHONE UCENSE• <br />CLASS OF WOpK <br />❑ NEW ❑ ADDITIQN ❑ ALTENATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />LONTFCT PERSON AND PHONE NO. IF OTHEN TMAN PBOvt <br />CONTRACT PRICE OF WORK: $ � <br />DESCRIBE WORR ANO SOUnRE FOOTAGE INV( LVED <br />install foundation under existing house <br />PROPOSEO USE OF BUILDING <br />SFR <br />IEGAL OESCRIPTION OF PROPERTY (SHOW BELOW OR ATTFCH FOl/R COPIES) <br />ior�6 �ocn�bov plat of Fverett <br />JOBADOPESS <br />1915 Rainier Ave. <br />PLUMBIN(i <br />TYPE OF <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />LAl1NDRY TRAV <br />OR <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENiERS <br />ROOF DRRINF — RAINLEAOEHS <br />CiNI[ /S@\9CF — RAii FTC 1 <br />LVPE OF CONSINVCIiUn <br />512E OF BL�G <br />OCCUPANCYLOPD <br />NEASON FOR SFRI� <br />SUSTOTIIL ! <br />VERMIT S <br />TOTALFEE f <br />REARSETBRCK 51 <br />LOTAREN V� <br />❑ <br />fVKOFCON57RUtilONRCiUAI °' <br />NOAF STORIES <br />FIRE SPRINHLEqS REO'D <br />❑ YES ❑ NO <br />MECHANICAL <br />FEE <br />)E SEiBACK PLAN <br />CANT SITE <br />YES ❑ NO <br />DASEMENT <br />7 VES � NO <br />NEIGNT LIMITATION <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />A/C — A/HNDLG UNITS — H.F <br />FORCED AIH SVSTEMS — B.T <br />UNIT HEATERS — B T.U. <br />VENTILATION FAN <br />RANGEHOOD �t <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN � <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />OTHER <br />STATE BUILDING <br />SUBTOTAL <br />' ERMIT <br />TOTALFEE <br />FEE <br />STATEENERGVSUflCHAFGE <br />PUBLIC WORKS <br />AL <br />WHEN <br />M <br />: ��1 <br />� <br />s <br />f <br />RECEIPT NO. <br />THIS IS <br />4 I 50 <br />l03 I 50 <br />PERMITS EXPIRE IF WORK IS NOT CQMMENCED WITHIN ADDRESS FILE 2�'{ �� <br />180 DAYS OR CEASES FOR MnRE THAN 180 DAYS. <br />