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'he �� I'ONSTRUCTION � r <br />everett PERMIT PERMIT NO. 25481 <br />259-8810 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING ❑ SIGN <br />OYMER MAIL A�ORE55 CITY ZIP PMOYE <br />Kevin Waldrop 2009 Rinier Av. Everett Wa 98201 252-3616 <br />TENANT MAILAOpRESS CITY ZIP GMONE <br />Same As Above <br />APCIIItEGT OR OESIGNER MaIL ADDRE55 CITv 21P PHONE <br />GENERALCONTRACTOR MAR AODRESS QTY ZIP PMONE LICENSE• <br />Valley Natural Gas 2605 McDougall Bverett WA 98201 259-5492 VALLENG153L1 <br />MECNANICRLCONTRACTOR MRILAD�PESS CITY 21P PMONE UCENSE• <br />P W MBING CONTflNGTOh <br />CLPSS OF WORK <br />❑ NEW ❑ ADDITION <br />MAIL AODRESS <br />❑ ALTERATION ❑ REPAIR <br />CITY ZIP <br />❑ DEMOLITION <br />LIGENSE � <br />❑ BUILDING RELOCATION <br />I CONTACT PERSON ANO PHONE N0. IF OTMER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 2> 400. OO <br />GESCRIBE WORK �ND SOUARE FOOTAGE INVOLVED <br />Install Furnace 6 water }c tank <br />PHOPoSED USE OF BUILUINO <br />flx Single Family <br />LEGAI DESCNIPTION OF PqOPERTY �SHOW BEIOW OR ATTACH FObR COPIES� <br />LOi- BLOCN_ OF <br />Ave. <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />KITCHEN SINK 6 DISP. <br />DISHWASMER <br />UUNDRV TRAV <br />CLOTHES WASHER <br />UfiINAL <br />FLOOR DPAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS— RAINLEADERS <br />SINK BERVICE — BAR. ETC.1 <br />USE20NE <br />TYPEOFCONSiPUC7lONRLLOWABIE <br />size ov oioc <br />OCCIIPFNCYLOAD <br />REASON FOR SPqINNLERS <br />FEE <br />SUBTOTAL f <br />PEflMIT f <br />TOTALFEE S <br />REAR SETBACN SIOE SFiOACN <br />LOTRREA VFCFNTSITE <br />❑ YES ❑ NO <br />IYPEOFCONSiPUC110NACiUAL �ao�N00f04 <br />NO.OFSTORIES EASEh1ENT <br />I'] VES ❑ NO <br />FIRESPlitNKLER5RE0�0 I HEIGHTLIMITATION <br />] YES O NO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />NO. T'VE OF E <br />A/C — A/HNDLG UNITS — <br />FORCED AIR SY5IFMS — B <br />UNITHEATERS—B.T.U. � <br />CLOTHES DpYERS� <br />VENTILATION FAN � <br />RANGEHOOD <br />WATERMEATER <br />WOODSTOVE <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECKNUMBER <br />SUBTOTAL <br />PENMR <br />TOTAIFEE <br />FEE <br />FEES <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE Bl/1LDING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PROPERL <br />RECEIPT NO. <br />FEE <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qOURESS FILE 4�� J I <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />