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theFv�TMaF -�• r„W.,7NSTRUCTION --- �` <br />everett PERMIT PERM�TNo..' ��`�� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING )[] MECHANICAL ❑ PLUMBING ❑ S�GN <br />OIVNER h1AILA0DilESS CITY 21P PHONE <br />Y�cn�el Richaid 2F01 Rainier Ave Everett, WA 98201 <br />TENANt MAILADDfiESS CITY ZIP PHONE <br />ARCe!TECTORDESIGNER MAILADORE55 CITY ZIP PMONE <br />GENEf1AlCONTPACTOR AIAI�AODRE55 CITY ZIP PHONE LICENSE• <br />MECMANIGALCONTRACTOB AIqI�A00RE5S CITY ZIP CHONE ULENSEu <br />NW Waterheater Inc. 3110 Hill Ave Evere�t, �Ii 98201 259-5331 <br />PLUMBINGCONTRACTOR MAILAppPESS CITV ZIP PHONE LILEN58• <br />CUSS OF WORK <br />P� NEW ❑ ADDITION ❑ ALTERATION ,� qEPAIP. ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: S <br />DESCRIBE WOPK AND SOl1ARE FOOTAGE INVOLVED <br />Install gas furnace and hot water heater <br />PROPOSE� USE OF DUII�ING <br />Single family home <br />LEGAL DESCRIPTION OF PHOPERTY (SHOW DELOW OFi ATTACH FOUR COPIES) <br />LOT - �LOCK - OF <br />JOB ADDRESS <br />2601 Rainier Ave <br />PLUMBING <br />NO. TVPE OF FI%TURE OR ITEM <br />WA7ER CIOSET 1TOILETI <br />SHOWER <br />KITCHEN S�NK 8 DISP. <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DtiAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — flAINLEADERS <br />SINK ISERVICE — BAR. ETC.1 <br />FIiONT SETOACK <br />USEZONE <br />iYff OF CONSiRpCpON PILOR'A <br />SIIE OF BLOG <br />OCCUPANCYLOAD <br />(IEASON iOR SPBINKLERS <br />APPLICATION ACC. BY <br />M.M. <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />REAPSETOACN 5 <br />lOT ABEA <br />ttff OF CONSiRI1Lf10N ACiUAL <br />NO. OF STORiES <br />FIpE SPPINNLERS REOD <br />❑ VES ❑ NO <br />PLANSAPPROVEDBY <br />CONTACT PERSON AND PHONE NO. IF OTMER THAN ABOVE <br />MECHANICAL <br />NO. TYPE OF E�UIP� <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. <br />UNIT HEATERS — 6.T.U. <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />WOODSTOVE <br />METAL FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAY <br />SUBTOTAL <br />PENMIT <br />CHECK NUMBEfi <br />VACANT SITE <br />❑ vES ❑ NO FEES <br />�Wp' NOAFONEIIINGOM175 BUILDING <br />PLUMBING <br />BnSEMENT <br />❑ YES ❑ NO MECHANICAL <br />HEIGMTUM1IITATION nTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WOflKS <br />TAX CODE IS TOTAL <br />3105 ....._.. ------. ...,. <br />PFRMITS EXPIRE IF WORK IS NOT COMMEN�:ED WITfI�N ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />5 � <br />CHECf; <br />hl EA. <br />M <br />FEE <br />f <br />RECEIPT NO. <br />I 65I00 <br />THIS IS YOUR PERMIT <br />23490 <br />