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`h�E°�`�'.o -� P`�NSTRUCTION -- "� <br /> everett PERMIT PERMITNO. _ �6 � `tU <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION }(� BUILDING ❑ MECHANICAL ❑ pLUMBING ❑ SIGN <br /> OYMER MqILqDONESS CITY ZIP pNONE <br /> Sam Ahlwardt 1604 Oakes Ave Everett 98201 259-3259 <br /> � TENANT MAILApDNESS <br /> CITY ZIP PMONE <br /> ARCHITECT OF�ESIGNEP MAIL ApDNE55 CITV ZIP PHONE <br /> GENEML CONTRFCTOR IdRI�ApDRE55 CITY <br /> 21P PHONE �ICENSB• <br /> owner <br /> MECNANICALCONTRACTOR MRI�qODRE55 CITY ZIP PHONE ULENSE• <br /> PLUMBMG CONTRACTOR MqIL AOORESS GTY 21P PMONE LICENSE• <br /> CIASS OF WORN <br /> G NEW ❑ AODITION Q�1LTEqpTION ❑ pEPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO.IF OTNER TMAN A00VE <br /> CONTRACT PRICE OF WORK:S 200.00 <br /> OESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br /> Insu]Late walls in front room <br /> PRO WSEp USE OF BUILDING <br /> Sinale familv residence <br /> lE0RL0E5CPIPTIONOFPROPERTY�SHOWBELOWDRATTACNFOURCOPIES) OlI.�O�pS Z�43PM OOONH54BB ?*�n� <br /> LOT__ BLOCK�OF � <br /> N0002634B <br /> ELDG 515.00 <br /> FLN CH i9.75 <br /> JOBADDRE55 <br /> � SRCH 54.50 <br /> CHEp; f29.25 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WAIER CLOSET�TOIIET) A/C-A/HNDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M EA. <br /> UVATOFV�WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 6 DISP. VENTILATION FAN <br /> DISHWASHER flANGE HOO� <br /> UUNDRV TRAV WATER HEATEP <br /> CLOTMES WASHER WOOD STOVE <br /> URINAL METAL FIflEPLACE 8 CHIMNEV <br /> DRINKING FOUMAIN FIREi'LACE INSERT <br /> fLO01i DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,E7G) <br /> SUBTOTAL f SUBTOTAL s <br /> PENMIT : <br /> VEHMIT = <br /> TOTALFEE S TOTALFEE s <br /> FRONTSETOnCR qEnRSETBnCK SI�ESETOACR PLANCHECKNUMBER FEE RECEIPTNO. <br /> USEZONE LOTAf1EA VnCANi51TE <br /> ❑vEs ❑ No FEES euuoiHccoce FEE <br /> h'PEOFCONSiNUCiIONALLOWABIE iYFEOFCONSiPpLiIONACN�L �o!�� ryp.OFpNFLLINGUN115 8�11LDINCi s rj00.�� 15 �� <br /> V-N V-N R-3 1 <br /> s12E oF eloc PLUMBING <br /> 110 chang NO.OF STORIES BASEMENT <br /> n/d �. ❑ vES }�NO MECHANICAL <br /> OCCUPANCY LOAD FlRE SPRINNLERS REO'D HEIGHT UMITATION <br /> OTHER <br /> n/a ❑YES IRJ@O 2X15t.1(1 <br /> REASON FOR$PqINNLFPS STATE BUILOING SURCHARGE <br /> APPLICAiION ACC �Y PLANS APPROVED DY STATF ENERGY$URCHARGE <br /> CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> Jx TAX CODE IS TOTAL � � S <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> � "t`'t <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDRESS FILE � �3 � � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />