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CITY OF EVERETT <br /> "� �ONSTRUCTION �"° '�`` ' <br /> PERMIT PEFiMITNO. 27752 <br /> 259-8810 - <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING j(�{ME�HANICAL ❑ PLUMBING ❑ SIGN . ;,.�c <br /> �z. ' �. <br /> OWNEF MpILpDOFE55 CITY 21P PHONE .,n�,i � <br /> Donald Sholberg 2326 Oakes Ave Everett, WA 98201 252-2077 <br /> �. <br /> TENANT MAILADDRESS CITV ZIP PHONE <br /> �[�,� <br /> ARCHITELTOROESIGNER MAILADDPESS CITV ZIP PHONE ^� <br /> d �.�•. <br /> 6ENERALCONTRACTOR MAILADDRESS CITV ZIP PHONE LICENSE� -': f 1 <br /> i',: <br /> � MECHANICALCONTRRCiOR MAILAODRESS CIiY ZIP PHONE UCENSE� , , -��� <br /> � . '.:,(� -e <br /> Northwest Water Heater 3110 Hill Ave Everet, WA 98201 259-5331 NORTHWti103R2 �� .� � <br /> PLUMBMGCONTPRCTOR MAILADDflESS CITV ZIP PHONE LICENSE� I -,' <br /> -'S--r <br /> s', <br /> CLASSOFWORN � "' <br /> ;�NEW ❑ ADDITION ❑ ALTERATION rl REPAIR ❑ DEMOLITION � BUILDING REIOCATION �� <br /> CONTACT PERSON AND PNONE N0.IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK� S 2 885 00 I - �� <br /> OESCRIBEWORKANDSOUAREFOOTAGEINVOWED O�JI�7I91 10:19pM OOOAHOc75 :1-K:K:K � <br /> install gas furnace & water heater � , <br /> — �saooz�7ei <br /> MFf4 QSS_nn � <br /> � PROPOSEDUSEOFGUIl01NG bOOO��IYBil ' '��U <br /> I . <br /> Single family residence MFt'N g�55_nn � - <br /> LEGAL DESCRIPTION OF PROPERTY(SMOW BELOW OR ATTACM FOUR COPIES) MOOO�7�ISJ � <br /> ' LOT_BLOCK_OF MFfH � aF5 (ln � ,;..,i�,�; <br /> q00027784 ; <br /> nFrN g�cs_nn � _ <br /> H000^e7785 ;•,., <br /> hECH a�,q_M .� <br /> JOB�DDRE55 CHECK i:15.UU ' � � „ <br /> 2326 Oakes Ave. . ' <br /> PLUMBING MECHANICAL <br /> � N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WA7ER CLOSE7ITOILE7) NC-A/HNDLG UNITS-H.P. � <br /> BATHTUB 1 FORCEDAIRSVSTEMS-B.LU. AtEA. �� <br /> LAVATORY(WASHBASIN) UNITHEATERS-B.T.U. M , <br /> SHOWER CLO7HESDRYERS <br /> ' KITCHEN SINK 8 DISP. VENTILATION FAN � <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY 1 WATER HEATER <br /> CLOTHES WASHER W000 STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKIN�FOUNTAIN FIREPLArE INSERT <br /> FLOOR DRAIN HEAT PUIdP . <br /> BACKFLOW PREVENTERS 2 GAS PIPING <br /> ROOF DRAINS-RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE-�AR.ETC.) <br /> SUB TOTAL S SUB TOTAL 5 SO 00 <br /> PERMIT S PERMIT S 15 00 <br /> TOTALFEE S TOTALFEE 5 <br /> FRONT SETBACK REAR SETOACK SioE SEiBnCK PLAN CHELK NUM9ER FEE RECEIPT NO. <br /> USEZONE LOTAFEA �ACANTSITE FEES BUILUINGCOOE FEE <br /> VAL ATI N <br /> ❑VES ❑NO <br /> T'PEOFCONSiRI1CT10NRt101YABlE TVPEOFLQ45TRUCTIONALNAL ���� NOOFqSELLINuUMiS BUIL�ING S <br /> PLUMBING <br /> S�ZE OF OIDG. NO.OF STORIES BASEMENT <br /> ❑YES ❑NO MECHANICAL C)S OO <br /> OCCUPANCVLOpD FIRESPRMKIERSREO'� HEIGNTLIM!TATJN OTHER <br /> ❑YES ❑NO <br /> REASON FOR SPPINNLERS STATE BUIL�ING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATIONPCC.BY PLANSAPPROVEDOV CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 65 00 <br /> 3105 <br /> WHEN PROFERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIPI 2 7 7 8 2 <br /> 780 DAYS OR CEASES FOR MORE THAN 180 DAYS. AnDFiESS FILE <br />