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CITY OF EVERETT P <br /> -�ONSTRIJCT�ON � <br /> PERMIT PERMITNO. 27H3O <br /> 259-8810 <br /> �MECHANICAL ❑ PLUM8ING �SIGN <br /> ❑ DE1dOLITION ❑ COMBINATION ❑BUILDING r�iorve <br /> - LI4�LPJDRESS <br /> LIiY Z�� <br /> OYMEfi <br /> .lack Drunner 130 E P1cGi17. Everett 98208 353-6 cTY ZP v��or+E <br /> MFILADDRESu <br /> TENANT <br /> � (� ro CITY ZiP PMONE <br /> �.i �.IAiLPODRE55 <br /> AnC1iILECT OR�[SIGNEP <br /> 1�] PIION <br /> C � y MAILh0�RE55 <br /> CITV ZIP <br /> GENERALCONTRRGTOR <br /> MAILADORESS GTV <br /> ZIP PIIONE LICENSC� <br /> K n M[CN<NICALCONTR4L10R NORTHIv71103R2 <br /> � Nortliwest Water lieater 3110 Hill ave Hveret[ 98201 259-5331 pHONE ucer+se. <br /> CITV ZIP <br /> � N b IdAIIA��RESS <br /> PWI.IU�NG CO4iR4CTOR <br /> � y � <br /> cussoFwoeK pEpp�p ❑ pEMOLITION ❑BUIL�ING RELOCi�TION <br /> �NEW ❑ ADDITION ❑ALTERATION � <br /> CONTPCTPERSONRNOPHONEN�.IFOTMEliTMANA00V; O_ n ^?� -�.G�6F <br /> N <br /> � ; ioio.;i9z �a:�� oo�r?n... a <br /> � y � CONTRACT PRICE OF VJORK S 2930 J v <br /> OESGPiOEWORKPND50UAREFOOTAGEINVOLVEO NCOQ_76 7 <br /> p y y Ins t a l l g a s f u r n a ce and water heater �`��JO`7�L8 y� : <br /> Ro � <br /> � � ro , ,� .,. ... <br /> y y PROPOSEDUSEOF6l1h0iNG p00Q°78�9 <br /> ° y Single Family res """ <br /> LEGPL�E3CFIPTION OF PROPERTY ISHOW BELOIY OA AiTPCM FOUR GOVi[5� IjOL�O��E:O <br /> .v .�v <br /> �or__o�ocK_—oF ;t00��763j <br /> aJJ. <br /> K���i76�L <br /> 4 <br /> .ioeaooa[ss <br /> CHECi: s3;0.00 <br /> 130 E AicGill MECHANICAL <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> FEE NO. <br /> NO. TYPEOFFIXTUREORITEM p�C-A'HNDLGUNITS-H.e <br /> WATER CLOSET ITOILET� <br /> ( ��ry ], FORCEDAIflSVSTE1dS-BT.U. ME . <br /> OATHTUD UIJITHEATEfiS-B.T.U. N' <br /> IAVAfGF+(WASN 6ASIN) [LOTHES DRVERS <br /> . SHUYli31 yENTILATION FAP' <br /> 1 KITCHEN SINK 8 DISP qpNGE NOOD - <br /> '__ DISHWASMER 1 WATERNEATER <br /> _ 1 LAUNDRYTRAV WOOD STOVE <br /> _ CLOTNES WASHER — <br /> � METAL FIFiEPLACE 8 LNIh1NE� <br /> UIiINAI. FIPEPLAGE INSERT <br /> � DRINKING FOUNTAIN HEAT PUMP <br /> I '_-' FLOORDRAIN 2a GASPIPING <br /> , �FGKFLOW PREVENTER$ [%MAUSTFAN — <br /> ROOf DRAlIJS-RAItJLEADER� <br /> SINK�SERVICE-�AR.EiG I _— <br /> ' �.-� <br /> '. �' SUOTOTAL S �� <br /> � SUBTOTAL S pERMiT 5 1 4-� <br /> PERMIT 5 = <br /> TOTF��.FEE 5 <br /> '! f� � TOTAL FEE 5 <br /> FEE RECEIPT NO. <br /> 1��' � FPOUT SETanGK ��<<���='�-''`"��� SN[SEionCrc PLAN CHECK NUAI�ER <br /> I <br /> �� � ' IOiARLA VAUHTSIiE FEES DVALUATIONE FEt <br /> i USEZONE - <br /> _. ❑YES ❑NO 5 <br /> I �1 '� iYPE0FCO45iPUL➢ONA0.0N'nOIE �YCE�FCONSIRUL110NACtURL ���' ������'E�.P�'riu'��15 BUILDING <br /> \ P W MUING <br /> \ <br /> � NO.OF STONES OASEMENT <br /> SR[OF OLDG MECNANICAL <br /> ❑vE5 ❑NO <br /> OCCUPANCYLOA� Fll1ESP�INKLERSREO'D <br /> M[IGMTIIV'.tAn�N OTNEfi <br /> ❑vEs ❑H� STATf BUILDING SURCHARGE <br /> RERSON FOR SPRiHKLEBS <br /> STATEENERGVSURCNARGC <br /> nr�rucarior+ace ov ani+snrrnovennv CITY OF EVERETT �u��icwonKs <br /> LOCAL SALES GS 00 <br /> TAX CODE IS TOTAL <br /> 3105 �qrHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIHE IF WORK IS NOT COMMENCED WITHIN An� �F�y F�' F 2 7 8 3 0 <br /> 180 DAYS OR C�FSES FOR MORE THAN 780 DAYS. <br />