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theL•'vrrgrcen ^ ��NSTRUCTION -� � <br /> CITY OF <br /> everett PERMIT PERMITNO. 2 �6 � + <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDiNG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWN[li MAILADDflESS V CITY ZIP PIIONE <br /> Debbie Larson/Kim Fleming 1416 �. Marine View Dr. Everett 258-4916 <br /> TENANT h1AILA0�RE5S CITV 21P PHONE <br /> PRCHITECTOROESIGNER MAILACDR[SS CITY ZIP PHONE <br /> GENERRL CONTPACTOR MAIL AODFlE55 CRY ZIP PMONE UCENSE• <br /> MECMANICALCONTRACTOq hIAILA00RESS CITY ZIP PNOHE 4CENSE• <br /> Valley Nat. Gas 2605 MCDouall Ave. Everett 98201 259-5992 VAIS,ENG53Li <br /> PLUMBING CONTRACTOR MALL ADDRE55 CITY 21P PHONE LICENSE• <br /> CLASS OF WORI( <br /> ❑ NEW ❑ ADDITION �1LTERATION ❑ REPAIF ❑ UEMOLITION ❑ BUILDING HELOCATION <br /> CONTACT PERSON AND PMONE NO.If OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ 4700.00 <br /> C'.SGHIBE WORR PND SOUARE FOOTAGE INVULVEp <br /> Furnace <br /> PFOF'OSED USE OF BUILDING <br /> SFR <br /> iEGRL DESCPIPTION OF PROPERTY�SNOW BELOW OR ATTACH FOM COPIES� <br /> LOl- BLOCN_Of <br /> JOBADDRE55 <br /> � � <br /> PLUMBING MECHANICAI / <br /> NO. TYPE OF FIxTURE OH ITEM FEE NO. TYPE OF EO b6.'� FEE <br /> WATER CLOSEf(TOILEn �+/C—A/HNDLG UNITS—H. gJO. O <br /> BATHTUB FORCEO AIR SYSTEMS—B. � <br /> LAVATORV�WASHBASIN) UNITHEATERS—BT.U. M $HS. O <br /> SHOWER CLOTIIES DRYEFS � <br /> KITCHEN SINK 8 DISP. VENTILATION FAN S7S. O <br /> DISHWASHER RANGEHOOD LHELK �S9O. <br /> LAUNDRVTHAY WATEFHEATER <br /> CLOTHES WASHEH WOOD STOVE <br /> URINAL METAL FIREPIACE 8 CHIAINEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE f <br /> FPONT SETBRCK REAR SEiBnCN SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTARE! VFCRNTSITE FEES BUILOIN6CODE FEE <br /> ❑VES ❑NO <br /> 7Vf40FCON5iPUC1l0YALlVNnBIE 'iYPEOFCONSiPUCiIONACiIIAL �a'i'f` M70i0NtLlINGON115 BUILDING � <br /> PLUMBING <br /> SR[OF OLDG. NO Oi STORIES BASEM1IENT <br /> ❑YES ❑NO MECHANICAL SS 00 <br /> OCCUPANCVL040 �IRESPRINNLEFSREO'D HEIGHTLIMITATION OTHER <br /> ❑YES ❑NO <br /> REASON FOR SPRINNlERS STATE 6UILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACGBY PLANSAPPROVE��Y CITY OF EVERETT <br /> LOCAL SALFS PUBLIC WORKS <br /> S.H. TAX CODE lo TOTAL 85 00 <br /> 3105 WHEN F'ROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMI7S EXPIRE IF WORK IS NOT COMMFNCED WITHIN ' �i �� - ' <br /> AUUR[SS I-II.[ ;:, t �'� �_� . <br /> 180 DAYS OR CE.ASES FOR MORE THAN 180 DAYS. <br />