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theF.'vergreen -� C�1N5Tf�UCTION � � <br /> GTY OF c <br /> everett PERMIT PEHMITNO. _ 2U� '78 <br /> 259 -8810 <br /> O DEMOLITION ❑ COMBINATION ❑ BUILUING X&}CMECHANICAL ❑ PLUI!"�ING O SIGN <br /> OWNER MAILAOOflESS CITV ZIP PMONE <br /> Clyde Miner H�Y1C% 6012 Manor Pl Ecerett 98203 353-0250 <br /> TENANT MAI. +OORE55 CITY ZIP PNONE <br /> RRCHITECT OR DESIGNER MAIL AODflESS CITY 21P PMONE <br /> GENERALCONTRACTI.P MAILAOURE55 CITY 21P FMONF LICENSE• <br /> MECMANICALCONIRACTOR MAILADORE55 CITV ZIP VNONE LICENSE• <br /> Valley Nat. Gas 2605 Mcdouqall Ev rett 98201 259-5492 v�Na�5zr7 <br /> PWMOINGCONTR0.CTOR MAILADDRE55 CITY 21V PMONE LICENSE• <br /> CLASS OF WOPK <br /> ❑ NEW ❑ ADDITION �ALTERATION O REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PMONE NO.IF OTNEfl TMAN ADOVE <br /> CONTRACT PRICE OF WOril<:S 210.00 <br /> DESLRIBE WORN AND SOUAFE FOOTAGE INVOIVED <br /> install hot water heater <br /> VROPOSEO USE OF BUILDING <br /> Sin le famil residence <br /> IEGAL DESCRIPTION OF PPOPERTY(SNOW BELOW ON ATTFCN FOUR COPiES� <br /> LOT_ BLOCK—OF— <br /> JOOAO�RESS <br /> 6012 Manor P1. <br /> PLUMBING MECHANICAI <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TVPE OF E ��' ' '�� <br /> WATL R CLOSEI�(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B. C <br /> LAVATORY(WASHgpSIN) UNITHEATERS—B.T.U. G M <br /> SHOWEH CLOTHESDRVERS HOOOLE9�TS <br /> KITCHEN SINK 8 OISP. VENTILATION FAN H $ • <br /> DISHWASHER HANGE HOOD � <br /> LAUNDRV TRAY W�1TER HEATER � •� • <br /> CLOTHESWASHER WOODSTOVE IIOO ZS 1 <br /> URINAL METAL FIREPLAGE&CHIMNI�ECH g S. <br /> DRINKING FOUNiFIN FIREPLACE INSERT CHECI� �1�FS. O <br /> FLOOH DRAIN HEAT PUMP <br /> BACKFLOW PHEVENTERS 1 GAS PIPING <br /> qppF DRAINS—RAINLEAOEHS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> 8UBTOTAL S SUDTOTAL S <br /> PENMI7 f PENMIT f <br /> TOTAL FEE S 70TAL FEE S <br /> FRaNT SEiBACK R[AR SETBnGK so[SETOaCK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT FREA VACANT SIiE BUILDINU CODE �E <br /> FEES <br /> ❑ VES ❑NO <br /> tVROFLONSLNULiIONAtlQO'ABIE 1YPEOFCONSiPULiIONRCi11AL a�q�,"o` ����IIINGUNIrS BUILDING $ <br /> PLUMBING <br /> SIZEOFOLDG NOAFSTORIES B/SEMENT <br /> ❑vES ❑NO MECHANICAL <br /> OCCUPANCYLOr1D FlRESVRINRLERSREO'� MEIGHTLIMITATION OTHEP <br /> ❑VES ❑ NO <br /> PE450N FON SPRiNNI[t15 STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPUCATIONACC.BV PLANS�PPPOVEDUY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS _ <br /> TAX CODE IS T07AL 30 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS iVOT COMMENCED WITHIN � �' Cl � '.�y .x i <br /> ADURESS FIL[ � � �.. i <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. � <br />