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theF.vCIT�Y�Of '"` C�NSTRUCTION -� '�` � <br /> everett PERMIT PERMITNO. _ � �� 5� <br /> 259 -8810 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAOUIIESS CITY ZIP PMONE <br /> Henry Middendorf 6030 Manor Pl. Everett 98201 353-7659 <br /> TENANT MAILADDPESS CITY 21P PMONE <br /> ARCMITECT0110ESIGNER M1IAILApONESS CITV 21P PMONE <br /> GENERALCONTRACTOR MAILADDRE55 LITY 21P PHONE LICENSE� <br /> MECHANICALCON�R�CTOP MAILADDRE55 GTY ZIP PHONE UCENSE� <br /> Reliable Sheet Metal 11447 120th Ave. NE Kirkland 98033 823-6868 RELIASM437RS <br /> PLUMBING CONTRACTOR MAII ADDRESg CITV ZIP PHONE UCENSE� <br /> CLASS OF WORK <br />' ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ pEPA1H ❑ DEMOLITION ❑ BUILDING RELOCATION <br />. LONTACT PERSON ANO PMONE NO.IF OTMEfl TMNN A00VE <br /> CONTRACT PRICE OF WORK:$ <br /> DESCRIBE WORK AN�SOUnRE�OOTAGE INVO�VE� <br /> Replacement of hot water heater <br /> PROPOSED USE OF dUIl01NG <br /> Residence <br /> LECAL OESG�IPTION OF PflOPERTY(SNOW BELOW OR AiTACN FOUR COPIES� <br /> LOT- BIOCK-OF <br /> JOBADDNESS <br /> 6030 Manor Pl <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NG. TYPE OF EOUIPMtNT FEE <br /> WATER CLOSET(TOILET) A/C-A/HNDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SVSTEMS-O.T.U. M EA. <br /> LAVATORV�WASHBASIN) UNITHEATERS-B.T.U. M <br /> SHOWER CLOTHESORVERS <br /> KITCMEN SINK 6 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY WATERHEATER <br /> CLOTHES WASHEH WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUN7AIN FIREPLACE INSERT <br /> FLCOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEFS GAS PIPING <br /> ROOF�RAINS-RAINLEADERS EXHAUST FAN <br /> � SINK(SERVICE-DAR,ETC.� <br /> � � � ........ <br /> SUB TOTAI S SUB TOTAL S 9 SO <br /> PEHMIT S PEH ��+ f 15 00 <br /> TOTALFEE S TOT n ZQ SO <br /> FRONT SEfBACN REnR SETOncK Sio[SETBnCK PLAN CHECK NUMBER �C�i $n �EIPT NO. <br /> � a: <br /> USf.20NE LOT AREA VACANT SITE FEE. BUILDING COOE FEE <br /> ❑VES ❑NO � <br /> tYpEOiLONSiNUCiIONAILUd'APIE iYCEOfCONSiNUCTIONACipAI °�qa'�'�`' NOOfpIL'ELLINGUNIIS BIJILDING 5 <br /> PLUMBING <br /> 512EOFOLDG. NOAPSTOR�ES �ASEMENT <br /> ❑VES ❑NO ��ECHANICAL Z9 SO <br /> OCCUPANCYIOAp FIRESPRINKLERSREO�� HEIGMTLIMITATIDN OTHER <br /> ❑VES ❑ NO <br /> REASONlOR SPRINKL[RS STATE BUILDI'i�iJRCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICA110NACC.BY PLANSAPPROVEDBY CITYOFEVERETT <br /> LOCAL SALES PUBLIC WORNS <br /> s.H. TAX CODE IS TOTAL 29 50 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADORESS FILE 2 2 3 8 8 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />