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"��'��' �� rONSTRUCTl01�! � �' c <br />CITY OF <br />everett PERMIT PERMITNO. _ 2U346 <br />259 - 8f310 <br />❑ DEMOLITION � COMBINATION ❑ BU�LDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OWNER MAILPD�FESS dTY 21P PHONE <br />i:evin Moynahan 2332 McDouagall Ave. Everett 252-8968 <br />TEN4NT MAILADDPE55 CITY 21P PMONE <br />Owner' <br />RRCMITECT ON OESIGNEH MAIL ADDRE55 CItV 21P PHONE <br />GENERAL CONTRACTOR MAIL ADDRE55 CITV 21P PMONE UCENSE � <br />AIELNRN!CAL CONTRACTOR MAIL ADDPE55 CITY ZIP PMONE LICENSE � <br />Vally Nat. Gas 2605 McDougall Everett, wA 98201 259-5492 VALLENG153L1 <br />PLUMBING CONiRRCTOR MAIL ADOFESS CITY ZiP PMONE LICENSE • <br />CUSS OF WORK <br />❑ NEW ❑ ADDITION [y,ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br />CONTRACT PRICE OF WORK: $ Under 500.00 <br />DESCRiBE WORK RND SOUAHE FOOTAGE INVOLVEO <br />Install conv. burner AWH <br />VROPOSED USE OF BUIL�ING <br />Single Family <br />IEGAL DESCHIFTION OF PROPERTY �SHOW BELUW OR ATTACM FOUR COPIES� <br />LOT- BIOLN� OF <br />'���3�S�icDougall <br />PLUMBING <br />TYPE OF FU(TURE <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWRSHER <br />LAUNDRv TRRV <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAMS -- RAINLEADERS <br />SINK ISERVICE - BAR, ETC.1 <br />SUBTOTAL <br />PERMIT <br />FqONTSETBRCN <br />USEZONE �IOTAREP <br />CONSiRI1CIlON aLLOWPBL[ IttPE 0f LONSiRUCiION ACiUAt <br />SIZE OF BLDG <br />OGCUPANCYIOFO <br />REASON FOR SPRINALERS <br />APPUCATION ACC.BV <br />NO OF STOPIES <br />YES ❑ NO <br />FEE <br />S <br />S <br />SI�E SETBACK <br />CONTACT �ERSON ANO PHONE NO IF OTHER THnrv nNOVG <br />MECHANICAL <br />NO. TYPE OF EOUII <br />A/C — A/MNDLG UNITS — HP. <br />FORCEDAIRSYSTEMS— .� <br />UNITHEATERS—B.T.U. � <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RhNGFNOOD <br />WATER HEATER <br />wOOD570VE <br />METAL FIR6P� ACE 8 CHIMN <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAI <br />PERMIT <br />TOTALFiE <br />NUMBER fEE <br />VACANT SITE FEES <br />❑ YES ❑ ND <br />�*' qo��� NO oFowfluNcuNits BUILDING 5 <br />PLUMBING <br />OASEMENT <br />❑ VES O NO MECNANICAL <br />HEIGMTUMITATION QTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGV SURI;HARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS rnre� I <br />WHEN PROPERLY <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qppHFS; PII E <br />180 DAYS QR CEASES FOR MORE TFlAN 180 DAYS. <br />S <br />FECEIPT NO. <br />R PERMIT <br />�� � <br />263�C <br />