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'��`��pe"�" �`' C'�NSTRUCTION '"� ` <br />GITY OF <br />everett PERMIT PERMIT NO. _ � 2�'r �a <br />259-8810 <br />❑ DEMOLITION C� COMBINATION ❑ BUILDING L� "C�HANICAL ❑ PLUMBING ❑ SIGN <br />OWNER AIAILAO�P[55 CITY ZIP PNONE <br />Robert Withers 21611 45th Ave. SE Bothe].1 98021 481-9599 <br />T[N/NT MAIL���R[SS CITY ZIP I'MONE <br />PLUMBINGCONTRAGTOR MAILAOORESS ' CIiY 21P PHONE LICENSE� <br />r� ��teowr�nu <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE W ORN AND SOUARE FOOTAf,E INVOlVEO <br />New Construction <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />PNOPOSED USE OF BUIL�ING <br />Sinqle familv resi3ence _ <br />LEGRL OESCRIPTION OF PROPERTY �SMOW BELOW OcP ATTACH FOUR COP�ES� n n �/ /� n <br />LOT--�LOC1(-OF .%P Tfn1 l�/ 9n n t� OY` /[-C%f�0/I\� �i�% ih �F� C7T �� oZ � <br />"�'-_-''-' D� _ 1_ -i n�_.1 _ 1 7._.I. _..J.. %1:�. / �Ln7� Z O'T.S/� I2C2 /0 ��'J <br />JOH ADDRE55 <br />126 W. Marilyn AJQ- <br />PLUMBING <br />NO. TYPE OF FIXTURE OH ITEI+ <br />o WA7ERCLOSE7ITOILET) <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKINGPOUNTAIN <br />FLOOA DFAIN <br />BACKFLOW PREVENTERS <br />ROOF �RAINS- RAINLEA <br />SINK (SERVICE - BAR, ET <br />V-N <br />N0. OF STOP�ES <br />1 <br />FIRESPI WNLEFSREO'0 <br />❑ ves � No <br />TVPE OF EOUIPMENT <br />A/C - A/HNDLG UNITS - H.P. <br />FORCED AIR SVSTEMS - B��U�� ��d <br />I INIT HEATERS - B.T.U. 1 <br />CLOTHESDRVEHS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECK NUM <br />89/22179 <br />VACANT SITE FEES I <br />YES ❑ NO " <br />�a�• NOOFowELLIN7ux�t5 BUILDING <br />R-3 1 PLUMBING <br />BASEMENT <br />❑ YES � NO MECHANICAL <br />MEIGMTLIMITATION OTHER <br />28� <br />STATE BUILDING SURCHARGE <br />STATE ENEF:GY SURCFtARGE <br />CITY Of EVERETT pUBLIC WORIIS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 —,,,�., oonDCGI V VI <br />PERMITS EXPIRE IF WORK IS NOT COMMENI:ED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />