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CITY OF EVERETT <br /> � .-�ONSTRUCTION r", '� <br /> PERMIT PERMITNO. 27�H7 <br /> 259-8810 <br /> ❑ DEMOLITION p COMBINATION ❑ BUILDING 7{}�MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER �.1AILA�ORESS C17 ' ZIP PHONE <br /> Signa Gorham 4421 Ridgemont Dr Everett, WA 982�)3 259-2839 <br /> TENANT hIqILADORESS CITY ZIP PMONE <br /> ARCHITECTORDESIGNER MAILADDRESS CITY 21P PHONE <br /> GENERALCONTRACTOR MqILpDDRESS CITY 21P PMONE LICENSE� <br /> MECNANICALCONTqACTOP M1ILADOPE55 CITY 71� PMONE LICENSE� <br /> Valley Natural Gas 2605 pl�dougall Everett 98201 259-5992 VALLENG153L1 <br /> PLUMBINGCONTRACIOR I.IqILADORE55 CITY TIP PHOVE LICENSEx <br /> ClA$$OF WORK ' <br /> ❑ NEW ❑ ADDITION gQ ALTERATION O REP.41R ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PMONE NO.IF OiMFR TMAN ABOVE <br /> CONTRACTPRICEOFWORK: S 1,275.00 <br /> OESCPt9EWOPKANO50UAPEF00TFGEINVOLVE� iCVO4I�JS 1,OOFM MOp#IQ395 �.k.t ':��' <br /> Eastall furnace only � <br /> If000�7388 <br /> hiFt'N �'D,f10 <br /> PROPOSED USE OF BUILDING NOQ02796 i <br /> Single familv residence MFCN >55.�p <br /> LEGALDESCRIPTIONOFPROPERTV�SHOYlBELOWORATTACMFOUFGOPIES� CNECt� S�BS.CO <br /> LOT__OLOCK_OF <br /> JO6A�ORE55 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILEn A/C-ARiNDLG UNI75-H.P <br /> BATHTUB 1 FORCED�11f15VSTEMS-B.T.U. MEA. <br /> LAVA70RY(1NASH BASIN) UNIT HEA�ERS-B.TU. 61 <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> IAUNDRYTRAV WATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> UPINAL h1ETAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIM FIPEPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEFiS GAS PIPING <br /> (700F DRAINS-RAINLEADEFS EXHPUST FAN <br /> SINK(SERVICE-DAR,ETC.) <br /> SUBTOTAL 5 SUB70TAL 5 40 00 <br /> PERMIT S PERMIi 5 15 00 <br /> TOTALFEE S TOTALFEE S SS OO <br /> rr�oNTSETOACn Rr ' :TUACK S�DESETonCK PLANCHECKNUAIOER FEE RECEIPTNO. <br /> U5�20NE LOTFREF VAC�NTSIiE <br /> FEES ��V��UATION E FEE <br /> ❑YES ❑NO <br /> iYPE0FWN5iPOCTI0�ULL01Yn8LE TYPEOFCONSTRUCTIONACiUAL ��""�ry NOOF�1YFluVGU�aiS BUILDINO S <br /> wc�v <br /> PLUMOING <br /> SREOFOLDG. NO.OfSTORIES 9ASE61ENT <br /> ❑Y[S ❑NO �+�ECHANICAL SS OO <br /> OCCUPANCYL04D FlRESPRINNLERSREO'D HEIGMTIIUITAT10N OTHER <br /> ❑VES ❑NO <br /> PEASON Foa SPnvixLEaS STATE BUILOIIJ;SURCHARGE <br /> STAiEENERGV�URCHARGE <br /> nrrucn�iorcncc or rwr+snaPnoveoov CITY O� EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS Tora� 55 00 <br /> 3105 <br /> — WHEN PROPERLY VALIDATED THIS IS YO�R PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHW �� � � 8 '7 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. •`F�F ` ` � ' := <br />