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`������ r�JNSTRUCTION � <br /> everett PERMIT PERMITNO. _ L � � � 6 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEii MAILADORE55 CIiY ZIP FIIONE <br /> Bringmann PO Box 2311 Everett, 98203 252-9237 <br /> TENRNT MFIL ADDRESS CITY ZIP PHONE <br /> ARCHRECtORDESIGNER AIqILApDRE55 pTV ZIP PNONE <br /> GENERALCONTRRCTOR 1.IqILPD�NE55 CITV 21P PNONE LICENSE� <br /> Owner <br /> MECMANIGLWNTRAqTOR MPILAOORESS CITV 21P PHONE IILENSE� <br /> PLUMBING CONiRACTOR MAIL ApORE55 LITY 21P PHONE LICENSE� <br /> GLASS OF WOFN <br /> ❑ NEW ❑ ADDITIOt� ❑ ALTERATION O REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br /> CONTACt PERSON ANO PMONE NO.IF OTHER TMRN ABOVE <br /> CONTRACT PRICE OF WORK:S <br /> OESCNIBE WORK RN�SOUANE FOOTAGE INVOLVED <br /> Mechanical <br /> SFR <br /> PROPOSE�USE OF BUIlOING <br /> LECAI OESCRIPTION OF PROPERTY�SHOW BEL01V OR ATiPCH FOUR COPIES) <br /> LOT_ BLOCN-OF <br /> JOB�DDNESS <br /> 1502 Rockefeller Ave. <br /> PLUMBING M�CHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> WATERCLOSET�TOILET) A/C—lVHNDLGUNITS—�U�?/L' L�SY' J <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. �M EA. <br /> LAVATORV(WASHBASIN) UNITHEATERS—B.T.U. .UU b � 6 <br /> SHOWER CLOTHES�RVERS i'I�LH °v�� 6 SO <br /> KITCHEN SINK 8 DISP. VENTIIATION FAN L i gGS. <br /> DISHWASHEfl RANGE HO00 <br /> LAUNDRv TFAY WATER HEATER <br /> CLOTHE�WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CMIMNEY I <br /> DRINKING FOUNTAIN FIREPLACE VJSERT <br /> FIOOR DRAIN HEAl PUMP <br /> BACKFLOW PREVENTERS 1 GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETQ) } <br /> SU8TO7AL S SUBTOTAL f <br /> PEPMIT = PERMIT f <br /> TOTAL FEE S TOTAL FEE f 21 SO <br /> FRONTSETDACN REARSLTBACN SiDESETpACR PLANCMECKNUMBER FEe RECEIPTNO <br /> USE20NE LOTAREA VqCANT5ITE <br /> ❑ VES ❑NO <br /> FEES em�oiHccooe �E <br /> IYPE�FCONSiPOGiIONALtOWABLE ttPEOFCON5iPI1LilONACiI�A� �"�����'<� NOOF�WEIUNGUNi1S BUILDING S <br /> PLUMBING <br /> 512E O�OLDG NO OF STORIES OASEMENT <br /> ❑YES ❑ NO MECHANICAL 21 50 <br /> OCCIIPANCrLOAD FiBESPRINN�EF5RE0'D HEiGHTLIMITFTION OTHEfi <br /> ❑ VES ❑ NO <br /> n[asor�FOR 5anrtarcL[ns STATE BUIL�ING SURCHARGE <br /> APPLICATIONACC pY P�p1J5APPROVEDOY STA7EENEfiGYSURCHARGE <br /> CITY OF EVERETT <br /> LOCAL SALES PUOLIC WORKS <br /> TAX CODE IS TOTAL 21 50 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qpp�GSS FILE � 3 �� r) �' <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />