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'ne�'��,� � �ONSTRUCTION �-- ^ <br /> everett PERMIT PERMIT NO. _ � 7 i`t � t� <br /> 259 - 8810 <br /> ❑ DEMOLITION ❑ COMBINATiON ❑ BUILDING C)� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILPDORESS CItY 21P PHONE <br /> David Lavra 1615 Rockefeller Ave Everett 98201 258-45G5 <br /> TENRNT MAllA0DRE55 CITY ZIP PNONE <br /> ARCHITECTORDESIGNER MRIIADDRE55 CITY ZiP PNONE <br /> GENERRL CONTRACTON MAIL ApDRE55 CITY ZIP FHONE LIGENSE� <br /> MECH4NICAL CONTRACTOR MAIL ADDRESS CITY 21P PHONE LIGENSE• <br /> Washington Natural Gas 112 SE Everett Mall Way Everett 98208 WASHING285CB _ <br /> PWMBINGCONTRRGTOR MAILADDRESS CITY 21P PNONE LILEKSE� <br /> GLR55 OF N'ORK <br /> ❑ NEW L�ADDITION ❑ ALTERATION ❑ REPAIR ❑ UEMOLITION ❑ BUILDING RELOCATION <br /> WNiRCT PERSON FND PHON[NO.IF OTHER THNN A90VE <br /> CONTRACT PRICE OF WOFM$ 192 00 I --- <br /> OESCp�BE WORK ANO SOUnRE�OOTAGE INVOLVED <br /> Install as dr er and 20' fuel line <br /> PHOPGiEO USE Of Bl1ILDING <br /> Single FAmily Residence <br /> IEGRL DESCA��TION OF PROPERiV(SHOW BELOW OR ATfACM FOUR COPIESI Q(j�OJI91 9:iBAM OOOAH7240 �K_k:kK <br /> / <br /> LOT— OLOCK—OF <br /> N00027084 <br /> MFt'H Ez0 [10 <br /> ' CF1SH S3U.00 <br /> JOBADDRE55 <br /> r <br /> PLUMBiNG MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/MNDLG UNITS—M.P. <br /> BATNTUB FORCEO AIR SYSTEMS—BS.U. M EA. <br /> LAVATORYP'�'ASHBFSIN) UNITHEATERS—OTL. M <br /> SMOWER 1 CLOTHES DRYERS <br /> KITCHEN SINK 6 DISP. VENTlLATION FAN <br /> DISHWASHER RANGEHOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTHES WASHEH WOOD STOVE <br /> URINAI METAL FIREPLACE 8 CIi1MNEV <br /> DRINNING FOUNTAIN fIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACNFLOW PREVENTERS 1 GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAP,ETQ) <br /> sue ror�� s sue roT�� s 15 00 <br /> PERMIT S PERMIT S 15 00 <br /> TOT�LFEE f TOTALFEE f 3O OO <br /> vRONTSETBnCK AEARSEiBRCK Si0E5Er0ACN PLAN CHECK NUMBER FEE RECEIPTNO. <br /> USE ZONE lOT AREA ��C�NT SITE FEES BUILOING COOE FEE <br /> ❑ VES ❑ NO <br /> 1Yf40FCONSiPUC1lONALlRS'ABIE IVROiWNSiRUC110NACNAL `x��^�'��' NOOFOWEILINGUNrtS BUILDING S <br /> PLUMBING <br /> t2E OF�LDG NDAF STORIES 8/+SEMENT <br /> ❑ YES ❑NO MECHANICAL 3O OO <br /> OCCUP�NCYLOAD FIRESFPoNKLERSREO'D HfIGHTLI1dITATION OTHEfl <br /> ❑YES ❑ NO <br /> aensoN Foa scn�NK�ms STATE BUIL�ING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC.�Y PLAN$APPROVEDOY CITY OF EVERETT <br /> LOCAL SALES PU�LIC WORKS <br /> TAX CODE IS TOTAL 30 00 <br /> 3105 WHEN PROPERLY VALIDATED TH�S IS YOUR PERMIT <br /> � <br /> � <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FllE ��� O � =t <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />