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�h..��,.,.�r,�.,, rflNSTRUCTION _ .. <br />CtTY Of <br />everett PERMIT PERMITNO. � 3540 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION G BUILDING CXMECHAN�CAL O PLUMBING ❑ SIGN <br />OKNLR MAIL �DURCSS CITY ZIP PNONE <br />Lois Stevenson SG17 RockeEellcr Gverett 9E3201 353-G566 <br />•ENANT M1IAILADpNP;ti CIIY ZI[` PNONE <br />ARC1111[CT OR D[SIGNER <br />CONTItACTOf1 <br />M4tl 40Df1[55 <br />AIRIL ADD(IGSS <br />QfY <br />CITY <br />Z�p 1'IIONE <br />Zip PHONE LICENSE+ <br />MECNANIUI GONTIIRCTOR M�II ADORE55 GITY ZIP PMONE LICENSE • <br />Valley Nat. Gas 2605 D1cDougall Everett 98201 259-5492 VALLENG153LI <br />PWMOINGLONiPACT011 ��ML�L�ORC55 QTV 21P I410N[ LICENSEI <br />CUSSOf WOIiN <br />O NEW <br />❑ ADDITION <br />CONTRACT PFICE OF WORK: S <br />pE5CR18E N'OAe r1N0 SOl1Cl1E fOOTAGE iNVOLV[D <br />Install Boiler <br />jt7 ALTERATION <br />797.00 <br />PROPOSED USE OF AUILOING <br />SFR <br />LEOAL D[SCRIPTION JF fRO�ERTY �SHOW F1ElO1V OR ATfALH iOUR GOPI[51 <br />LOT - �LOCN -- OV' <br />JOB AO�RESS <br />5617 Rockefeller <br />PLUMBING <br />Np, TYPE OF FI7(TURE OR ITEM <br />WATER CLOSET (TOIIET� <br />BATHTUB <br />LAVATORY (JJASH BASIN� <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER _ <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOfi DRAIN <br />BACKFLOW PREVENTERS <br />FOOF DRAINS — RA�NLEADERS <br />SINK ISERVICE — BAfi, ETQ) <br />iPONT5ET0�CK <br />USE ZONE <br />I�R M CONSiBVCIqN AILONt� <br />StZE OF BLDG <br />CCCUPANCYLO�D <br />RERSONFOR $PPINNL[R$ <br />nrri icnno�+ ncc. ev <br />S.H. <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTAf,i (`EPtiON AND FHON[ NU ��� u�nn� � nnn nnv.= <br />MECHANICAL <br />FEE NO. TVPE OF E�UII <br />A'C — A'HNDLG UNITS — H.P. <br />FORCED AIR SVSTEMS — AY/ <br />UNIT HEATERS— B.T.U. <br />CLOTHES DRYERS III <br />VENTIIATION FAN W <br />RANGEHOOD IN <br />WATER HEATER M <br />WOOD S70VE IN <br />METAL PIREPLACE 8 CHIMI� <br />FIREPLACEINSCRT IN <br />HEATPUMP M <br />1 GAS PIPING N <br />F%HAUSTFAN M <br />SUBTOTAL S <br />PERMIT s <br />TOTALFEE f <br />eo ccrnacK SI�ESET�ACK <br />LOT AREP <br />b(4 Oi CONS1NUCllON RCIL'Fl <br />NO O� STOPIES <br />FIFE SPHINKLCNS REOD <br />p YES ❑ NO <br />CRNT SITE <br />vES ❑ NO <br />t F` NO Cf pKfILING <br />OASEMENT <br />❑ VES ❑ NO <br />MEIGMT I�AIITAl10N <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENr,ED WITHIN <br />180 DAYS Ori CEASES FOR MORE THAN 180 DAYS. <br />PLAN CMECK NUMBER <br />SUB TOTAI. <br />PERMIT <br />�TOTpLF�EE <br />I FEE <br />DUILDING 5 <br />PLUMBING <br />MECHANICAL <br />OTIiER <br />STATE BUILDING SURCHARGE <br />S7ATE ENERGV SUR(:H�RGE <br />PUBLIC WORKS <br />TOTAL <br />,1f1pHF.-Sti I IL� <br />M <br />FEE <br />� <br />f <br />f <br />RECEIPT NO. <br />IS YOUR <br />r;'�L. �1 (I <br />� ` ; .. `. <br />