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'���"��eA ��� C�1N�;TRUCTION �, <br />cirt or c CC <br />everett FiERMIT PFRNifTNO. �'J� `�`� <br />259-8810 <br />❑ DEMOLITION ❑ COMBIMATION ❑ BUILDING C�] MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER RIAILAD��i[55 CITY 2iP P`IONE <br />Rx3cia�iex8k David J. Perguson 11103 3& 3rd P1 SL Everett 98209 348-3474 <br />TENANT M',ILA�OiiE55 CITY 21P PMONE <br />qPCHiTEGT �R DESiGN[R A�AIL 4�DR[55 CITY ZIP PNONE <br />GEN[RALCONTRPCT08 N41LPD0�[5$ CITY ZIP CMONE LIGENSE� <br />MECHANtCALCONTRRCTOR MAILPOORE55 CITY ZIP PHONE LIC[NSE• <br />Reliable Sheet Metal 11447 120th Ave NG Kirkland 98033 823-6868 RGLIA541345LF <br />I'LUM�INGCONIMCTDIi hl>�L�ODRE55 CITV ZIP PNONE LICENSC• <br />CLASSOf WORN <br />❑ NEW ❑ ADDITION f0 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I CONTAGT {'EREON AND PIIONL NU. m U i n[H i nan nwm <br />CONTPACT PRICE OF WORK: S 33S.00 <br />0[SCRI�EIYORNPNOSOU/•�EfOOTAGEINVOtVED <br />�Cs 1�\P �AC�A��P �_�[7� _— <br />PROPLSEO USE Of DUILOING <br />Single family residence <br />IEGnL 0[SCRIPTION OF PPGI'ERiY ISHOW �EIO W OR FTTPCM FOUR COPIES� <br />IOT _ OLOLN __ OF <br />JDOApDRE55 <br />11103 3rd Pl SE <br />PLUMBING <br />NO. TYPE OF FI%TURE <br /><ITCNEN SINK 8 DISP. <br />JISHWnSHER <br />LAUNDRYTRAV <br />CLOTHES WASHEA <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNfLOW PPEVENTERS <br />ROOF DRAINS— RAINLEA�ERS <br />SINK (dERVICE — BAR. ETG) <br />USEZONE <br />ttr[ ov coxsiHuniou auowaoi[ <br />SiZE O� ll�f�G <br />OCCUPANCYlO/0 <br />R[ASON FON SPRINNL[RS <br />'.PPLICATION ACC. OV <br />SUBTOTAL <br />PERMIT <br />LOTFR[A <br />NO OF STOIi�ES <br />FlRE SPPINNLERS RE00 <br />❑ VES ❑ NO <br />FEE <br />MECHANICAL <br />NC — A/HNDLG UNITS — H P. <br />FORCED AIR SVSTEMS — B T.U. <br />UNIT H[nTERS — 0 T U <br />CLOTHESDRYERS <br />VENTIInTION FAN <br />RANGEHOOD <br />`d�4TER HEnTEF <br />WOODSTOVE �ni• <br />M�TAL FIREPLACE 8 CHIMNEV <br />fIREPLACEINSEHT �n� <br />HEATPOMP Mq <br />GAS 1'IPING �•ul <br />EkHAUSTFAN <br />S <br />5 <br />S <br />SiOE SETonCK PLAN CHECK NUMBEF <br />V4CRNT"R[ <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />TEE <br />' FEES <br />❑ VES ❑ NO <br />�;,�^'<� hOOFONEIUYcuNns BUILDING 5 <br />PLUMBING <br />OAS[MENT <br />❑ VES ❑ NO MECHANICAL <br />HEIGHT UMITATION OTHER <br />STATE 6UILDING SURCNAFGE <br />STATEENERGYSUFCHARGE <br />CITY OF EVERETT PU�LIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAI <br />3105 WHEN PROPERLY VALIDA <br />M EA. <br />M <br />FEE <br />S� <br />�S <br />RECEIPT NO <br />IS YOUR <br />PERMITS EXPIRE IF WORK �S NOT COMMENCED WITHIN qppiiESS f ii t: G U�..� .5 <br />180 DAYS OF CEASES 1'OR MORE THAN 180 DAYS. _ <br />