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'h`F°"�"" C `�'NSTRUCTION - <br />CITY OF <br />everett PERMIT PERM�TNo. ���u� <br />259-8810 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING S] MECHANICAL ❑ PLUMBING <br />O15'N[R I.IAILA�ORE55 CITY l�P PHONE <br />isaia Jurca 5106 S 3rd Ave Everett, t9A 9Rx488x 98203 259-3553 <br />T[N�WT AIMLAD�RESS CITY ZIP PIIONE <br />ARCHRECT OP �ESIGrvEH ��AR AODRESS CITY ZiP PnONE <br />oi� <br />GENERALGONTRACTOR M1�A�LAODRE55 CI�Y ZiP PnON[ <br />Owner <br />RIECNANICAIWNiRnCiOR MAILIDDRE55 CITY ZIP PMONE <br />Owner <br />n�uuuiuf.CONTFACTOP MAIIFDDRE55 QTY ZIP i'HONE <br />❑ SIGN <br />UCENSE� <br />Llr �SE • <br />�ICENSE � <br />CL�55 OF \YORN <br />❑ NEW ❑ ADDITION RXALTERATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: S <br />DESCRt�ElVOlIKANOSOU4REFOOTAGEINVOLVEO <br />Install gas clothes dryer and range <br />{'POPOSED USE OF �l➢Lpirvc <br />Single family residence <br />IEGAL OESCf11Pii0N GF PROPEf1TY ISH01V DELOW OR ATTr1CM FOUR COCiE51 <br />ioT — o�ccn — o� <br />eoo nooness <br />510G S 8$ 3rd Ave <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WA?ER :.LOSET �TOILET) <br />BATHTUB <br />LAVATORY ( NASN I)ASIN) <br />SIIOWER <br />NITCHEN SINN d DISP. <br />DISHWASHER <br />LAUNDHYTRAV _ <br />CLOTFIES WASHEF <br />URINAL <br />DRINHING FOUNTAIN <br />FLOOR Dfl�IN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEAOERS <br />SINK ISERVICE — �AR. ETG) <br />SUOTOTAL <br />PERMIT <br />TOTALFEE <br />FRONTSETOnCR PEnRS[TOACK <br />US[ZONE LOTAREA <br />tVFF Of CONSiflOf.ilON AIlUVAOIE tti`[ OFLONS1BilC1 <br />coN�ac� vtlo�n nrvo.n�.c nv �r..i r.�,. i,.,.i...o...� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A'C — A'HNDLG UNITS — H P. <br />FORCED AIR SVSTEMS — B TU. M EA. <br />UNII HEATERS — � TL. M <br />1 CLOTHES DRYEfiS <br />VENTILATION PAN <br />qANGEHOOD <br />WATER HEATEfl <br />WOOOSTJVE <br />METAL FlR[PLACE 8 CHIMNEV <br />FIREPLACEINSERi <br />HEATPUMP <br />X G�5 PIPING <br />E%HAUSTFAN <br />S SUBTOTAL <br />5 PEHM�T <br />�— �� I TOTALFEE <br />smn vmeck PLAN CNECN NUMOER FEE <br />v<cnrv* siTe FEES eu��onw coi <br />❑ vE5 ❑ NO <br />aauai ,,,,_,,;T• r+oo�okEwr+cunns BUILDING �j00'�="�805 <br />PLUM1IBWG CNECH <br />SIZEOFpIOG NOAFSTORIES OASEAIENT <br />❑ VES C NO MECHANICAL <br />OCCUPANCYLOAO FIRESPPINK�ENSf1EOD HEiGHTLihuTATION OTHER <br />❑ YES ❑ NO <br />RLASON Fp�i <br />r�. h�. <br />STATE BUILDING SURCHARGE <br />STA7EENERGVSURCHARGE <br />PLANSAf'PROV[DBV CITY OF EVEF±ETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 — yyHEN PROPERLY VF <br />� <br />5 <br />S <br />RECEIPT NO. <br />THIS IS <br />FEE <br />PERMITS E:PIRE IF WORK IS NCT COMMEN�ED WITHIN qpDRESS FlL[ �__ . � <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />I <br />28 00 ' <br />