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�'��'�"'""' C INSTRUCTION <br /> CITY OF <br /> everett PERMIT PERMITNO. _ �570 � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL j�PLUMBING ❑ SIGN <br /> OWNEA MAILADDR[55 CITY ZIP 1`MONE <br /> A. Eric Gruber ''720 Victor P1. Everett 9f201 259-4857 <br /> ,EHqNr rnni�nooaess cirr zm vrwr+e <br /> ARCHITEQOfVDE51GNEP MnILADDRE55 CITY ZI� PHON[ <br /> GE�JERAICONTRALTOIi MRILADORE55 dTY Z�P PHONE LICENSEi <br /> MECMRNICALCONTRPCiOR MAILAODRE55 CITV IiP MONE LICENSE� <br /> PLUMBWGCONTRPCTOR M>ILAOOAE55 CITV Zlv FHONE LICENSC� <br /> Owner <br /> c�nss oP woan <br /> ❑ NEW O ADDITION ❑ ALTERATION �7 REPAIA ❑ DEMOLITION O BUILOING RELOCATION <br /> CONtAGT PEHSON RND PHONE NO I(OTIiE�TMAN AOOVE <br /> CONTRACT PRICE OF WORK'S <br /> OESCA�BE WORK ANO SOUARE FOOTAGE INVO WED <br /> Znterior remodel <br /> pRpVO5E0 USE OF BUIIUING <br /> Single family residence -- <br /> LEGAL DESCRIPTiON OF PROPERTV�SnOW BELOW OR RTTACn FOUR GOPiES� <br /> f10/?l?/O(1 "t•SLDM IYN1�'tOf1Q tY2t <br /> LOT— BLOLK—Of <br /> � <br /> � <br /> pLBG i35.00 <br /> nfn� i� m <br /> JOBFUDRE55 <br /> 2720 Victor Pl. <br /> PLUMBING MECHANICkL <br /> NO. TYPE OF FIIITURE OR ITEM FEE NO. TYPE OF EOUIPMENT Ftl: <br /> 1 WATER CLOSET(TOILEi) S OO A�C—A/HNDLG UNITS—H F. _ <br /> 1 BATHTUB S OO FORCEDAIRSVSTEMS—BT.U. MEA. <br /> 1 LAVATORVfWASHBA5IN) � OO UNITHEATERS—BT.U. M <br /> SHOWER CLOTHES DRYERS <br /> 1 NITCHEN SINK 8 DtSP. S OO VENTILATION FAN <br /> 1 C�SHWASHER S OO �ANGEHOOD <br /> LAUNDRVTRAV WATERHEATER <br /> CIOTMES WASHER wOOD S10VE <br /> URINAL ' MEiALF"IREPLAf,E 8 CHIMNEY <br /> DRINK::iG FOUNTAIN FIREPLACE INSLRT <br /> FLOUR DRAIN HEAT PUMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICF.—BAR.ETC.� — <br /> SUB TOT�L f Z S O SUB TOT11L S <br /> PERMIT f O O PEHMIT S <br /> TOT.�LFEE f TOTALFEE f <br /> fRONT SETBnCN AEnR SETBACN SIOE SETonCR PLAN CHECN NUMBER FEE RECEIPT NO. <br /> USEZONE LOTAREA VR^4NTSITE FEES BNIDINGCOOE FEE <br /> ❑VES C NO --— <br /> rrrtorcoesrAucrarvnuowaeie nffavcoNsraucnoencruFi °��'"�' �ovow[wvr.uxns 6UiLDING 5 <br /> PLUMBING 3S OO <br /> SiZE OF pLDG NO OL STOFIES GnSEIAENT <br /> ❑vE5 ❑NO MGCHANICAL <br /> OCCUPANCVLOPO �IRESPRINKlER5RE0'D MEIGMTIIMITATION OTNER <br /> ❑YES ❑NO <br /> STATE�UILDING SUFCHARGE <br /> R[ASON FOR SPRINRLCRS <br /> STATEENERGYSURCHARGE <br /> AFPLICATIONACC BV PL/NSA�'PROVEODY CITY OF EVERETT <br /> �OCAL SALES PU�LIC WORKS <br /> TAX CODE IS TOTAL 35 00 <br /> 3 i05 WHEN PROPERLY VALIDATED THIS IS YOUR �EAMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENrECI WiTHIN qDDRCss FlLE 2 J I O� <br /> 180 DAYS OR CEASES FOR MORE THAtI 180 DAYS. <br />