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thcEvcrqrecn r 7NSTRUCTION - �-� <br />CITY OF n <br />everett PERMIT PERMITNO. 2JJO9 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION &,I BUILDING j7 MECHANICAL �7 PLUMBING ❑ SIGN <br />OWNER MnIL ADDRE55 GTV ZIP PHON[ <br />David and Cherie Landon 2122 Virginia Everett 98201 258-4725 <br />T[NANT MAILADDRE55 CIT' ZiP FMONE <br />nRCNrtEC1 OR DESIGNER MAII AO�RESS CITY ZIV PMONE <br />GENERAL CONTRFCTOR MhIL R��FES(l CITY 21P PIIONE UCENS[ � <br />Owner <br />M[CNFNIGALCONTNACTOR h1AILADD�ESS CITY IIP PIIONE LI�ENS[� <br />PLbMeINGCONTRAGTOR MPIIPDORE55 GRY ZIV PMO�JE LICENSE� <br />CUSS OF WOIiN <br />� kEW ❑ ADDITION jE7 ALTERATION ❑ REPAIR ❑ DEMOLITIOH ❑ BUILOING RELOCATION <br />I WNTACT PERSON AND PNONE NO If OTI�ER TMAN AOOVE <br />CONTRACT PRICE OF WORK' S 4000 OO <br />OESCRI�E WORK AN� SOUARE i00TAGE INVOLVED <br />Add bathroom bedroom and storage space in attic _ <br />PROPOSED USE OF BUILOING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY �SHOW DELOW OR ATfAC�� FOl1R COPIES� <br />ior Z1-Z�iocK 492 or Everett <br />PLUMBING <br />pRONT <br />TYPE OF <br />WATER CLOSET �Ti <br />BATNTUB <br />LAVATORY�WASH <br />SHOWER <br />KITCNEN SINK 8 D <br />�ISHWASHEF <br />FLOOR ORAIN <br />BACNFLOW ?REVENTERS <br />ROOF DRAINS — RAINLEA�ERS <br />SINK ISFRVICE — BAR, EiC.� <br />SUBTOTAL S <br />PEpMIT f <br />TOTALFEE S <br />AO SEiBRCK 5 <br />USE20NE WTARER VACAN�SITE <br />❑ YES ❑ NO <br />t\PEOf[ONSfflUCiIONPItOWRBtE IYfSOFCONSiPULiICNALTtIAL ��qo�"„'0" N�OFONiLUNGI <br />5¢E OF BL�G NO OF STORiES ORSEMENT <br />❑ YES ❑ NO <br />OCCUFANCYIOAD FlRESPRINNLERSRE09 NE�GHTli1.11TAtION <br />❑ VES ❑ NO <br />nensor� vOn SVAir�rci[as <br />APPROVED[�1' I CITY OF EVERETT <br />LOCALSALES <br />B E TAX CODE IS <br />3105 <br />MECHANICAL <br />un TYPE OF EQUIPI <br />A/C — A/HNDLG UNITS — Msa' uui +u � <br />FORCED AIR SVSTEMS — O.T.LL M EA. <br />UNIT HEATERD — ASL. <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGE1i00D <br />WATERHEATER � <br />WOODSTOVE G.�TZ <br />METAL FIREPLACE 8 CHIM <br />FIREPLACEINSEHT � <br />NEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CMECK <br />SUBTOTAL <br />PENMIT <br />�TOTrA�LFEE <br />I iEE <br />FEES ° viiu�iioii <br />BUIIDING $9��0.0� <br />PLUMBING <br />MECHANI^.AL <br />OTHER <br />STATE BUILDING SUfiCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />�f <br />RECEIPT NO. <br />Y VALIDATED THIS IS <br />G3 <br />LJ <br />loz <br />2MIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENI:ED WITHIN %��j � U <br />ADDRESS RLE �, ,., ,_ � , � <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />