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CITY OF EVERETT <br />� �";ONSTRUCTION �tl '� <br />PERMIT PERMITNO. 2HOOE <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L4MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILpDDRE55 GITV ZiP PHONE <br />ldilliam Hessen 5007 Idest View Dr �verett 98203 25'L-6297 <br />TENANT MA:LAD�RESS CITY ZIP PHONE <br />MCHITECTORDESIGNER MAILADDRESS QTY 21P PHONE <br />GENERALWNTRACTOR MAI�AOOR'e5S CITY Z�P PMONE LICENSE� <br />MEGNANICALWNTRALTOR MAiIqDOP[55 CITV 21P PMONE LIf.ENSE� <br />Valley Natl Gas 2605 McDougall fiverett 98201 259-5492 VALLENG153L1 <br />PWMBMGWNTRRCTOR MAILADORESS CI7V 21P PNONE LICENSE� <br />C1A550f WORI( <br />❑ NEW ❑ ADDITION IR ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRAC: PRICE OF WORK: S 2832 <br />DESGRIBE WOFK nND SOUnRE FOOTAGE INVOW EO <br />Install furnace and w <br />r <br />CONTACT PERSON ANO PHONE N0. IF OTHEP THAN P90VE <br />PROPOSEO USE OF C'111L01NG <br />Single family res <br />LEGAL O[SCRIPTION OF PROPERTV (SHOW BELOW OR AR�CH FOUR COPIES) <br />lOT_ BIOCH _ OF � <br />io; z�isi 1:1'r,t OOOAN0704 I t#_I: <br />eoonoonr_ s <br />5 07 West View Dr <br />PLUMBING <br />FRONTSE' <br />USE 2C1JC <br />iYPE OF CA� <br />SRE OF �I <br />TYPE OF FIXTURE OR ITEM <br />SINK 8 DISP. <br />JG FOUNTAIN <br />DRAIN <br />.OW PREVENTERS <br />rRAINS - RAINLEADERS <br />FPVI!'.F_qAR FTf:I <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEt 5 <br />RE/RSGi�ACH SIDE <br />LOTAR@A VAG <br />n �� <br />TYPEOGCONSTRULiIONACiU4L aN' <br />NOAF STOFI[5 0�51 <br />❑v <br />FIRE SPRINKlERS R[0'D <br />❑\ES ❑NO <br />i'iANS APPROVED DV <br />FEE <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />MECHANIC:AL <br />NO. TYP <br />A1C - A,1 �NDLG U <br />1 FOHCEf ��R SV: <br />UNI f H61TEA5- <br />CLOTHE::�RYEF <br />IiANGE HOOD <br />WATER HEATE <br />WOODSTOVE <br />METAL FIREPL <br />FIREPLACE IN <br />HEAT PUMP <br />GAS PIPING <br />EXNAUSTFAN <br />N000�8006 <br />uc�,�,i c,<c nn <br />CHECkC �r,5.00 <br />cOUIPMENT <br />H.P. <br />-B.TII. MEA. <br />M <br />UBTOT" 5 <br />ERMIT S <br />OTAL FEE 5 <br />FEE F <br />FEES ° vnivaTn <br />BUILDING $ <br />PLUMOING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PU6LIC WORKS <br />TOTAI <br />WHEN PROPERLY VALIDATED <br />FEE <br />[}j <br />IS YOUR PERMIT <br />PERMITS EXPIR'c IF WORK IS NOT COMMENCED WITHIN 2 8 0 0 6 <br />180 DAYS OR CEASES FOR MORE TNAN 180 DAYS. P�DNEti:� f-ILF <br />