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CITY OF EVERETT <br /> � :'"'rONSTRUCTION ^ � ' <br /> PERMIT PERMITNO. 27g21 <br /> 259-88�� <br /> ❑DEMOLITON ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OYMEH MAILRDDRE55 CITY 21P PPONE <br /> Irene Von Wederhold 1001 Rucker Ave Everett 98201 252-8145 <br /> TENANT MAILADDRES^ CITY ZIP PHONE <br /> ARCHITEGTOR�ESIGNER MAILAODRESS LIN ZIP PHONE <br /> GENERnLLONTRAGTOR MAILAOOFESS Cltt 21P PHONE LICENSE� <br /> MECHANIC�LCONTRACTOR MAILAD�RE55 CITV 21P PHONE LICENSE� <br /> Chimney Masters 1415 Broadway Everett 98201 259-6666 CHIMNM1108P <br /> PLUMBINCCONTRALTOR MPILADDRESS CITY 21P PNONE LICENSE� <br /> CUSS OF WORK <br /> ❑ FlE1lV ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATON <br /> GONTACT PERSON AND PMONE NO.IF OTHER TNAN ABOVE <br /> 'ONTRACT PRICE OF WORK' $ 1825 00 <br /> DESCRiBEWORKAN�50WREFOOTAGEINVOLV 0 ,�� <br /> Install gas furnace j i� <br /> � PROPOSEDUSEOFBUILDINO <br /> IEGRL OESCRIPTION OF PROPERTY�SMOW BEIOW OR ATTRCH FOUR COPIES) <br /> LOT__BIOCK_OF '&`z3�`5�—=c "'�� -...:��. <br /> / <br /> HEL'H� � $55.��0 <br /> .we�oor+ess y <br /> 1001 Rucker AVe <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE . <br /> WA?ER C�OSET(TOILET) PIC-AMNDLG UNITS-H.P. <br /> � BATHTUB 1 FORCEDAIRSYSTEMS-B.TU. MEA. ; <br /> � LAVATORY(WFSHBASIN� UNITHEATERS-B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> ! VENTILATION FAN <br /> KITCHEN SINK 8 OISP. <br /> DISMWASHER flANGE HOOD <br /> � LAUNDRYTRAY S WATER HEATER <br /> CI.OTHES WASHER WOOD STOVE � <br /> } METAL FIREPLACE 8 CHIMNEY <br /> URIN�L <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> . FLOORDRAIN HEATPUMP <br /> � BACKFLOWPREVENTERS GASPIPING <br /> � ROOFDRAINS-RAINLEADERS E%HAUSTFAN <br /> SINK(SERVICE-BAR,ETC.) <br /> sue Torn� s sue rora� s 40 00 <br /> PERMIT 5 PERMIT S 15 00 <br /> � TOTALFEE 5 TOTALFEE S O <br /> FnONT SEionGK R[AR SETB�CK St�E 5[TOACK pLAN CHECK NUMBER FEE RECEIPT NO. <br /> US[ZONE LOTPR[A VACANTSIL[ FEES BU�q01N�GCODE FEE <br /> ❑YES ❑NO <br /> iVPEOFCANSTPUG➢ONALLOWABIE TYVEOFCONSTRUCiIONPCT�AI a�qy�"�Y NOOFpWEIUNGUNiiS BUILDING S <br /> PLUMBING <br /> SRE OF BLDG. NO OF STOP'ES OASEMENT <br /> ❑vEs ❑NO MECHANICAL SS OO <br /> � OCWPANCYLOA� FIRESPRINNLERSR[O'O HEIGHiU�11TATt01! OTHER <br /> ❑YES ❑NO <br /> PEASON FOR SPRINKLEPS STATE BUILDING SUflCMARGE <br /> S fATE ENERGV SURCHARGE <br /> APPLICATION�CC.BY PUNSRPPROVED�V C�TY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS rora� 55 00 <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 9 21 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDaEsc Flt e <br />