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CITY OF EVERETT <br /> '� ��ONSTRUCTION ^ `� <br /> PERMIT PERMITNO. 27751 <br /> �59-88,0 <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDING $XIDECHANICAL ❑ PLUMBING ❑SIGN <br /> OWNER MAILADDRESS CITY IIP PHONE <br /> Robert Phillips 1528 Rucker Ave Everett, WA 98201 252-2334 <br /> TENRNT MAILhDDRE55 CITV ZIP PNONE <br /> r1RCMPECTORDE5IGNER MAILAODRE55 QTY 21P PHONE <br /> GENERALCONTHRCTOR MAILADDRE55 CITY ZIP PHONE LICENSE� <br /> MECNANICALCONTRACTOR M/ILFODPESS CITY ZIP PHONE IICtNSE� <br /> Northwest WAter Heater 3110 Hill Ave Everett 98201 259-5331 BORTHW[i103R2 <br /> PLUM�INGCONTRRCTOR MAiLADORE55 piY ZIP PMONE LIGENSE� <br /> GU55OP WORK <br /> ❑ NEW ❑ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO IF OTHER THAN AOOV[ <br /> GONTRACT PRICE OF WORK' S ](p(X 1 650 00 <br /> DESCRIBE WORN RND SOURRE FOOTRGE INVOLVED <br /> Install as furnace 6 water heater <br /> PROPOSED USE OF pUIl01NG <br /> Sin le £amil residence <br /> LEGPLbESCFIPT10NOFPROPERiV�SMOWOELOWORPITALMFOURGOPiES) 09��7/91 1�:19PM OOOAN0275 ��`��^°� <br /> t <br /> LOT_BIIX:K-OF <br /> k000�7i81 <br /> �000�7782 J. <br /> 9E3 <br /> JOUADDRESS 4�000�7783 <br /> PLUMBING MECHANICAL HQ0027784 <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. T1 PE OF EOUIMHCE'71YT $65. JO FEE <br /> WATERCLOSET(TOILET) A/C-AMNDLGiINITS-H.P. �OOO'7785 <br /> BATHTUB FORCE�!IR SYSTEMS-B.TbECHM EA. 465. )O <br /> LAVATORY�WASH6ASIN) UNITHEATERS-O.rU, �HECM ��iS. O <br /> SHOWER CLOTHLSOfiVERS _ <br /> . KITCHEN SINK 8 DISP. VENTILATION FAN _ <br /> DISHWASHER AANG[HOOD <br /> LAUNDRVTRAY WATER NEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLALE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> OACNFLOW PPEVENTERS GAS PIPING <br /> ROOF DRAINS-RA W LEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.) <br /> SUBTOTAL 5 SUBTOTAL 5 90 00 <br /> PERMIT 5 PERMIT S �_ <br /> TOTALFEE 5 TOTALFEE 5 � <br /> FRONi SETonCK a6�R S[TonCK sio[5[TnnCK PLAN CHECK NUM�EH FEE RECEIPT NO. <br /> US[ZONE LOTAFEF VACANTSRE OUILDINGCODE FEE <br /> FEES VpLUI.TION <br /> ❑ves ❑r+o <br /> ivF�OPCON51RU;iiONRLIOWPBLE TYPEOFLONSTRUCTIONAGiUnL P�G'pN• N�OFVI:FILLVGU'IRS OUILDING � <br /> FLUAIPING <br /> SiT.[OFpL�G. NO.OFSiORiES OASE�ILYL <br /> ❑vEs ❑r�o MECHANICAL SS 00 <br /> OCCUPANCVLORO 1-IRESPRINKIER$REQO H".IGMTLIMIIAiION OTHEf7 <br /> C]YES ❑NO <br /> n[n5on Fo�SPRINKI[RS STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> nrr��c��ior+�cc ov Pu�+sncaaoveoev TC��—�• OF EVERETT <br /> � LOCALSALES ruoucwoaKs <br /> TAX COD� IS TOTAL 55 00 <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN � ( j�1 <br /> 180 DAYS OR CEASES FOR MORE THAN 780 DAYS. A�'�•"' •'` ' '' `= <br />