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`h`'F°�`�" � C?°INSTRUCTION �" '� /, <br />everett PERMii PERMIT NO. � L f y� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L� MECHANICAL O�FLUMBING ❑ SIGN <br />OW�'1E� M4ILADDHEJS CITY iIP PHONE <br />Matteson Const. Inc. 156 �, Vista De1Mur Camano IS 96292 339-6888 <br />TENANT MAILADDRESS CITY ZIP PlIONE <br />APCHiIECTOR�ESiGNER 1AAILrI��RE55 GITV 21P PNON[ <br />GENEl1ALCONTRI.CIOR AAAIIRODRESS CITY 21P PHONE LICENSE� <br />MECHRNICRL CONTRRCTOR Mqlt AOCRE55 CITY ZIP PMONE ULENSE � <br />Lloydds Plumbing 23023 27th Ave. NE 47 Arlinqton 935-8168 LLOYDP263JJ <br />PWM�INGCONTRACTOR MAILAODItE55 CITV ZIP PMONE IICENSE• <br />CLA55 OF WOBN <br />� NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />I CONfAGi PERSON AND PIIONE NO IF OTHER TNAN ABOVE <br />CONTRACT PRICE OF WORK: � <br />DESCHIBE WORK nNDSOUnRE FOOTAGE INVOLVED <br />Plumbinq and mech. <br />vaovoseo use ov euaoiNc <br />Apts. <br />LEGRL DESCR�PTION OV PROPERTY �SMOW DELOW OR ArtACN FOUR COPIES� <br />LOT _ BIOCR _ OF <br />JOOAODRE55 <br />PLUMBING <br />NO. TYPE OP FI%TURE OH ITEM <br />1z WATER CLOSET (TOILET) <br />lZ BATHTUD <br />lZ LAVATORY�WASH BASIN� <br />SHOWER <br />12 KITCHEN SINK 8 DISP. <br />lz DISHWASHER <br />LAUNORVTRAV <br />Z CLOTMES WASHER <br />URINAL <br />C9INKING FOUNTAIN <br />FLOOR �RAIN <br />2 BACKFLOW PREVENTERS <br />g ROOF ORAINS — RAINLEADEFS <br />SINK (SERVICE — BAR. ETC.� <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />iRONTSETOnCK PEARSETBACN <br />US[20NE LOTAREA <br />iYR 0( CONSiNUf,L10N AILONABI( flR OF CONSIflUCiiON ALIUI <br />512[ OF DLDG NO OF STOPiES <br />occurnr�cr�ono =inesvnirvn�easneo�o <br />❑ VES ❑ NO <br />BY �FlANS �PPROVFO Ov <br />s.�i. <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />A/C — AiHNOLG UNITS — MP. <br />FOflCED AIR SVSTEMS — BS.U. <br />VNIT HEATERS — B.T.U. <br />Z CLOTHES DRYEflS <br />�Z ],j VENTILATIONFAN _ <br />�jq 1z RnNGEHOOD <br />Sj WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERi <br />HEAT PUMP <br />GAS PIPING <br />nn nn E%HAUSTFAN <br />S r <br />SIOESETp4CK P�ANCH[CK <br />M EA. <br />M <br />SUBTOTRL f <br />PERMIT S <br />TOTAL FEE f <br />�gee�eis9 io:2��� <br />❑ ves ❑ No FEES <br />�i^„o,",R°' NOOFowElUrvcuNirs �UILDWG <br />PLUM�ING <br />�ASEMENT <br />❑ YES ❑ NO M1IECHANICAL <br />ME�GHTLIAIIiAiION JTHER <br />STATc' BUILDING SURCHARGE <br />STATE ENLfiGV SURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 ....._.. ....,..._... ., ... <br />��CH <br />DATED THIS IS YOUR <br />FEE <br />350 <br />PERMITS EXPIRE 1'r WORK IS NOT COMMENf;ED WITHIN qD�RESS fllE ',. <br />180 DAYS OR CEASES FOR i�AORE THAN 180 DAYS. � <br />