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`hc`:`��'�`oF �`" :�ONSTRUC'TION� "� <br />everett PERMI"f PERMIT NO. _ �� 5� 8 <br />?59-8810 <br />❑ DEMOLITION ❑ COMB�NATION ❑ BUILD�NG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OVMEA MA4ADDRE59 q*r ilo VHONE <br />Richard Holdren 4414 Seahurst Ave. Everett 259-7432 <br />TENANT IAAILADORE55 CITY ZIP pNpNE <br />ARCIIITECTOPDE5IGNER MAIIApDRE55 CITY pIP PMONE <br />GEN[FALCONTflRCTOfi MnILApDR[SS CITY )IV PHONE LiCENSE• <br />MECMANICRL CONTRRCTOB MRIL AOOHESS LITY Z�P CHONE I�C[NSE � <br />Valley Nat. Gas 2G05 hlcDougall Everett 259-5492 V11I,I,�.NG153L1 <br />f'LLIMBINGCONTRnC10R 1,IqILADDRE55 qTY ZIP PNpNE LICENSE• <br />GL.�SSO� WORN <br />❑ NEW n qODIT10N ❑ ALTERATION <br />CONTRACTPRICEOFWORK:$ 1�604.00 <br />�ESCRI�E WOR¢ AND SOUARE GOOTPGE :NVOL'TL <br />Install furnace & water tank <br />PROPOSEO USE OF BUIL�iNG <br />SFR <br />LEGAL O[SCRIPTION OF VqOPEPTV ISNOW BEIOW OR AITf.CM fOUF COPtES� <br />lOT— BLOCK_ OF <br />JOUnOUR[SS <br />9414 SEahuret Ave. <br />PLUMBIHG <br />NO. TYPE OF FIXTL <br />WATER CLOSET ITOILETI <br />LAVATOflV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKF�OW PPEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETC.1 <br />5U8 TOTAL <br />PERMIT <br />TOTALFEE <br />4N 5[TOnCK <br />ITEM <br />f <br />—❑ R—E�PAIR ❑ DEMOLITION ❑ BUILD:NC RELOCATIUN <br />� bONTRCT PEBSON AND PMONE NO IF OiHER THAN ApOVE <br />MECHANICAL <br />FEE NO. TYPE OF EI <br />A,'C — A��FIN�LG UNITS — <br />1 FORCED AIR SYSTEMS — <br />�1NIT HEATERS — OSL. <br />�;LOTHES ORVERS <br />YENTILATION FAN <br />RANCEHOO� <br />�. WpTER HEATER <br />WOO�STOVE <br />METAL FlFEPLACE 8 CHIh <br />FIREPLACEINSERT <br />HEAT P' lblP <br />Z GA$ PIPING <br />EXNAUSTFAN <br />SETOnCn I PLAN <br />' i5[ ZONE � lOi AP[A VACPNT SiTE <br />❑ YES ❑ NO <br />iVROFCON51AUC1i0NAllON'ABIC iVPCOfCON5iNI1L710NAQUa� "j�;imu�� N00(pWFll!NGi <br />SIZE OG BLOG NO OF STORIES BASEM[4T <br />❑ VES ❑ NO <br />OCCUP4NCYLOAO fIPESPPINRLERSRCOD HEIGIITLiMIt�TIpN <br />❑ YES ❑ NO <br />ron sanir�rcieas <br />"� I CITY OF EVERETT <br />LOCAL SALCS <br />TAX CODE IS <br />3105 <br />SUBTOTAL <br />PERMIT <br />TOTAIFEE <br />FEE <br />FEES <br />BUII_UING S <br />PWMBING <br />MECHANICAL <br />OTHEF <br />STATE BUILDING SURCHARGE <br />STATEENERG�SURCHARGE <br />PUOLIC WORNS <br />TOTAL <br />M flA <br />� <br />f <br />f <br />RECEIPT NO. <br />FEE <br />SS I 00 <br />D THIS IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDRGSS PILE � i l� ^ <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. '- `� � <br />