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cm oF eveR�r � <br /> � �ONSTRUCTION r^ '�` <br />� � PERMIT PERMITNO. 2$O57 I <br /> 259-8810 <br /> � ❑ DEMOLITION ❑COMBINATION ❑ BUILDING �MECMANICAL ❑PLUMBING ❑SIGN �� <br /> ONTlER .AqILADJRE55 CIiY ZIP lwONE I <br /> Jerry Havenar 5725 West Dr Everett 98203 338-1134 <br /> TENRNT MAILRD�RESS CITY ZIP PNONE <br /> • ARGN?ECTORDESIGNEF M4ILADDRE55 CITY 21P PMONE <br /> GENERQCONTA�GTOF M4ILADDRE55 CITY ZIC �nvnE LI.;ENSE• <br /> l", <br /> MECMANICALCANTRACTOR MAILRDORES'u G�TY 2IP PHONE LILE.NSE� <br /> Valley Natural Gas 2605 AtcDougall Everett 98201 259-5492 VALLENG153L1 <br /> PLLIMBINGCONTRRLTOR MAILADDRE55 GTV IIF PMONE LICENSE� <br /> �a �lASSOFWpRK ' <br /> ❑ NEW (]ADDITION ❑J(1LTERATIJN ❑REPAIR ❑ DEMOLITION � BUILDING RELOCAPON <br /> CONTRCT PERSON AND PMONE NO.IF OTHEH TNAN ABOVE <br /> CANTRAGTPRICEOFWORK: $ 625 <br /> DESCq19E WOBN M1D SOUr1RE FppT�GE INYOLVEU <br /> Inetall conversion burner and waterheater <br /> ., _ .._ . - I:k <br /> � <br /> / <br /> PROPOSEO USE OF BUILDING -- — <br /> Single family res N�ECH g45.OD <br /> LE6�L DESCHIPTION OF iAOPEHtY(SMOW BELOW OR ATTACN FOUR COPIES) N898??856 <br /> h�CN 445.00 <br /> �oi_eiocK_oF MOE78?BB`a4 <br /> HECH w�5.00 <br /> JOBRDDRESS <br /> 5725 West <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXNAE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) fJC-AMMDLG UNITS-H.P. <br /> BATHTUB FORCEDAIRSVSTEMS-B.TU. MEA. <br /> LAVATORV(WI.SHBASIN) UNITHEATEPS-O.TU TA <br /> SHOWER (.OTHESDRYERS <br /> KITCMEN SINN 6 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVT�AV 1 WATEfiHEATER <br /> � CLOT'iESWASHFR WOODS?OVE <br /> URINAL IAETAL FIREPLACE 8 CHIMNE� <br />��� ORINKIN3 FOUNTAIN FIREPLACE INSEflT <br />��' FLOOR DRAIN <br /> F'EAT PI IMP <br />��� 9ACKFLOWPREVENTERS z GASPIPING <br />�� ROOFDRAINS-RAINLEADERS EXHAUSTFAN _ <br /> SINN(SERVICE-BAR,ETG.) <br /> 1 lOOID BT CO <br /> SUB TOTAL S SUB TOTRL S <br />� PERMR S PERMIT f <br /> TOT�LFEE f TOTALFEE t <br /> FRONiSETBncK REnRSEiBACK SOESEioacn PLANCHECNNUMBER FEE RECEI?TNO. <br /> U:E20NE LOTAREA yACqNTSITE <br /> FEES BUIlDIN6CODE FEE <br /> ❑VFS ❑NO V�L 11TION _ <br /> T�'PEOFCANSiRUC➢ONALLOW4BLE T��EOFCONSTRVCTIONACTURI anmex� N00«8EW4GUNR5 BUILDING $ <br /> cnxr <br /> PLUMBING <br /> SREOFBI.DG NOOFStOPoES OA3E61ENT <br /> ❑�ES ❑HO MECHANICAL <br /> OCCUPANCY LOAD FIRE SPRINNLEPS REO'p HEiGHT LIMITATION QjMER <br /> � ❑YES ❑ND <br /> REr150N FOq SPRINKlEFS STA7E BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> RPPLIChTIONACC.BV PLANSAfPROV[DOV CITYOFEVERETT <br /> LOCAL SALES P�����C WORKS <br /> i ITAX CODE IS TOTAL 4 00 <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 8 0 5 7 <br /> � 180 DAYS OR CEASES FOR MORE THpN 180 DAYS. �nQRESS FtLE <br />