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"��'��� � r"flNSTRUCTION " '�` C <br />everett PERMIT PERMITNO. 2�J�� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAI ❑ PLUMBING O SIGN <br />OWNER !'AIL 4DORE55 GTV ZI4' PMONE <br />Eva Porter 3215 Wetmore Everett 98201 252-8375 <br />t[NnNi MAiLaD RE55 Ciiv IIP �HONE <br />ARCMiTECT OR DEStGNER <br />GEN[PALCONTR�CTOR <br />MAIL RDDBE55 <br />MAIL POORC55 <br />crtr <br />GTY <br />ZIP MONF <br />ZiP PHONE UCENSE • <br />M[GMANICALCONTRnCiOR MAILADDRE55 C1TY 2�P PHON[ IICENSE� <br />N.W. Water Heater 3110 Hill Ave EVerett 98201 259-5331 NORTHW137KJ <br />PLUMBINGWNTRRCTOA MAILADDRE55 CRV ZIP PMONE UCENSE� <br />CLASS OF WORN <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOC�TION <br />CONTAfT PERSON AND PHONE NO IF OTMEN THnrv AUUvt <br />CONTRACT PRICE OF WORK: S <br />ilpE WOAN PNO SOUARE (OOTPGE INVOLVCO <br />Install gas water heater <br />PRO�OSED USE Of BUiLOiNG <br />Sinqle familv reaidence <br />LEG.L DESGAIFT�ON Of PpOPERTY �SHOW �CLOW OR nTTACN fOUA CO�:ES� <br />l01 _ OLOCK — Of J � , <br />� <br />MECH g30.00 <br />�on nooaEss � � � <br />PLUMBING <br />NO. TYPE OF FIXTUNE OR ITEM <br />WATER CLOSET ITOILETI <br />KITCHEN SINN 6 DISP. <br />DISHWASMER <br />LAUNDRVTRAV <br />CLOTNES WASHEP <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR ORFIN <br />BACNFLOW PREVENTEflS <br />ROOF DRAINS — RAINLEADEFS <br />SINK fSERVICE — BAR, ETC! <br />FRONT SF.TpnCR <br />113[ ZONE <br />LVM 0� C(INSTAIICII <br />,dZE O� 9lOG <br />OCCUPANGYLO� <br />REPSON FOA SPI <br />SU9 TOTAL <br />PEPMIT <br />TOTALFEE <br />RE/NSETB<CN <br />LOT AREA <br />1vR pf LOHSiNUCiION AGiU, <br />r+o nrstoaies <br />fIPE SPRINNLERS REOD <br />❑ YFS ❑ NO <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPI <br />A/C — A'HNDLG UNITS — H P. <br />FORCEO AIR SYSTEMS — e T.0 <br />UNIT 1;EATEFS — 0 T.U. <br />CLOTH[S DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FlREPLACE 8 CNIMNEV <br />FlREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%H,AUSTFAN <br />� <br />f <br />f <br />SiDE SETBPCK <br />VAC4NT SITE <br />❑ YES ❑ fJ0 <br />^=�.��p" NO�FOW[ILINGI <br />BnSEMENT <br />O �ES ❑ NO <br />HEIGHT IIMiTATION <br />nrraoveoev CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PLAN CHEGK <br />SUBTOTAL <br />PERMIT <br />�TOTA�L 1'EE— <br />I �E[ <br />FEES <br />BUILDING S <br />PLUM6ING <br />MECHANICPL <br />OTHER <br />STqTE BUILDING SURCNfRGE <br />STATEENERGYSURCHARGE <br />PUBUC WORKS <br />TOTAL <br />WHEN PROPERLV VALI <br />M EA <br />M <br />FEE <br />� <br />f <br />f <br />RECEIPT NO <br />L%i <br />30 <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AD�F6S5 PL[ !:'1 �; i r <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />