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"�h�"�'�" �'' C�NSTRU4TION r� ��.-� �7/�a <br />everett PERMIT PERMITNO. - �� I `�U <br />259-8810 <br />❑ PLUMBING ❑ SIGN <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C� MECHANICAL Z P pHONE <br />MAIL A�DRE55 C TY <br />OWNER <br />Jose h Cameron 5601 Wetmore Ave Everett 9�09 '�53 970P pHONE <br />MAIL RODRC55 <br />tENANT <br />��t� Z�p PMONE <br />qRGNitEGT OR DESIGI.ER MAiL �DDRE55 <br />���, Z�p PMONE IiCENSE� <br />GENEHALCONTRACTON MAILADDRE55 <br />MECHRNICALCONTPRCTOR <br />MAILA��P[55 GTY ZIP PHONE UGENSEi <br />Reliable Sheet hfetal 3810 196th St. SW Suite 8 cirv zir i'MONE L�CENSE� <br />�Ll1MU1NG CONTRACTOR MRIL AOOPE55 <br />__�_�......n�-fnn <br />CLASS OF WORN <br />n uc�u fl ADDITION C}ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATIO <br />I CONTACT FERSON AN� PHOrve n� v � i nc.. ���^•• ^�-�- <br />CONTRAC7 PRICE OF WORK S <br />OESCRiBE W ORK FND SOUARE FOOTnGE INVOLVEO <br />Install as furnace and water heater. <br />SFR <br />LEGRL DESCRiPTiON OF PROPERTV �SMOW OELOW OR ATTA�IH FOUR COYIE51 <br />LOT -� BLOCN -- Of <br />PLUMBING <br />urt TVPE OF FI7tTURE OR ITEM <br />KITCMEN SINK 6 DISP. <br />DISHWASHEP <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RA�NLEADEHS <br />SINK ISERVICE — BAR, ETC.) <br />FRONiSETBACN <br />USE20NE <br />tVK OF LONSLPUCL <br />SIZE O( OLOG <br />REASON FOB S�RINKL[RS <br />nraucn � �: �., ncc or <br />5.9. <br />�!NECHAN—ICA�L - <br />un I T1PE <br />SUBTOTAL s <br />PEPMIT : <br />T0TI1L FEE S <br />REAl15ETOACK SiDESETBACN PLAN <br />LOTARER VACFNTSITE <br />❑ YES � NO <br />ac — aNNo�c uNi � s— r,.. <br />FORCED AIR SYSTEMS — B T.U. <br />UNIT MEATEFS — B.T.U. <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WFTER HEATER <br />WOOOSTOVE <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />G�S PIPING <br />E%HAUSTFAN <br />M EA. <br />M <br />FEE <br />SUB pgjj�'^i47 s <br />PEHI�.���__ � <br />TOT f <br />�H gT �EIPTNO. <br />CHECY, 25 .50 <br />AFLONSiROG�IONACIUAL °m�"�-` �OF�W[LIMGUN115 BUILDING _ <br />PLUMBING <br />At STOHIES �ASEMENT <br />❑ YES ❑ NO MECH�NIC�L <br />ESPBINKLERSREO'D MEIGMtUMITATION OTHER <br />vES ❑ NO <br />S7ATE BUILDING SURCHA(iG' <br />STATEENFRGYSURCHARGE <br />SAPPROVE��� CITY OF EVERETT <br />LOCAL SALES PUOLIC WORKS <br />TAX CODE IS TOTAL <br />3105 yyHEN PROPERLY V <br />$ <br />YOUR <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDRESS FILE ? L I 4� <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />3o�so <br />