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"'c�°�"�� o "� �9►NSTRUCTION f-� '` C <br />everett PERMIT PERMITNO. _ 22U��" <br />259-8810 <br />❑ DEMO�ITION ❑ COMB�NATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />O'.4NER MAILAODRE55 CITY 21P FMONE <br />Joan Richards 4741 Wilminyton avP F� r+ oa�p� �ce-}g�c . <br />TENRNT MAILNDDPESS CITV 21P 1'HONE <br />RRCMITEGTORO[SIGNEP MAILAUDRESS CRY ZIP PHONE <br />GENERnLCONTRACTOR MAILAODRC55 GITY ZIP PMONE LICENSE• <br />Owner <br />MECNRNIGRLCONTRRGiOR MAIIADORE55 CITY ZIP PMONE LICENSE� <br />PLUMBINGCDNTRACTOR MAILADDRE55 GTY ZIP PHONE LIC[NSE� <br />CLASS OF WJRN <br />❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITIUN ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PMONE NOJF OTIIER TNAN F�OV[ <br />CONTRACT PPICE OF WORK: S <br />UESCRI9E WOPN r1ND SOU>FE fOOT� <br />REYOOf <br />PROVOSEO USE OF BULLOMG <br />SFR <br />IEGRI UESCRIPTION OF PROPERTY ISNOW BElO W ON ATfRCH FOUR COPiE51 <br />�oT — o�ocK — oF � <br />JDB PODRL55 <br />4741 Wilmington <br />PLUMBING <br />NO. TVPE OF FI%TURE <br />WAT'F CLOSET (TOILET� <br />BATHTUB <br />LAVATORV(WASHBASIN� <br />SHOWEF <br />KITCHEN SINK d DISP. <br />DISHWASHEF <br />IAUNDRVTHAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PflEVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINK ISERVICE — BAR, ETC.� <br />i:Al:16Yi1:/[N:1 <br />USE <br />S.H. <br />SUBTOTAL i <br />PERMIT i <br />'.OTALFEE f <br />REFRSETBACN 5' <br />LOTPREA V <br />C <br />IYi4 OF CONSiPI1GilON AC7URl ° <br />NO OF STORIES B <br />C <br />FIPE SPRINKLERS REO'D <br />❑ vE5 ❑ NO <br />PLAN$ APPRWED BY <br />MECHANICAL <br />FEE NO. TYPE OFEOUIPMENT <br />A/C — A'HNDLG UNITS — H.P. <br />FORCEO AIR SVSTEMS — B T.U. I <br />UNIT HEATERS — B.T.U. I <br />CLOTNES DRYERS <br />VENiILATION FAN <br />RANGEHO00 <br />WATER MEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SETORCN <br />CANT SrtE <br />YES ❑ NO <br />_�^��� �+ooFo� <br />YES :7 NO <br />HEIGHT LIMITATIUN <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />SUBTOTAL <br />PLAN CHECKNUMBER <br />�UILDING <br />PLUMBING <br />MECHANICAI <br />OTHEfi <br />STATE BUILOING SURCHAFG <br />STATEENERGYSURCHAFGE <br />PUBLIC WORKS <br />TOTAL <br />R���?E56 <br />e��c <br />FEE <br />RECEIPT NO. <br />� <br />TED THIS IS <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN pDDf�ESS FILE � L F� f. <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />