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'h��'�"no -" �ONSTRUCTION � <br />everett PERMIT PERMIT NO. 26127 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINAT�ON ❑ BUILDING XB MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONMEP MAIL AODRESS CITY 21P PHONE <br />Harold Campbell 5029 Wilmington Everett 795-4841 <br />TENANi MAIL AODRE55 CITY 21P PHONE <br />AACIVITECT OR DESiGNER MALL AD�PESS CiTV ZiP PMONE <br />4ZNENALLONiRnCTOR MnItA00PE55 CITY ZIP PMONE ULENSE• <br />MECMANICALCONTRACTOR M41LAO�PESS CITY ZIP FHONE UCENSE♦ <br />Valley Natural Gas 2605 Mcdougall Everett 98201 259-5492 VALLENG153L1 <br />�'LUMBINGCONTRALTOR MPILAOOPESS CITY ZiC FMONE LICENSE� <br />C1A550F WORN <br />❑ NEW 17 ADDITION 7�ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I CONTACT PERSON ANO PHONC NO IF OT4ER TNAN ABOVE <br />CON7RACTPRICEGFWOHK:S 1996.00 <br />DESCRI�E WORK A'JO SOUARE fOOTAGE INVOLVED <br />Install boiler & water heater <br />PROPOSED USE Of BUIlOiNG <br />Sinqle family residence <br />LEG/L DESCRiPTION OF GROPCRTY �SHOW BELOW OR RTTAC�� fOUR COP�ES� <br />LOT — OLOCK _ O� — <br />PLUM8ING <br />FLOOR DRAIN <br />BACKFLOW PREV <br />ROOF DRAINS — <br />SINN (SERVICE — <br />SUB TOTAL <br />PfHMIT <br />TOTALFEE <br />FqONT SETBACN PEr1R SETOACK <br />USEZONE IOTAREA <br />ivPEOFCONSiRlIG00NAlLOlS'ABIE iYROFCONSiNULiIONACtUAL <br />sze ov o�oc Ho. or s*oa�es <br />OCCUPFNCYIOAD FIR[$FRINKLERSREOD <br />❑ VES ❑ NO <br />PEASON f OR SPFiNKLFR3 <br />OY <br />FEE <br />� <br />S <br />S <br />SIOE SETOnCN <br />VPCANT SITE <br />MECHANICAL <br />NC — A/HNDLG UNITS — H P. <br />FOHCEO AIR SYSTEMS — OS.U. <br />UYIT NEATERS — B.T.U. <br />CLOTMESDRVERS I�/i <br />VENTILATION FAN <br />RANGE HOOD IIOC <br />WATER HEATER �[ <br />WOODSTOVE �( <br />METAI FIREPLACE 8 CHIMI�( <br />FIREPLACEINSERT �( <br />HEATPUMP �( <br />GAS PIPING NO( <br />E%11AUST FAN I'�I <br />SUB <br />PLAN CHECK NUMBER I ��� <br />❑ vEs G No FEES <br />c„W<� r+DoroNEuixcuNns BUILDING 5 <br />PLUMBING <br />BASEMENT <br />❑ YES ❑ NO MECHANICAL <br />HEIGHiLIMiTATiON 07HER <br />STATE BUILDING SURCHARGE <br />STATEENERGVSUflCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PU�LIC WORKS <br />TAX CODE IS TOTAL <br />3105 <br />M EA. <br />M <br />PROPERLY VALIDATED THIS IS <br />fEE <br />I:G7 <br />PERMITS EXPIRE IF YVORK IS NOT COMMENI:ED WITHIN �DL'NESS f iL[ G 6�� f' <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />