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"�F°�`�oF �' C�NSTRUCTION � '� pA <br /> everett PERMIT PERMITNO. r� ?U `�� <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �3 PLUMBING ❑ SIGN <br /> WNEA MAILPDDRRS QTV ZiP PMONE <br /> George W. Snow 3103 Shore Ave. Everett 98203 355-3323 <br /> TENANT MAILADDAE55 CITY ZIP PHONE <br /> APCHITECTORDESIGNEP MAILApDRES$ CITY 21P MONE <br /> G[NERALCONTRACTOR MAILADORE55 CItV 21V PHONE LICENSE� <br /> MELNNNIGALGONTRICTOR MAILPDORE55 CITV 2�P PMONE IICENSE� <br /> PWMBINGCONTPPCTOR MAILADOHE55 CILY 21P PIiONE LiCEN$E• <br /> owner <br /> CLA55 OF WOPK <br /> ❑ NEW ❑ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION O BUILDING RELOCATION <br /> CONTACT P[RSON PND PMONE N0.IF OTNER THAN ABOVE <br /> CONTFACT PRICE OF WORK'$ <br /> DESCRIBE WORN ANO$OURNE FOOiAGE INVOLVED <br /> Plumbing <br /> PPOPOSED USE Of BURDING <br /> SFR <br /> LEGAL DESCBIPTION OF PROPERTY�SHOW BftOW Oli AnACN FOL1R COPIES) <br /> LOT- OLOCN-OF <br /> JDBRD�RE55 <br /> 3103 Shore Ave. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET�TOILET) A�C—NHNDLG UNITS—HP. <br /> 1 BATHTUB FORCED AIR SYSTEMS—0 T.U. M EA. <br /> 1 �pyqTpRV(WASH BASIN) UNIT HEATERS—B T.U. M <br /> 1 SMOWER CLOiHESORYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISMWASHER RANGE HOOD <br /> LAUNDRYTRAY WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> ORINNING FOUNTAIN FIREPLACE WSERT <br /> FLOOF ORAIN HEAi PUMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%IIAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL f SU t C � �3 �� <br /> PERMIT f PERMIT � f <br /> TOTALFEE f TOT " f <br /> FPONTSETOnCN REnRSETBnCK Si�ESETOnCK PLANCHECNNUMBER j40 001607 r •p CEIPTNO. <br /> EL �` <br /> usezor+e �ornAen vrcnr�rsi*e FEES �A �ccoor��S .00 FEE <br /> ❑VES ❑ NO <br /> 1V140FfAN51NUG110NAlLONPBIE 7Y1'EOfCONSTXUGti0H0.LiUAI �"m� �OFONTIUNfuNItS BUILCVJG � <br /> PLUM�ING 30 OO <br /> SIZE Of OLOG NO OF STORIES BFS[MENT <br /> ❑YES ❑NO MECHl�NICAL _ <br /> OLCUPANCYLOAD FIRESPRINkLERiREOD MEIGMTLIMITATIDN OTHEF: <br /> ❑VES O NO <br /> n[nsoN roa SrAir+K�.[as STATE OUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONPC.:.�V PLANSAPPROVED�Y CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> s.H. TAX CODE IS TOTA� 30 00 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPiRE IF WORK IS NOT COMMENCED WITHIN qpDRGSS FILE i� L, l� 4 t <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />