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irv oF vE�er <br /> CONSTRUCTION <br /> PERMIT PERMITNO. 27629 <br /> 259-8810 <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDIHG ❑MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONMER MRRp0�RE55 QTV IIP PMONE <br /> Heric M.H.P. Management PO Box 694 Glen Ellen CA 95442 707-996-6 4 <br /> TENRNT MAILqpDRE55 CITV ZIP PHONE <br /> Gene Loring 11622 W_Silver Lk Rd 1130 Everett 98208 337-2478 <br /> APCMITECTORDESIGNER MRILADORE55 CITY 21P PMONE <br /> GENEFALCONTPRCTOR MqILRDDRE55 CITV ZIP PHONE �ICENSE� <br /> MECMANICALCONiFACTOR MA�UDDRESS CITY IIP PHONE LICENSE� <br /> PLUMBINGCONTFACTOR MRILRDDRE55 CITY ZIP PMONE LICENSEM <br /> CUSS OF\YDRK <br /> ❑ NEW ❑ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONT\CT PEPSON RND PHONE N0.IF OTHER TMAN ABpVE <br /> CONTRACT PRICE OF WORK: S <br /> DESCPIBE W09K AND SOUARE FOOTqGE INVOWEO . <br /> Place Moblile Home <br /> PROPOSEJ USE OF BUILDING <br /> SFR <br /> IEGRL OESCqIPT10N OF PROPERTv(SMOW BELOW ON ARpCM FOl n COPIES� <br /> LO7_BLOCK_OF <br /> a�iobisr io:oea�� Qoo�ue�c,e #:� �:�: <br /> i <br /> JOBRDORE55 4100027fi29 <br /> 11622 W Silver Lk Rd Sp I130 p � <br /> PLUMBING MECHANICAL F'LEG giL1.00 <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UI ' ' FEE <br /> WATERCLOSET�TOILET) A/C-AMNDLGUNITS-H.P. ' ' <br /> ' BATHTUB FORCEDAIqSYSTEMS-B.T . MEA. -`�' <br /> LAVATORY(WqSHBASM) UNITH[ATERS-B.T.U. � <br /> SHOWER CLOTHESORYERS <br /> KITCHEN$INK 8 DISP. VENTILATION FAN <br /> � DISHWASHER RANGEHOOD <br /> LAl1N�RV TRAV WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> ' URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN H'cAT PJMP � <br /> BACNPLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR.ETC.) <br /> connect to existin sewer <br /> SUBTOTAL S IO OO SUBTOTAL 5 <br /> PERMIT 5 PERMI7 S <br /> TO7AL PEE 5 LO OO TOTAL FEE S <br /> FRONi SEteACK REnF SEiBncK SIpE SEiBr1LK PLAN CHECH NUMBER FEF_ RECEIPT NO. <br /> USEZONE LOTAqER VAC/NTSITE � <br /> FEES BUI4DINGCODE FEE <br /> ❑YES ❑NO VRLUATION <br /> TYPEOFf/J45iRUCT10NPLlOWA91E TVPEOFCONSTRUCiIONAL7UAL ��v NOOFDWELU4GUt11i5 BUILDIYG $ <br /> PLUMBING LO OO <br /> SRE OF BLDG. NO.OP STORIES �ASEMENT <br /> ❑vEs ❑rv0 MECHANICAL <br /> OCCUPANCYLORD FlRESPRINKLERSREO'0 MEIGHTLIMITATION OTHER <br /> ❑VES ❑NO <br /> REASGN FOR SPRINNLERS STATE BUILDING SURCHARGE <br /> STAiE ENERGV SURCHARGE <br /> �PPIiCAT10NACC OY PLANSFPPROVEDOV CITY OF EVEREiT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 24 50 <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PER�IITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 6 2 9 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. sn��F55 FiI E <br />