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"��°��� '� G�ONSTRUCTION � '`" <br /> everett PERMIT PERMITNO. _ 2J72� <br /> 259 -8810 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING Cj;MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OwNER AIRiLAODRESS CITY 2iP PHONE <br /> Mark Olson 4617 Silver Tin Lane Everett 252 1690 <br /> TENANT MAILADDPC55 dTV Z�P PHONE <br /> pRCMITECT OR OESIGNER MAIL AOORE55 CITY ZIP PMON[ <br /> GENERALCONTRACTOR MAILADDRESS QTY 21P PMONE LICENSE• <br /> Vallev Natl Gas 2605 PfcUougal Av 259 5492 VALLENG153L1 <br /> MECHANIGFLCONTRPCTOF MAII.A�pRE55 CITY ZIP PMONE LICENSE� <br /> PLUMpiNG f,ONTRACTOp MAIL PDORE55 dTY 21F PHON[ IIGEP•'E� <br /> CL/SS OF WORY <br /> ❑ NEW ❑ADDITION O}�,ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONiACT PERSCN�N�P��ONE NO IF OTMER iNAN ABOVE <br /> CONTRACTPRICEOFWORK:S 3SS.00 <br /> DESCPIBE WOAR FNO SOUARF FOOTAGE�NVO WE� <br /> in��_atl conversion burner & water tank _ _ <br /> FROPOSED USE OF BUILDING <br /> SFR <br /> LEW L DESCRIPTION OF PFOPERTY�SNOW 0[LOW OR ATf NCM FOUR COPiE51 <br /> LOT_ OLOCK-OF <br /> JOBPpD�E55 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMFNT FEE <br /> WATER CLOSET�TOILET) A�C—A'HNDLG UNITS—HP. <br /> BATHTUB FORCEDAIRSVSTEMS—BS.U. MEA. <br /> LAVATORV(WASM BASIN� UNIT HEATEHS—BS.U. M <br /> SHOWER CLOTHESORYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAV WATERHEATER <br /> CLOTMES WASHER N'OOD STOVE <br /> URINAL METAL PIREPLACE 8 CHIM <br /> ORINKING FOUNT.41N FIflEPLACE INSERT <br /> FLOOH DRAIN HEAT PUMP <br /> BACKFLOW PPEVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEAOERS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETJ.� <br /> 6UBTOTAL S SUB S <br /> PERMIT f PEN � <br /> TOTpLFEE f TOTA T <br /> FRONTSET6nCK REnR>ETBaCK SIDESETOACrc PLANCHECKNUMBER FEE RECEIPTNO. <br /> USE20NE LOTAR[4 VnCANTSrtE <br /> FEES em�mHccooe FEE <br /> ❑YES ❑ NO — � — <br /> lY(40FCONStfli1L1i0NALlOW0.BlC ttFfOIfAN51fllIGi10NpGiU>l °i�,'o,',��° NOO�OWLILINGUNi15 OUILDWG $ <br /> PLUMBING <br /> SiZE OF pLOG NO OF ST�NIES �ASEM[NT <br /> ❑vEs ❑No MECHnNicn� 30 00 <br /> OCCUPANCYLO/D PIIiESPRINNLERSREO�D ��PGMTUIdI1ATION OTHER <br /> ❑ VES ❑ NO <br /> aEnsoN roa srnir�rctcns S7A7E OUILDING SURCHARGE <br /> STATE ENERGY SURCHAfiGE <br /> aaaucntior+�cc �v r�nr�snvaaoveoov CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS rora� 30 00 <br /> 3105 WHEN PROPEHLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN '� C� ? � ;� <br /> AfL'Rf E51ILL <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. �" <br />