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theE�erCreen �� �' ���V�������� '"_..` f"� � <br /> CITY OF <br /> everett PERMIT PERM�THo. 24655 , <br /> 259 - 8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING f� MECHANICAL ❑ PLUMBING ❑ SIGN �, <br /> o�,�rveR r.+nanoor�ess a1r ziN vnoNe I <br /> �.en� r , r a r �i n a , ,- n..� c Seattle q8144 �25 5�°� <br /> iENnNT AINLAO�RE55 CITY ZIP PHONE <br /> I <br /> ?FCMiTEGfOPDE5IGNER MAILq�ORESS CIT� ZIV PHONE <br /> GENE�ALCONiRPCTOR MAILFDORE55 CITY ZIP PI10NE LICENSE� <br /> MELHANICALCONTRACTOR MAILADORESS CITV ZIP FHONE LIGENSE• I <br /> Tri State 13420 N� 16th Bellewe 98005 643-3830 TRISTI*245NZ � <br /> PLUMBINGWNT(iACTOR 1.141LAODRESS CITY ZIP PNONE LICENSEa I <br /> { <br /> CLA55 OF\YORN <br /> �XdEW ❑ ADDITION ❑ ALTERA'iION ❑ RE?AIR ❑ DEMOLITION ❑ BUILOING RELOCATION ' <br /> CONTALT PERSON AN�PHONE NO IF OTMER THqN ABOVE �� <br /> CONTRACT PRICE OF WORK: S <br /> �ESCRIpE WORK ANp SOUARE FOOTAGE INVOIVED I <br /> Venting <br /> PROPOSED USE OF BUILOING <br /> Apt. <br /> LEGAL�ESCRIPTION OF PROPERTY�SHOW BELOW OR ATTACM FOUR COPIES� <br /> LOT- BLOCK-OF , <br /> ].6�r�''^ _�--a'' G�4� ^€- <br /> 4 units at 868 sf <br /> J00 ADDRE55 ` <br /> 1111 47th St. SE � <br /> PLUMBING MECHANICAL I <br /> +• innui r.�k <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMEN FEE � <br /> i <br /> WATERCLOSET(TOILET7 AiC-A/HNDLGUNRS-H � II <br /> BATHTUB FORCEDAIRSYSTERIS-B. ME I <br /> LAVATORY(WASH BASIN) UNIT HEATERS-�.T.LL � <br /> SF'OWER CLOTHESDRVERS I <br /> KITCHEN SINK 8 DISP. VENTILATION FAN � T�� <br /> �ISHWASHER RANGE HOOD � <br /> LAUNORVTRAV WATER HEATER � <br /> CLOTHES WASHER WOOD STOVE �, <br /> URINAL METAL FIREPLACE 8 CHIMNEY I <br /> DRINKINGFOUNTAIN FIqEPLACEINSERT I <br /> FLOOR DRAIN HEAT PUMP I <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR.ETC.) ! <br /> SUBTOTAL S SUBTOTAL S H <br /> PEHMIT S PEHMIT f <br /> TOTALFEE S TOTALFEE S � <br /> FRaNTSErenCN REARSETOACK 5i0E5ETOACN PLANfHECKNUMBER FEE RECEIPTNO. <br /> i <br /> USE ZONE LOT I1REA VACANT SITE FEES OUIl01NG COOE FEE <br /> O YES ❑ NO �A I <br /> TYPEOFCONSIflI1CilONAILOWABLE iVPECFCON5iP11LiI�Nl�G�OAL °u=uo��°Y M1OOF�WELLRIGUNIIS BUILDING S I <br /> PLUMBING <br /> SiZEOFOLOG NOOFSiORiES BNSEMENT � <br /> ❑ VES ❑ NO MECHANICAL I <br /> OCCl1PANCYLOAO Flf1E5PPINNLERSREOD HEIGHTLIMI�ATION OTNER ' <br /> ❑ YES ❑ NO <br /> nensoN FOH sanwK�eas STATE BUILOING SURCHARGE <br /> STATELNERGVSURCHARGE <br /> qPPLICATIONACC.BY PLANSAPPROVEO�3� CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS _ <br /> S.FI. TAX CODE IS TOTAL 615 00 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PF.RMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADURESS FI�[ L, �" ' ' �' " <br /> i80 DAYS OR CEASES FOR MORE THAN 100 DAYS. ` r <br />