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CITY OF EVERETI' <br />�" ��~,ONSTRUCTION � "� <br />PERMIT PERMITNO. 27354 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OYlNEP MAILADDRESS CITY ZIP PMONE <br />Jim Smith 415 51st St SW Everett WA 98203 259-2529 <br />TENFNT 67AILA�DRE55 QTV 21P PHON[ <br />ARCHITECTONOESIGNEF MAILAD�RE55 CIiY YP PMONE <br />GENEFALCONTRACTOR MAILAUDRE55 CITV ZIP PHONE LICENSE+ <br />MECMANICALCONTPACTOR �dFILAD�RE55 GITY 21P PHPNE LICENSE• <br />PWMBINGCONiRACTOR MAIL407RESS CITY ZIP PHONE LICENSEe <br />Bradbury CuGtom Plumbing 14816 Meadow Rd Lynnwood 98037 747-1616 BRADBCP101MJ <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION E9 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTFCT PERSON ANO PHONE NOJF OTHER THAN AflOVi <br />CONTRACTPRICEOFWORK:$ Todd Bradbury 742-1616 <br />DESCRIBE WORH AND SOUARE FOOTAGE INVOLVED <br />Plumbing for remodel <br />PROPOSEO USE OF 6UILOING <br />Single family residence <br />LEGAlOESCRIPTION OF PROPEPN �SHOW �ELOW OR NTTAGH FOUR <br />LOT_ BLOCK _ OF <br />415 - 51st St SW <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />1 WATER CLOSET (TOILE7) <br />]c� BATHTUB <br />1 KITCHEN SINK 8 <br />1 DISHWASHER <br />LAUNDRYTRAY <br />1 CLOTHES WASH <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAW LEADERS <br />SINK (SERVICE - BAR. ETC.) <br />SETCnGK <br />1VPE OP GONSiRUGiION ALI O':lA9tE <br />SIZE OF BLOG <br />FEASON FOR <br />M.M, <br />SUB TOTAL <br />LOT�FEA <br />NO. OF STORIES <br />PIRE SPFMKLERS <br />❑ YE$ ❑ NO <br />pV I P��JS APPROVED DY <br />FEE <br />S <br />��� <br />SI Zs <br />SIDE SET�:.GK <br />VACANT SItE <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />NC - F�'HNOLG UNITS - H.P. <br />FORCEDAIRSYSTEMS-B.T.U. MEA. <br />UNITHEA7ER5-D.T.U. M <br />CIOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATER HEATER _ <br />WOOD STOVE <br />METAL FIflEPLACE 8 CHIMNEY <br />FIREPLACE INSERT �� <br />I1EAT PUMP <br />GAS PIPING annna�?= <br />EXHAUS7 FAN ca or. <br />SUB TO" <br />PERMIT <br />�TOTA�LF <br />FI EE <br />S <br />5 <br />FEE <br />FEES 8 VALUATION t FEE <br />❑ VES ❑ NO <br />�A� xcnou�'� I:oCFDwELLiNGU��rS BUILDING S <br />PLUM8ING iS On <br />�ASEMENT <br />❑ vEs O�+o MECHANICAL 21 SO <br />HEIGHTLIrd!iqTION OTHER <br />STATE BUILDING SURCHARGE <br />STATE ERERGV SURCHAPGE <br />CITY OF EVERETT p�BLIC WORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL 46 50 <br />3105 <br />WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />RERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CERSES FOR �JIORE THAN 180 DAYS. �' ` - = <br />� <br />2?354 <br />