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theEvC� OF '�`` �NSTRUCTION � 'w�� <br />everett PERMIT PERMITNO. 221 U� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING i�MECHANICAL � PLUMBING ❑ SIGN <br />OWNEP MAILADORE55 GITY ZIP PMONF. <br />Donn GIlbeit 3111 54th St. SW Everett 98203 <br />TENANT MAILADpRESS CITY ZIP PHONE <br />OR OESIGNER <br />h1AIL AOORESS <br />CITV ZIP PHONE <br />GENERFLLONTRACTOR MAILADDRE55 CITY ZIP PNONE LIGENSEs <br />MECHANICAICONTPACTOR MNILADDpESS CITY 2�P PMONE LICENSEn <br />Valley Nat. Gas 26051 McDougall Evetett 98201 259-5492 VALLENG152LI <br />PLUMBINGWNTRACTOR MAILFODRE55 CR'/ ZIP PHONE UCENSEu <br />GLA55 OF WORN <br />❑ NEW ❑ ADDITION i9 ALTEHATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WOPK: �y <br />DESCRIBE WORK AND SOUFRE FOOTAGE INVOLVEO <br />Install furnace and water heater. <br />PROPOSE� USE OF <br />SFR <br />EGAL DESCRIPTION OF PROPEPTY �SHOW BELOW OR ATTnCM FOUR COPIES� <br />LOT _— BLOCK — OF <br />JOBADDRE55 <br />3111 54th St. SW <br />PLUMBING <br />NO. TYPE OF FII <br />WATER CIOSET ROILF <br />LAVATORV�WASHBAS <br />SHOWER <br />KITCHEPI SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOii ORAIN <br />BACKFLOYlPREVENTE <br />ROOF DRAINS — RAINL <br />SINK (SERVICE — BAR, <br />FqONTSETBACN <br />USEZONE <br />iYFE GF <br />h79 <br />SUBTOTAL <br />PERMIT <br />70TALFEE <br />LOT AREA <br />ACiOAL <br />SIZEOFBLOG. NO.OFSTOPIES <br />OCCUPANCYLppG FIRESPRINNLERSREO'D <br />❑ VES ❑ NO <br />FEn50NFORSFRiNKLERS <br />APPUCATION ACC. BV PLANS FPPROVED BV <br />S.H. <br />LONTACT PER501.1 AND PHONE NO IF OTMEfl TMAN ADOVE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />1 FOFCEDAIflSYSTEMS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />], WATER HEATER <br />WOODSTOVE <br />M1".ETAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />z GAS PIPING <br />E%HAUSTFAN <br />� <br />S <br />S <br />SIDE 5[TBACK <br />sue <br />NUMBER �FEE <br />VFCANT SITt <br />FEES <br />❑ YES .� NO <br />x���P� NOOFDNEILINGUNIiS BUILDING S <br />PLUMBING <br />BASEMENT <br />❑ YES ❑ NU MECHANICAL <br />r+EiGHT��uiralw�+ OTHER <br />STATE 6UILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 ....._.. ------....... . <br />FEE <br />RECEIPT NO. <br />THIS �S <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE G�� C� <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />JI <br />151 50 <br />