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theEu�rgreen �� C�,,NSTRUCTION � � <br />CITY OF <br />everett PERMIT PERMITNO. _ ��� �`+ <br />259-ti810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BU�LDING KI MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfl MAILADDflE55 C�TY ZIP GHONE <br />Sandra Luczak-2ipp 5306 33rd Ave W Everett, WA 98203 347-0547 <br />TENANT MAILAOORESS CITV ZIP PHONE <br />ARCMITECT OR DESIGNEF MAIL ADDRESS CITY ZIP PHONE <br />GENERALCONTPACTOR MAIIA�OFE55 CITY ZIP PHONE LICENSEd <br />MECNRNICALCONTRACTOR M'•I'.ADORF:S CITY ZIP PHONE UCENSE+ <br />Natural Gas Equipemnt Co., Inc. 16�5 E Dfarine View Dr Everett, WA 98201 258-2441 <br />PLUMBINGCONiBACTON R1AV,p��PE55 CITY ZIP PMONE UCENSEu <br />��-"-_ �- NATURGE320N6 <br />�;�'�` . CLASSOFWORK <br />��._ . ❑ NEW � AD�ITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I CONTACT PEfiSON AND PIIONE N0. IF OTMER THAN ANOVE <br />CONTRACT PRICE OF WORK: S <br />� �ESCRIBEWONKANnSOUAREFOOTAGEINVOLVED� <br />Install boiler and water heater <br />PROPOSED USE OF BUILOING <br />Single family residence <br />LEGAL DESCFIPTION O� PROPERTY (SMOW BELOW OR ATTACH FOUf� COP�ES) <br />LOT -- OLOCN - OF <br />5306 33rd Ave W <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES�'dASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PFiEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETCJ <br />FRONi5ETB4CK <br />USE20NE <br />ivf4 OF LONS7PUGilON ALIOWABIE <br />S�ZE OF BLOG <br />OCCUPf.NCY LOAO <br />FE�SONFORSPqINNLERS <br />APPLICATION ACC. BV <br />M.M. <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HN�LG UNITS — H.P. <br />FORCED AIR SVSTEMS — B.T.U. A1 EA. <br />UNIT HEATERS — B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />], NJATER �1EATER <br />WOODSTOVE _ <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPIACEINSERT <br />HEATPUMP <br />�X �hSPIPING ^? <br />E):HAUSTFAN �fC�H <br />1 boiler. 100,000 �H i <br />SUBTOTAL S SU9TOTAL <br />PERMIT S I PERMIT <br />TOTAL FEE S � ' I TOTAL FEE <br />>RSEiBnCK SIOESETBaCH PLANCHECKNUh1BER FEE <br />�OT AREA <br />r�e� aF coxsiaucrion ncrw <br />NJ. O.° STORIES <br />FIRE SPRINKLERS REOD <br />❑ YES ❑ NO <br />PLANSAPPRCVE�BY <br />I VACANT SITE B111L01NG COUE <br />FEES yp UATION <br />� YES ❑ NO <br />''�a1oo`"�+oOFowEun�GunitS BUILDING $ <br />PLUMBING <br />BAiEA1ENT <br />❑ YES ❑ NO MECHANICAL 5/17/89 4� <br />HEIGHTLIMITFTION OTHEF� � <br />'908?�i9k-- <br />STATE BUILUING SURCHARGE jjECH S <br />STATE[NERGYSURCHARGE �OOO��iBS <br />CITY OF EVERETT " <br />LOCAL SALES PUBLIC WORKS 0' 02^i <br />TAX CODE IS TOTAL I�ECH 8 <br />3105 WHEN PROPERLY VA� H� <br />FEE <br />s� <br />S <br />S <br />RECEIPT NO. <br />#000?2188 <br />MECN .30.�0 <br />{k000�2169 <br />��:K:k <br />30 50 <br />R PERMIT <br />t:C,�NT IhLiE'I: <br />PERMITS EXPIRE IF WORMC IS NOT COMMENCFD WITHIN ADDRESS FI�E �[, (�S `r <br />180 DAYS OR CEASES 1=0R MORE THAN 180 DAYS. <br />