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1he Eucrgreen �--�� �,.� N ST R U CT i O N W I s <br />;;ITY OF <br />ever�ett PERMIT PERMITNO. ��Lj�� <br />259-8810 <br />❑ DEMOLITION ❑ C,OMBINATION ❑ UUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OVINEP MAiIl.00RE55 CITY ZiP PMONE <br />A1 Dantico P.O. Aox 5636 Everett, �9A 98206 355-3558 <br />T'cNANT MRILAODRESS CITV ZIF PMONE <br />ARLHITECi0R0E5�liNER I.IAILAODAE55 CIIY :JP PHONE <br />GENEFAi.CONTRO.GiOR <br />Alp?�a Coi;tracting <br />FLUMBING CONTR: CTC R <br />CLA55 OF WORK <br />❑ NEW ❑ AODITION <br />$R(32 MAILAOORE55 CITY ZIP PHONE LIGF.NSE• <br />5325 ka;cex8kexe kk Lake Stevens, WA 98258 334-7316 ALPHAC223DH <br />lAAILAODRESS CITv 21P PHOHE LICENSE• <br />MPIL FOOAE55 <br />❑ ALTERATION <br />CONTRACT PRICE OF WORK: S 1500.00 <br />DESCRIBE WONI: AND SOUARE FOO'fAGE INVOLVE� <br />Plumbing <br />CITV ZIP PMONE LICENSE� <br />� HEPAIR ❑ DEMOLITtON ❑ l?UILDING RELOCAiION <br />CONTACT PER501! AHD PHONE NO. IF OiHEH IHFN ntlUvt <br />;ingl�: family resic:ence _ <br />LEGhL �ESCRIPTION OF PROPERTY (SHOW BELOtY OR ATTACH FOUF COP�ES) <br />LOT _— O�OCN __ OF — <br />,10� ADDRE55 <br />1413 4askxSk 21st St. <br />PLUMBING <br />ryp. TYPE OF FI%TURE OR ITEM <br />WATER CLOSF.T (TOILET) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISH�VASHER <br />tAUNDRVTRAV <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />�ACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEAC7ERS <br />SINK ISERVICE— BAR. ETQ) <br />VSE ZONE <br />size oF o�oc <br />SUBTOTRL <br />PERMIT <br />TOTALFEE <br />REAR SETBACK — <br />LOT AREA <br />iVFf OF GONSiFUC710ii ACTUAL <br />NO OF STORiES <br />FIRF SPNNKLEFS REO'0 <br />❑ vE5 ❑ YO <br />nEASON FOR svN�rvn�errs <br />APPLICATION ACC. BY � FLANS <br />M.M. <br />f <br />S <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SVSTENS — 8 TL. ..I EA. <br />UNIT HEATERS — B.T.U. �d <br />CLOTHES DRYERS <br />S GO VENTILATION FAN <br />RANG�Ii00D <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPI.ACE & CHIMNEY <br />�IREPLACE INSER7 <br />HEAT PUIdP <br />GAS PIPI��G <br />EXhIAUST FAN <br />SUBTOTAL S <br />PEflM1T S <br />TO L <br />NUMBER FEE / F <br />u000z�.�9i <br />vncnNrsrte FEES <br />❑ YES ❑ NO - <br />���o^'�� N09FONELLIhfON115 BUILDING <br />PLUMBING <br />tlaSEMENT <br />❑ YES ❑ NO MECH.4NICAL <br />HEIGHTLIMITATION OTHER <br />STATE 6UILDING SURCHARGi <br />STATEENERGVSURCHARGE <br />CfrY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE !S TOTAL <br />FEE <br />F@ iNccooa�,1..UU FEE <br />iG. � <br />r +� <br />F'LE:G 9�1 .DO 15 00 <br />tL <br />c ��• <br />CHECt; 5164.00 <br />- 15 00 <br />3105 � WHEN PROPERLY VALIDATED THIS IS YOUR <br />PERMITS EXPIRE IF WORK IS NOT COMMENCEa WITHIN qDDRESS FILE G.) �� i I <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. `� <br />