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lheEvergreen "� CJNSTRUCTION ("~ "��" <br />CITY OF <br />everett PERMIT PERMlTNO. _ �U�J� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING X87MECHANICAL ❑ P�UMBING ❑ SIGN <br />01VNER MAILAODRFSS CITY ZIP PHC�'� <br />Ken Seahaus 2819 - 21st Everett 98201 258-2106 <br />TENANT AtAILqD�RE55 CITY Z�P PMONE <br />HRCHITECTORUESiGNER MAILAC�HE55 CITY Liv rnurve <br />GENERAL CONTFRGTOR MNIL AODRE55 CITY Z�� PMONE LICEfrSE � <br />MECIIANIC/LCONTRACTUR MAILAD�RESS CItY ZIP PMONE UCENSE� <br />Washinoton Natural Gas 112 SE Everett Mall Way Everett 98204 355-3331 WASHIfiG285CB <br />PWMBINGCONiRACTOR MAIIFp�RE55 CITY 21P CMONE LICENSE� <br />CLA55OF WORN <br />❑ NEW �ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING REIOCATION <br />CONTRACT PRICE OF WORN: S' <br />OESLRIpE WORN AND 50'JARE FOOTAGE INVOLVED <br />Install aas ranae <br />PROPOSEO US[ OF pU1LDING <br />Sinqle familv residence <br />LEG\L �ESCPIPTION OF FROPERTY (SHOW BELOW OF ATTACH FqUii COPIES� <br />LOT _ pLOCR — OF <br />JOB ADORESS <br />/tl�`+ — LSSL tir_ <br />PLUMBING <br />NO. TYPE OF FIXTUHE OR ITEM <br />WATER CLOSET ITOILETI <br />LAVATORY(WASHBASIN� <br />�HOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASNER <br />IAUNDRV7RAV <br />CLOTHES WASHER <br />URINAL <br />CRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETC.1 <br />USE20NE <br />sze oF e�oc <br />OCCUPANCYLOAD <br />fi[�SON FOR SPRINKLEPS <br />LONTACT PERSCM AND PHONE N0. IF OTNER THAN r190VE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — NHNDLG UNITS — H.P. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />UNITHEA�ERS—B.T.U. LII2B/9m+ 3 <br />CLOTHES DRYERS � <br />VENTIIFTION FAN iIOOOGbOSZ <br />pANGEH000 �— <br />WATEF HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMt � <br />FIREPLACEINSERT �— <br />—� HEAT PUMP <br />GAS FIPING <br />��'— <br />EXHAUSTFAN <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />iR SETpACK SIOE SET�ACK <br />f AREA VACRNT SITE <br />aciva� <br />NO OF STOPIES <br />FIFE SPfiINKLEBS PEO D <br />7 vES ❑ NO <br />SUB 70TAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECK •JUMBER FEE <br />❑ YES ❑ NO <br />��o!,'r� NoOFOH'eun�6urvns BUILDING 5 <br />PLUMBING <br />�ASEbtEN` <br />❑ VES ❑ NO FdECHANICAL <br />NEIGNTLI�dITAT10N OTHER <br />STATE BUILDING SURCHARGE <br />, STATEENERGYSUFCHARGF <br />CITY OF EVERETT pUBLIC WORKS <br />LOCA�SALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALI <br />PERMITS EXPIRE If WORK IS NOT COMMEN(:ED WITHIN <br />180 DAYS Ufl CEASES FOR MORE THAN 180 DAYS. <br />AOGRESS RL� <br />� <br />f <br />S <br />fiECEIPT NO. <br />YOUR PERMIT <br />2605? <br />