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"1eE��'e�` �`' C�NSTRUCTlON '�� � <br />CiTYOF 22649 <br />�verett PERMIT PERMIT NO. <br />259-8810 <br />COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />❑ DEMOLITION ❑ cirv ������� <br />OWNEit MPIL FD�RESS <br />M.F.Burruss 3015 21st St. Everett 96201 259-3216 <br />MRIL AOURE55 GTV <br />TENANT <br />ARLHITECT OR OESIGNER <br />MAIL AODBE55 ��Tv <br />GENEFALCONTRACTOR <br />MAILAO�PE55 GITY <br />Owner <br />h1AIL <br />PWMBING GONTRACTOR MAII AO�Ht'� <br />CLASS OF WORK <br />n ucw ❑ ADDITION ❑ ALTERATION <br />CONTRACT PRICE OF WORK: S 500.00 <br />DESCRIOE WORk ANDSOUAREFOOTAGEI�VOLVE� <br />Roof Repair <br />PROPOSE� USE OF BUILDiNG <br />SFR <br />LEGAL DESCBIPTION Of PPOPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -- BLOCK -- �F <br />JO�AOOHt�� <br />3015 2 <br />PLUMBING <br />NO. <br />FIXTURE <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLO(1R DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - F7AINLEADEFiS <br />SINK (SERVICE- BAR. ETC_) <br />SIZEOFOWG. <br />occuvnr+cv �ono <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REAR SET�ACK <br />LOT AtiEN <br />7VPE pF CONSiNI1CilON ACiUAL <br />N� OFSTORIES <br />IFlRE SPRINNLEPS REO'0 <br />O �ES ❑ NO <br />S <br />S <br />ZIP <br />21P <br />ZIP <br />u�r _.. <br />CIiV 21i <br />� REPAIR ❑ DEMOLITION <br />PHON[ <br />PHONE <br />GHONE <br />LICENSE � <br />�ICENSE • <br />. iirvrac:• <br />❑ 6UILDING RELOCATION <br />C.ONTAGT PERSON AND PMONE NO IF O i HER � n..�• ......... <br />MECHANICAL <br />FEE NO. TYPE OFEQUIPMENT <br />q/C - A/MNDLG UNITS - H.P. <br />FORCtD AIR SYSTEMS - 6�T�U. M <br />UNIT HEATERS - B.T.U. M <br />CLOTHESDRYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />WATE�7 HEATEA <br />WOO�STOVE <br />META4 FIREPLACE 8 C4IMNEY <br />FIREP_ACEINSERT __ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB <br />SIOE SETonGN PLAN CHECK NUAI6EH hS.�H <br />4H <br />VACANT SITE FEES eu��oiNc a <br />❑ YES ❑ NO SSOO.00 <br />a'�qap�+ NO Of �WELLINGIINIlS BUILDING <br />PLUMRING <br />OFSEMENi <br />❑ VES ❑ NO MECHANICAL <br />HEIGHTLIMITATION OTHER <br />STATE BUILDING SURCHARGE <br />STATE EtvERGY SURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES - <br />TAX CODE IS TOTAL <br />3105 ...ucu oonocol V VA1 InATED <br />�CEIPT NO. <br />FEE <br />15 00 <br />4 0 <br />19 50 <br />YOUR PERMIT <br />. <br />r�;) r.^, <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qpDR!:SS PIL[ � r'- " <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. � <br />- — '9 <br />