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fheEuergreOF � �` C�N�TRiJCTION r-� �� � <br /> everett PERMIT PERMITNO. _ 22 �� � . <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUIL�ING Q MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MFILAOORE55 CITY ZIP PMONE <br /> Pacific Huts and Castles 1420 NW Gilman Blvd. #2272 Issaquah 98027 392-9105 <br /> TENANT IAAIL ADORESS CITY ZIV PHONE <br /> AqCM1tECT OR DESIGNER MAIL AOORE55 CITY ZIP PMONE <br /> GENERFLCONTRACTOR MAI�AppRE55 QTV ZIP PHONE IICENSE• <br /> MECHANICAICONiRACTOq MAILADORE55 CRY 21P PHONE LICENSE� <br /> Custom Gas Serivice 22329 57th Ave. SE Bothell 98021 481-5515 CUSTOG5231P6 <br /> PWMBINGCONTRACTOR MAILADDRESS CITY ZIP PMONE LICENSE+ <br /> CLASS OF WOFK <br /> C�NEW ❑ ADDITIpN ❑ ALTFRATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PEPSON ANO PHONF NO.IF OTMER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ <br /> OESCRIBE WORK AND SOURRE FOOTAGE INYOLVED <br /> Gas piping <br /> PqOPOSE�USE OF BUII�ING <br /> SFR <br /> LEGFL DESCNIPTION OF PROPEFTV(SHOW 6ELO1Y OR ATTACH FOUR COPIES� <br /> LOT— BLOCK_OF <br /> JOBApDRE55 <br /> 47 2 t <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—A/HNOLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. bt EA. <br /> J'JATORY�WASHBASIN) UNITHEATERS—B.T.U. M <br /> SHOWER CLO7HE5 DRYERS <br /> KITCHEN SINK 8�ISP. VENTILATION FAN <br /> DISHWAS'1EF RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEfAL FIREPLACE 8 CHIAINEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> B�CKFLOW PREVENTERS Z GAS PIPING 3 O <br /> ROOF DRAINS—RAINLEAOEflS E%HAUST FAN <br /> SINK(SERVICE—�AR,ETQ) <br /> � � � <br /> SUB TOTqL 5 SUBTOTAL S 3 7 <br /> PERMIT S PEH `-`-'- S 1S J <br /> TOTAL FEE f TOT ],$ �� <br /> rnONT SET�ACR REAR SETBnCK SIOE SETBACN PLAN CHECK NUMBER ` EIPT NO. <br /> USEZONE �OTAREA VACANTSR[ -- <br /> FEES ew�oiNc cooe FEE <br /> ❑VES ❑ NO �^ — <br /> iY1fOfCON9FUCilON�LLOWABIE lYPEOFCONSTFUC�IONACil1Al °�qo�p'�� NOOFOR'EILMGUNIIS BUILDING S <br /> PLUMBING <br /> SIZEOFBLOG NO.OFSTORIES BASEMENT — <br /> ❑VES ❑ NO MECHANICAL ZB JO <br /> OCCUPANCYLOAD FIRESPRINRLERSREO'D HEIGHTIIMITFTION OTHER <br /> ❑ VES ❑ NO — <br /> REASON FOR SPRINKLERS STA7E BUILDIN 3 SURCHARGE <br /> STHTEENERGYSURCHARGE <br /> FPPLICATIONACC.BV PLANSAPPROVEDBY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> s.t3. TAX CODE IS rora� ,� <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WQRK IS NOT COMMENf,'ED WITHIN AODR[iSS FILE 2 2 2 7 6 <br />` 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />