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"�E°�` !` ��NSTRUCTl�N � <br /> CITY OF <br /> everett PERMIT PERMITNO. _ 24396 <br /> 259 -8810 <br /> O DEMOLITION ❑ COMBINATION ❑ Bl11LDiNG }G�UAECHANICAL ❑ PLUMBING ❑ SIGN <br /> � OWNER MAILAppRE55 CITV ZIP PHONE <br /> David Bigelow 5126 Narbeck Ave. F,verett 98203 347-0825 <br /> TENANI MAILADDRE55 CITV ZiP pHONE - <br /> AflCHITECTORDESiGNEF MAILADCSESS CITY ZIP PMONE <br /> GENE9ALCONTRACTOR MAILA�ORE55 CRY 21P PHONE LICENSE• <br /> MECHANICALCONTRACTOq MAII.ACORE55 CITY 21P PHONE �ICENSE� <br /> Owner BIGELD1333q2 <br /> PLUMBING GONTflACTOR MAIL AODRESS CITY ZIP PHONE LICENSE� <br /> CLASS OF WORK <br /> }� NEW � ADDITf.7N ❑ ALTERATION ❑ qEPO.IR ❑ DEMOLITION O BUILDING RELOCATION <br /> CONTACT PENSON Ak�PHONE NO.IF OTHER THAN qBOVE <br /> CONTRACT PR�CE OF WORK:$ SOO.00 <br /> OESCRIBE WORK ANO SOUAflE FOOTAGE INVOIVED <br /> n4nai9n a• �Pk nnoaunm�a rrk� <br /> VflOPOSE�USE OF 9UILDING <br /> � <br /> uIff�ltlp"`4i47 tv� <br /> �EGALDESCRIPTIONOFPHOPERTY�SHOWOELOWORATTACHFWRCOPIES� fLCH S3O.W <br /> �or_ e�ocK—or- HMfI^4'{9/, <br /> fffCH 530.00 <br /> ruFry :�n nn <br /> JOBADDPESS <br /> 8 -Blda 1 <br /> PLUMBING MECHANICAI. <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-�A/HNDLG UNITS—H.P. <br /> BATHTUB FOF.CED AIR SVSTEMS—B.T.U. M EA. <br /> LAVATORY(WASH BASIN) UNIT HEATER�—B.T.U. M <br /> SHOWEfl � CLOTHESDHYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASMER y RANGE HOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINNING FOl1NTA14 FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—ql.INLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETQ� <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT f PENMIT f <br /> TOTAL FEE S TOTAL FEE S QJ <br /> FFlONT SETBACR REnR SETBACN SiDE SETBncR p�AN CHECK NUMDEfi FEE RECEIPT NO. 3O.OO <br /> USE 20NE lOT 4REA VACRNT SITE FEES BUILOING CODE �E <br /> ^VES ❑ NO <br /> ttFEOfLONSIFUGiiONALLOWAOIE 7YPEOFCOHS7NUCilOKACNAI �^p� NOAfOWEIIINGUN175 BUILDING g <br /> PLUMBING <br /> SIZEOFBLDG NO.OFSTORIES BASEMENT <br /> ❑VES ❑NO MECHANICAL 30.00 <br /> OCCUPANCYLOAD FNESPRINNLERSREOD NEIGHTLIMITATION OTHER <br /> O�ES ❑ NO <br /> REASON FOR SPfliNNIERi STAI E BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPUCATIONACC.BY PLANSqPPROVEDBY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 30.00 }q� <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 4 3 9 6 <br /> 180 DAYS OR CEASES FOR MORE THAN 780 DAYS. <br />