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CITV OF EVERE'fT <br />�PJNSTRUG�"iON . _ - <br />P�Filvll� PERti11T N0. 2%715 <br />259-8810 <br />❑ DEMOLITIOK ❑ COMB!NATION ❑ BUILDING CXMECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILA�DRESS CITY ZIP PHONE <br />Arthur Ilolstad 10012 9th Ave W Everett 98203 348-3387 <br />TENANT MAILAD�RESS CITY ZIP PHONE <br />OROE��GNER MAILAD�RESS CITY ZIP PM�NE <br />GENERALCONTRACTOR MAILN�OPESS CITV ZIP PMOhE LICENSEF' <br />MECMANICALCONTRACTOR MAILADOFE55 CITV ZIP VHONE LICENiEu <br />Valley Natural Gas 2605 PfcDougall Ave Everett 98201 959-5492 V.�LLCNG153L1 <br />PLUMBINGCONTFFCiOR MAR�DORESi f,ITY ZIP PF'.ON[ UCENSEY <br />�1A55 OF �YORK <br />❑ NE`N ❑ ADDITION [� ALTERATION <br />CONTRACT PHiCE OF WOPK: S 480 <br />O[SCRIBE WORKAND SOUAPE FOOTAGE INVOLVED <br />Install caall fu:nace and water heater <br />❑ REPAIR O DEMOLITION <br />CONTACT PFRSON AND PMONE NO. IF OTMER <br />❑ BUILDING Fi¢�OCATION <br />OS/1�;°? ��iip" �JO�FrE;£BSb <br />F 70PO+ED USE OF BUILOIIIG IiOOOL%�i � <br />Single family res _ _ <br />—_ I. •JJ. <br />LF_GAL DESCHIPTION OF PBOPERiY (SHOW OELOW OR ATTAGM FOUR COPIES) ��OOOc7lI1�� <br />LOT_—BLOCI"� <br />eoano�r+ess <br />10012 9th Ave W <br />PLUMBING <br />N0. TYPE OF <br />VJATER CLOSET (TI <br />BATHTUB <br />LAVATORV IWASH I <br />ORITEM � FEE <br />KITCHEN SINK 8 DISP. <br />UISHWASHER <br />IAUIJDf i l TRAY <br />CLOTHLS WASHER <br />URINAL <br />DRINKING FOU�TAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOFDRAINS-RAINLEAC7ERS _ <br />S�NK (SERVICE-BAR, ETC.) <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTALFEE 5 <br />USE Z01�E <br />iYGE OF COYSIRUC*I( <br />SIZE Of BLDG. <br />OCCl1PARCY LOAD <br />REA ;7N POR SPRI <br />LOTAPEA VACANTSRE <br />❑ YES C <br />TV?EOFCONSiHUCi!ONFCTUAL ��"'a'r� �'� <br />c�oa= <br />�iD.JF5TOR1E5 OASEMENT <br />ov IP�NS <br />❑ vEs ❑ Ho <br />ESPRII.KlERSFEC� MEIGHTLRdITATION <br />�es ❑ r�o <br />p1 I CITY OF EV='REl'.' <br />I LOCALSALES <br />TAX CODE IS <br />3105 <br />„000�7714 <br />t�000z�7is <br />u000z•r�:� <br />MECHP,NICAL t3��� <br />NO. TYPE OF EOUIR� ,�N, T <br />A/G-AMN�LGUNITS-H.P. �y{F(`E! <br />F03CEG:1IRS/STEMS-B.T.U. M <br />UNITHEATEflS-B.T.U. M <br />CLOTHESDRYERS <br />VEN71LdTION FAN <br />qANGEHOOU <br />1 WA7ERHEATER <br />WOOU STOVE <br />METAL FIREPLACE t <br />FIREPLACE INSERT <br />HEA'i PU�dP <br />GAS PIPING <br />FXHAl1ST FAN <br />1 65M BTU wall heater <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEE S <br />PLANCHECKNUMBER FEE ' RE'EIPTNO <br />FEES B�pWATION�E �I <br />BUILDING 5 � <br />PLUMBING � �— <br />MECHANICAL <br />orriea <br />STATE 9UIL�ING SURCHARGE <br />S7ATEENERGVSUFCHARGE <br />PUBLIC WORKS <br />TOTAL I I 3010� <br />WHEN PROPERLY VALIDATEL' THIS IS YOUR PERMlT <br />PERMI7S EXPIRE IF WOAK IS NOT COMMENCED WITHIN 2 7 7.15 � <br />180 DAYS OH CEASES FOR MORE THAN 180 DAYS. .-�+��� `t�GS �-�' r — � <br />� <br />