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� IheCoergrcer. � �-` <br /> ��noF �.,�� �O�VST�RUGTION _ <br /> ev�!��v�� PERMII� PERMlT N0. ���1�� <br /> 259 -8810 • <br /> ❑ 6EMOLITION E;kCOM81NATION ❑ BUILDING ❑ I�IECHANICAL ❑ F�WMBIN3 ❑ SIGN <br /> OWNEH MML�DDI1E55 CITV ZIP PHONE <br /> Crc,by Ilomes 160QU t;ill Creek Rlvd. t;ill Cree3:, 4'A 9E077 74;-0?.32 <br /> TENnN' 1AqILADDlIESS QTY ZIP PHONE <br /> ARf1111•'_CTOIi�E51GNE7 A1NL�O�RE55 CITY ZIP PHON[ <br /> G[NEl1�LCONti1:!:i(R AIAIIADDf1E55 CItV ZIP PHONE IICENSE• <br /> Uem e•. CR0;1`;l I 171 T.n <br /> MECH�NIJ�Lbc "fIP�TG(1 h1AILADDRESS CITY 21P PIION[ UCENSE� <br /> PLUMBINGCONTfiACTOR MAIIADORESS CIiY ZIP PNONE IICENSE� <br /> CLA55 OF WOPK <br /> C'�_NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIFl ❑ DEMOLITION ❑ BUILOING RELOCATION <br /> CUIJTACT PERSON ANO PMONE NO IF OfNEB TIIAN AOOVE <br /> CONTRACT PFICE OF WOFK:$ <br /> 0[SCRI�E WORN ANO Sf V�RE FOOTp4E INVOLV[D <br /> [te.w Construction <br /> anovoseo use ov ounowc <br /> ;innle Lanilv zesidcmce <br /> LEGnL DESCf1IPT10N OF PnOPERTY(SHOw OELO W OR ATTnCH FOUB COPIES) <br /> �OT � pLOCK—OF �ii110tY I�11❑ <br /> J0�AODfiE55 <br /> 971(I lSt}, n�.n f' <br /> PLUMBIYG MECHANICAI. <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �YATERCLOSET�TOILET) r � NC—A/HNDLGUNITS—H.P. <br /> BATHTUB r FORCED AIR SVSTEMS—O.T.U. M El.. <br /> LAVATORYIWASHBASIN) � UNITHEA7ER5—B.T.U. II.'.�'i.-!!pq • ;C1��� li!II!,+;I��'��'('; . <br /> SHOWE(i � CLOTHESORYEqS � _ <br /> KITCHEN SINK 8 DISP. � � VENTILATION FAN j�f II I�.i '.'I:9! � <br /> DISHWASHER � RANGEHOOD !.ii�i�� "��:�! ,' '� <br /> LAUNDRYTRAY WATEI7HEATER !�� �'i�� i;�.t: I I! <br /> CLOTHESWASHER �. WOODSTOVE i•! !'I; ` ' 'I <br /> URINAL METAIFIRGPLACEBCHIMIJEY'�!i;� � -il,' �� <br /> DRINKINGFOUNTAIN FIREPLACEINSERT !'i,i'�'�;?,=,',`:' <br /> FLOOR�RAIN HEATPUMP I:.�.i�-i' �:1t1 i �l <br /> �ACKFLOWPREVENTERS � � GASPIPING '��:.{�';"f:���;'� <br /> ROOFDflAINS—FiAINLEADERS EXHAUSTFAN t,riil'�• -r'(� i �; <br /> SINK(SEflVICE—BAR.ETQ) ��li:�, : f �":i) � ii <br /> 'I .. ':1! �i <br /> '�i' !: i1 ' • �} <br /> SUBTOTAL f SU�TOTAL f <br /> PfHMIT S PEfIM1T S <br /> TOTALFEE f TOTALFEE S � <br /> FRONTSETBACK nEARSETonCR SioESETnncK � ` PLANCHECKNUMBER FEE f7ECEIPTNO. <br /> 70 eXCe t . S 2 .K, ; fi � �'^/22C87 P.•aS'1C <br /> USE20NE LOTAPEA VACANTSITE — <br /> FEES OU�LnDINGC0:1E FEE <br /> ,_, n q,rEs ❑No — <br /> 7VI'fOFCONSiPUCiIONAILOWAOIE iYl'EOFCONSiNUC110NAC1bAL ������� r00FOtV(ILIHGUNIIS �UILDING 5 �� � � �n <br /> — ' ''��� �� PLUMOING � <br /> SIZEOFULOG NO.OFSTO�IGS �45ER'ENT — <br /> � ,� :y . [],YES ❑ NO MECHANICAL "' <br /> . � <br /> OCCIIPANCYLOAD FIRESPRINKLEfI511E0'� ME�GHTUIdITAT10N OTFiEF <br /> r �* ❑ VES �JO �� <br /> riensOr�we SPRir+rctEns ST�TE�UIL�ING SURCHA�GE � � <br /> STl�TE ENERGY SURCHARGE <br /> APPLICATIONACC.BY PLANSAPPROVEDBV CITY OF EVERETT <br /> LOCALSALES ru�ucwor�Ks ,��� <br /> TAX CODE IS <br /> [9.li. J.:�. 3105 TOTAL .�i n_ <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> I PERMITS EXPIRE IF WORK IS NOT C0111MENCED WI7HIN $fAl[AUf1ff011 �2.7}� I <br />