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the ticergrecn <br />CITY O� <br />e�erett <br />259-8810 <br />L] DEMOLITION <br />Ut`�NER <br />Nellie Rolstad <br />,ttinHr <br />AqCHITECT Ofl DESIGN[B <br />� �ClV e �V� f ��� <br />PER�i6�' <br />PERMIT NO. _ � � � 3 `t <br />❑ COMBINATION ?[Y BUILDIPIG ❑ MECHANICAL <br />I.1ML n�DRE55 CITY <br />2010 - 17th St Everett 98201 <br />n�ai nnosess arv <br />MAIL ApOFESS <br />❑ PLUMBING <br />ZIP pHONc <br />252-6879 <br />ZiP PHONE <br />QiY ZIP PHONE <br />❑ SIGN <br />G[NER�L CONTRACTOR MAIL AD�RESS GTY 21V PHONc UCR�'iL' ��� <br />DG Construction 13812 - 3•:th Ave N�V Marysville 98270 652-6174 DGCON**242.C4 <br />:tEC�IANICALCONTRFCTOR fAAILADORE55 CIT1' ]IP PHOIJ[ �ICENSE� <br />�'LU!.1pING CONTRACTOR <br />CLA55 OF WGRK <br />❑ NEW ❑ ADDITION <br />CONTRACT PRICE OP WORK: SQ, ZOO. OO <br />ldAIL ADOFE$$ <br />ALTERATION <br />. ___..___...._____._ __...__._.__.__ <br />Roofing �, Gutter F, Donmspout <br />SP Residence <br />rRpPOSED U5E OF BUILDING <br />CITY 21P fr�pGE UCEN'_'{�� <br />REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I CONTACT PERSON �NO PHONE NO IF OTHER THqry ppOVE <br />�EGAL �ESCBiPTION OF PROPERiY �SM01'1 �ELOW OR ATTACH FOUR COPIES <br />�or�'�u�ocH�$]_oF The Plat nf F��ar�tt Iliviainn "'V" - Cnnhnmic n- arrnrA;nrt rp t <br />��55t�rT �� F.tig <br />—tllereof rernrdPd in Vnl S nf P1 ate Y P�P 7 � _ <br />h7 � � <br />ELDG $7�.00 <br />J09 ADORE55 <br />2010 - 17th St. - Lverett <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITI <br />BATHTUB <br />L 4VATORV (YlASH AASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNOHYTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINHING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />FNONTSETp�CK <br />useZo��E <br />i�Ii rFCON57PUCrION ALLotvnBlE <br />�;¢r oF niec <br />OCCUPpNCVLOAD <br />".:,�;oN Fon srnn�uKieus <br />������,:�,,,,�,�,-:��:�f,� r <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />NEAqSETpACK <br />LOT AFEA <br />IVPE OF CGNSiflUCIION AC1UAl <br />NO OF STORIES <br />FIRE SPRINKLERS REOD <br />] vE5 ❑ NO <br />Wti APPROVHD [3Y <br />5 <br />Sj <br />SIDE SETOACK <br />CHECf; �76.50 <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />A/C — A/HNDLG UNITS — HP <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />UNIT HEATERS— B.T.U. M <br />CLOTHES DRYFqS <br />VENTILATI�IN FAN <br />RANGEHOOD <br />WATEfl HEATER <br />V100D STOVE <br />h1ETAL FIREPLACE 8 L'HIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLAN CHECKNUMBER FEE <br />5 <br />S <br />RECEIPT NO. <br />FEE <br />VAC4NT SITE <br />❑ YES ❑ NO FEES 9 �Iq�l pGl ODE FEE <br />��;,�g;;;=� r�oorowuiir.nu�;us eui�oiN� 5 4 200.00 72 <br />PLUM�ING <br />BASEMENT <br />❑ YES ❑ NO MECHANICAI <br />��eicnrur.urnrioN OTHER <br />STATE BUILDING SURCHARGE 4 <br />— STATEENERGVSURCHARGc <br />CITY OF EVERETT <br />LOCAL SALES PuaucwonKs <br />TAN CODE IS TOTAL �� <br />3105 — —J---- <br />WFiEN PRGPERLY VALIDATED THIS IS YOUR PERh91T <br />PERMII'S E;iP!FE IF \VOHK �S NO"f i;OPAfv7EI'd�;[D `.NITHifJ <br />ADI��R; °: f �'�_I. <br />180 D/-',YS OR Ce:ASES FOR MOIiE THAI� 1(30 DAYS. <br />n <br />