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the Elvir rvIn <br /> CITY OF C-nNSTRUCTION -- <br /> everett PERMIT PERMIT NO, <br /> 259 -8810 <br /> ❑ DEMOLITION O COMBINATION E7 BUILDING I MECHANICAL :<:{, PLUMBING P SIGN <br /> OMNER MAIL ADDIE51 lily ai •. I <br /> Mark Zehnder 13409 11th Ave HE Marysville, WA 98270 659-0812 <br /> TENANT MAIL ADORES, CITY ILP RgNE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS a" bP HIONE <br /> CEMERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br /> Owner <br /> MECHANICAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENMA <br /> PLUMBIHOCONIRACTCR MAIL ADMEN OFF ZIP PgNE LICENSER <br /> CLASS Of WORK <br /> CI NEW O ADDITION D ALTERATION Cl REPAIR ❑DEMOLITION O BUILDING RELOCATION <br /> CONTACT PERSON ANO PIKIIR NO If OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK:$ —_ <br /> DESCRIBE WORK AND SQUARE FOOTAGE'11VOLVED <br /> Replace water line from house to shut off valve <br /> PROPOSED IRE O BUILDIHO <br /> Single family residence <br /> LEGAL DESCRIPTION Df PROPERTY(SHOW BELOW OR ATTACH FOLM COPIE51 <br /> LOTS BLOCK_OF <br /> JOB ADDRESS <br /> 625 58th St SE <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FIXTURE OR ITEM FEE No. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET; ARC-A/HNDLG UNITS-H P <br /> BATHTUB FORCED AIR SYSTEMS-R T U MEA. <br /> LAVATORY(WASH BASIN) UNIT HEATERS-BTU M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK L DISP VENTILATION FAN <br /> DISHWASHER RANGEHOOD <br /> LAUNDRY MAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE A CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADER6 IEXHAUSTFAN <br /> SINK ISERVICE-BAR.ETC; <br /> 1 water line <br /> SUB TOTAL i BUB TOTAL { <br /> PERMIT { PERMIT { <br /> TOTALIZE 1 TOTAL TEE f <br /> FRONT 6ETBACX REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE •-CEIPT NO <br /> USE ZONE L07AREA VACANT SITE FEES BUILONO COEN FEE <br /> O YES O NO <br /> HRdCdR1KOlON NIaYAKf TRTd CBNSIPUCIOK ACTWI ' AD aDMLLFPGIMTf BUILDING <br /> ph oonaH5117i AW <br /> PLUMBING / 15 00 <br /> SMCIX BIOD HO OF STORIES BASEMENT UO <br /> O YES D NO MECHANICAL <br /> OCCWANCYIWp f1M6P111NI(lER9MOD IIEIDNfLINITATION OTHER CHECK tl .DO <br /> D YES D NO <br /> REASON FON SPRINKlE09 STATE BUILDING SURCHARGE <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACF-07- PLANS APPROVED BY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 15100 <br /> M.M. 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AODRI SS. I It F 2 7 rN <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />