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�4 <br />s <br />159.8810 <br />xt01-17 <br />tT7 > <br />ay <br />,oxx <br />> 3N <br />H x <br />KC C <br />H0 <br />"�Q <br />U <br />80 <br />C " <br />H01 <br />Q. c� <br />aH <br />t" H y <br />In <br />H <br />0 t7 ti <br />mM <br />H3 O Tn <br />CITY OF EVERETT <br />CONSTRUCTION <br />PERMIT PERMIT NO. 27304 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />CANER MAILADDRESS CITY ZIP PHONE <br />Diane Smith 1527 73rd St SE Everett 98203 34B-3466 <br />TENANT MAILADDRESS CITY ZIP PHONE <br />rARCHITECT OR DESIGNE R MAILADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE• <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE - <br />Valley Nat. Gas <br />2506 McDougall <br />Everett 9B201 <br />259-5492 <br />VALLENG153L1 <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHOW LICENSEE <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORN S 2 000 00 _ <br />DESCRIBE WORK AND SOUARE FCVTAGE INVOLVED <br />Install furnace 6 HWH <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT- BLOCK __OF µ "1 <br />MECH $55.00 <br />JOB ACI ESS "---- <br />1S27 73rd St SE 14ECH 1.30.00 <br />PLUMBING <br />MECHANICAL L L <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUI T <br />FEE <br />WATER CLOSET (TOILET) <br />NC - AMNDLG UNITS - H P <br />BATHTUB <br />1 <br />FORCED AIR SYSTEMS - B T U 75 M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B TU M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE { CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DnAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />2GAS <br />PIPING <br />ROOF DRAINS - FIAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC) <br />SUB TOTAL <br />{ <br />SUB TOTAL $1 <br />40 100 <br />PERMIT <br />l <br />PERMIT f <br />1S <br />00 <br />TOTAL FEE <br />{ <br />TOTAL FEE f <br />SS <br />00 <br />FROM SI, THAfK <br />RE AN SL T B-C''. <br />BIDE SE.TDACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LouREA <br />VACANT SITE. <br />❑ YES ❑ NO <br />FEES <br />VALUATION WL IN C 0 <br />FEE <br />BUILDING <br />$ <br />TYPEOFO)"S/RI'VOIALLONABLE <br />I GFCONSTRBCTOIACTUAL rn.r <br />rq IXfME:L!rG IM•5 <br />PLUMBING <br />SIZE O FILM <br />NO Of STORIES <br />BASEMENT <br />0 YES ❑ NO <br />MECHANICAL <br />1 55 <br />00 <br />OCCUPANCY LOAD FIRE SPRINKLFRS Of00 HEIGHT LIMITATION <br />DYES ONO <br />REABON FOR BPNNKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />ENERGY SURCHAnGF <br />APAPFLCATIONACC BY <br />PLANS APPROVED By <br />CITY OF EVERE]:STATE <br />LOCAL SALESPusucwonKs <br />TAX CODE ISTOTAL <br />3105 <br />55J <br />00 <br />WUCM DonOFDI V VAI <br />InATFD THIS <br />IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE <br />27304 <br />