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259-8810 <br />` CITY OF EVERETT <br />� CONSTRUCTIOf�` <br />PERMIT PERMITNO. 27g4]. <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO 3LXMECHANICAL ❑ PLUMBINO ❑ SION <br />OVMER MAL�DDqE55 CITv IIP PMONE <br />Robert Harris 502 - 74th St SW Everett, WA 98203 353-0151 <br />TENANT MMLpU�RE55 pITV zIP PHONE <br />�RCHITEGTOROE516NER M�R�ppRE55 CRV ZIP PIqNE <br />OENERALCONTR�CTOR M�IL1100RE55 I;RY 2iP PHONE IICENSE� <br />MECH�NICALCONTR�CTOR M�IL�DORE55 (:ITY zIP PHONE IICENSE� <br />Nortf�west Water Heater 3110 Hill Ave Everett WA 98201 259-5331 NORTEiWH10'+?? <br />PWMBINOCONTR�CTOR MML��DRESS �ITY zIP PNONE IICENa'E� <br />GlA$S OF WORK <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />CONTRACT PRICE OF WORK: ; <br />❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br />NO IF OTHEP TII�N �OOVE <br />DESCRIBE WORN �ND SOUARE FOOT�OE INVOLVED � <br />�1eta11 aas furnace 6 water heater <br />PROPOSED USE OF BUILDINO <br />�j,pQle family reaidenep <br />LEO�L DESCRIPTION OF PROPERTY �SMOW BELOW OR AR�GH FOUR COPIES� <br />LOT_ BLOCK <br />JOBAWPESS <br />502 - 74th St SW <br />PLUMBIN6 <br />NO. � <br />�WATER <br />UUNORVTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FIOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF OHAINS - RAINLEADERS <br />SINN (SERVICE - BAR, ETC.) <br />9UBTOTAL S <br />PEHMIT S <br />10TALFEE S <br />FRONTSEiBACK ��[Aq SFiORCK <br />USE ZONE LOi AREA Vi <br />� <br />1VPEMCONSiPULiqN�LLOW�BIE TYCEOFCONSTRUCLqN�CTU�II � <br />SIZE OF BLDO <br />APPIICAt10NACC B� <br />STOFIES <br />❑ YES ❑ NO <br />PUNS�PPROVEO BY <br />Br1SEMENT <br />HEIOMT LIMITATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C - AMNDLG UNITS - H. P <br />FORCEDAIRSVSTEMS-B.TU. MEA. <br />UNITHEATERS-A.TU. M <br />CLOTHES�RYERS <br />VENTILATION FAN <br />RRNGEHOOD <br />WATER HEATE(i <br />WOOUSTOVE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTNER <br />STATE BUILUING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORNS <br />SUBTOTAL S <br />PERMIT f <br />TO7ALFEE f <br />$ <br />TOTAL I I <br />WHEN PROPERLY VALIDATED THIS IS <br />` <br />FEE <br />55 I 00 <br />ss �a <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 9 41 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. 4t'DHf ��9 Fil E <br />