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'hem`"' CONSTRUCTION � '~ 7 C <br />everett PERMIT PERMIT NO. 2641 J <br />259-8810 <br />0 DEMOLITION ❑ COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Robert Elder 2518 81st Pl SE Everett WA 98203 347-0683 <br />TENANT <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />MAIL ADDRESS <br />ZIP PHONE <br />ZIP <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />NW Water Heater Inc <br />3110 Hill Ave Everett 98201 <br />259-5331 <br />NORTHWH103R2 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE. <br />CLASS Of WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND M40NE NO IF <br />CONTRACT PRICE OF WORK: $ 2, 700 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVE) <br />gas furnace and hot water heater <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK - Of <br />JOB ADDRESS <br />9G1R AID♦ r1 Cr <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC - A/HNDLG UNITS - H P. <br />BATHTUB <br />FORCED AIR SYSTEMS - B T.U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B T U M <br />SHOWER <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK S DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE S CHI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />2 <br />OAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC.) <br />SUB TOTAL <br />f <br />SUB TOTAL <br />f <br />50 <br />00 <br />PERMIT <br />f <br />PERMIT <br />f <br />TOTALFEE <br />f <br />TOTAL FEE <br />f <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />Pt AN CI'ECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE 0FEDNSIRUrII0NAULON1BIF <br />TYPE OF CONSTRUCTIM ACTUAL <br />° ' <br />ND OF DWELLING IIMi6 <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />6S <br />OO <br />OCCUPANCYLOAD FIRE SPRINKLERS REO'D <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />M.M. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />65 <br />00 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AOII 1L' III 26475 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />