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CITY OF EVERETT <br /> �ONS�'RUCTION ��� <br /> PERMIT PERMITNO. 1I66E <br /> 259•88 f 0 <br /> ❑ D[MOLITION ❑ COMBINATION ❑ BU!LDING ,.rJ. MFCHANICAL �PLUM9ING ❑ SIGN <br /> L`WHEF MA�1,10�HF55 Cilv l�n P��Otlf <br /> Sradley A. Imbineon 1921 Baker AVe. EVerett 98201 258-1376 ___ <br /> �n � nnmrrt rn�iuooaEss c,�.rv zir= vHONt — <br /> � �RGM�fCCtORD[S�GNER ��M1�DORE55 CrtV ZIP PMONE <br /> Y � OENEaeLCONTR�C�OR bu�L�DDNE55 CRv IiP P�roNE IiCENa . <br /> ��� MFCH�NiCALC(NIID�L1pR MAIL�DOAPSS CIiV IIP PIqNE LICINSt • <br /> � <br /> � � PWMpINOCOf1iRACLOR MML�O�RELS CILY IIV PNONE LIC[NS� • <br /> Vi M Owner <br /> �I'i �.� cu55 0�WOnn <br /> ��� Qy ty ❑ NEW ❑ADDITION �, AL�ERATION ❑ RE?AIR O DEMnLITION ❑ BUILDING FIELOCATION <br /> O M CON�ACiPEF50NAN0Yr�ONCNO iFOiH[OtMAN�HOVE <br /> ��� CONTRACT PPICE OF WORK�. u <br /> ocseame wor�n�r�o souene voov,ce rt+vor�c o <br /> a y� Replacina water Line to home <br /> t� �� <br /> �yH <br /> nsmvia� :ei� nnnoean^� t: . ,. <br /> � ...W PFOPOSEOUSEOGOWL�iNG � <br /> v <br /> ��r Sinqle famlly reaidence ""^�7iY66h <br /> yLEO�LUCf..^NIPTIONOGPNCo[PTY�SMpW9ElOWOPATT�CNfWOCOPiE51 FL°G 4t�J�� <br /> y ior_aux;K__o� <br /> rurr,y; ;15 UO <br /> JOO�ODRF>5 <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTUHE OR ITEM FEE NO. tYPE OF EOUIPMENT FEE <br /> W4TFR CLOSET�TOILGT� A'G-AMNf]LO 11NIT5-MP _ <br /> OTiHTU� FOH�EDAIRSYSTEMS-BSU MEA. <br /> LAV/.TORY�N'ASHE�ASIN) VHITHFATERS-BTL M _ <br /> SNOWiR CLOTMES URVERS <br /> f/ � � KITCNEN SINK 6�ISP VENiILATION FAN <br /> j C� �ISHWASHER � RANGEHOOD <br /> LAUNORY TRA� WATER HEATER <br /> 1 } CLOTNF.SWPSNiP WOO�STOVE ""— <br /> II � URINAL METAL PREPLAGE b C!IIIANFY <br /> I _. FIREPLACE IqSERT <br /> OPII�NING FOUNTAIN <br /> I <br /> � ' FLOOR DRAiN HCAT PUMP <br /> '� BACY.FIpW PPEVENTERS fA5 FIPIYG . <br /> I ROOF[]RAIN$-RAIIJLEAUGNS E%M/UST FAN _ <br /> I � — — _ — <br /> �� SINK�SERVICE-PAP,ETC 1 <br /> 1 n _Yo water line <br /> SUBTOlAL f _ SUBTOTAL S __ <br /> '� PERMIT f _ PERMIi S __ <br /> , '�� iOTAL FEE S LS OO TOTAL FEE f <br /> fRONT tiEIUACn Ilta'i`!111nIX Si�l til Ilmt K PI��!CHk.GK NUMIiCN f EE AEOEIP7 NO <br /> � ' 1�►' use zonE iormnn vncaur;�n _ FEES eu��oM�rcao[ FEE <br /> ❑res ❑�+u —���� <br /> � rrveoFmr�srr�uciov�.irn:.e_c nreoccor�s��wc�ior��aw� �*;;i".�' war..�.�.•.,vny t�wi.niNi, S <br /> � r�ur,�i3�raa 15 00 <br /> �._,� srroreioc uoursroaies o�stnicrn -- -- <br /> �� O vl_S ❑NO ti1FC11A1lICAL <br /> OCGUPANCYLO�U FIRESPRiNq6Rtif1�0❑ ��PGHiLIM9nPO4 OIH[il <br /> ❑Y[5 ❑NO <br /> HI ASOH fOR SPRiNNLF PS iTATE�UILDING$URGMARGE _ <br /> STATE[NERGV SURCIIARGE <br /> nwvi�->•�ovn,� rv. ��,nu;u�rr�oviun, CITYOFEVERETT --- — <br /> LOCAL SALES ruouc wonKs _ __ <br /> TAX CODE IS 70TAL 15 00 <br /> 3105 - -- <br /> — - -- WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN �� �6 �, �j � <br /> 180 DAYS OR CEASES FOR MORL TH4N 180 DAYS. �'�� -�'� ' ��, '-� <br />