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,�r�'''"�""" C")NSTRUCTION � ~ <br /> CiTY OF <br /> everett PEi�MIT PERMITNO. � �5 �' E <br /> 259 -8810 <br /> ❑ DEMOLITION O COMBINATION 7E7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEN MPiI ADpP[55 OiY ZIP PMDNE <br /> Marjie Smith 21D1 Baker Ave. Everett 98201 252-9040 _ <br /> iENANT �AILADURE55 CITY TIP P��ONI <br /> ANCMIIECTORpE51GNfA M��IAbDRE55 CRY ZIP 1'MONE <br /> OENERIL CONTPACTOR UM�A�OPESS CrtY IIN �1�ONE LICENSE� <br /> Owner <br /> MEC�UAiC��CONiRACTOR MRIL�O�RE55 CItY ZiP P��ONE LICENSE• <br /> PIUMBiNOCOM�nCTOR MMie�0�E55 Crtv 2iP PHONE IiCENSE� <br /> C'.A55 Of YVOPN <br /> �7 NEW ❑ ADDITION ❑ ALTERATION �[1 REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONiFCt i'C�SON RNO PNONE NO IP OTMER TN�N�BOVE <br /> CONTRACT PRICE OF VIORK $ <br /> �ESCRiBE WORN�ND SOU�R[fOOin.E iNVOLVED <br /> Reroof <br /> PROPOSEO USE Of BUILDiNG <br /> sra — . <br /> LE(i�l OESCRIPiION Of 1`ROPERiY ISMOW BEI O W OP�TiRCH fOUR COPIE51 <br /> LM- BLOCN-Of <br /> JOB�ODR[SS <br /> 2101 Baker Ave. <br /> PLUMBINa MECHANiC4L <br /> NO. TYPE OF FIKTUHE OR ITEM FEE NC°. TYPE OF EOUIPMENT FEE <br /> �YATER CLOSET(TOILET� NC—A'HNDLG UNITS—H P. <br /> BATHTUB fORCED AIR SYSTEMS—B T U M EA. <br /> LAVATORY(WASM BASIN) UNIT NEAIEHS—8 T.0 M <br /> SHOWER CLOTHES ORYERS <br /> KITCMEN SINK!DISP. VENTI�ATION FAN __ <br /> DISHW�SHER RANGEHOGD <br /> LAUNORYTRAV WATERMEATEF _ <br /> CLOTHES WRSHER WOOIi S10VE <br /> UHINAL METAI FIREPLACE 8 LNIMNEY <br /> URINKINO FOUNTAW FIREPLACE INSERT _ . <br /> FLOOR ORAIN MEAT PUMP � <br /> BACNFLOW CREVEN7ERS GAS PIPING � <br /> NOOF DRAINS--RAINLEA�ERS E%I IAUST FAN <br /> SINN�SERVICE—BAR.ETC.) <br /> 8UB TOTAL S 6UB TOUL i � <br /> PENMIT S PERMIT { i <br /> TOTALFEE f TOT F �n -��� j <br /> lRONT SETB�cK nEnn SeToeC� SioE SE*MCK PLAN CNCCK NUMPER fEE � RECEIPT NO � <br /> nuoo�zs�� <br /> USE 20NF lOT ARG VnC�NT SrtE - MO CO�E <br /> FEES �� • FEE � <br /> ❑ v¢s ❑No '� '� �I <br /> nnorcarsiuunrovnuwueir nrtorcowsinucnoNnci,�ai ,,,,�,,,�• ,wn�rcx�uiiH�ur+ns oui�OiNG 0.00 - 29 00 <br /> PLUMBING I <br /> SitE Of CLUG NO Of STORtES N�SEMENT <br /> ❑ VES ❑NO MECHANICAL <br /> OCCUPnNCVL0�0 fiRESPaiNMtE�5nE0U ��EiG�QP�nTRnON OTHER <br /> ❑ VE$ ❑ N(1 <br /> nu�;oNv�onSvamK�[ns STATEBUILDINGSURCHARGE 1 SO <br /> STATEENERGYSURCHARGE <br /> nv��ucnnoHncc ur v�nNsnvvno��cnar OITY OF EVERETT <br /> LOCAL SALES �ueucwoaKs <br /> TAX CODE IS rorn� 3a so <br /> S.Ea 3105 - — <br /> — — -- V+HEN PROPERLY VALIDATED THiS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qpUHfSS f Ili: � � � � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAVS. J C• •: ! . <br />