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CITY OF EVERETT <br /> ' �' -;ONSTRUCTION � � <br /> PERNfIT PERMITNO. 27�36 <br /> 259-8810 <br /> i � O � ❑ DE�dOLITION ❑COMBINATION �BUILDING QMECHAMCAL ❑PLUMBING ❑SIGN <br /> I�7 OWN[R MAIIMURE55 LITY ZIP PMONE <br /> C � y Arnulfo Contreras 2303 Broadwa Everett 98201 339-2427 <br /> H ' TENANi 1MILADDRE55 Cllv ZIP GNGNE <br /> H V� .^ <br /> y�'�H' AR�D S�GNER ��~� IMILADDRESS GT' 21� PHONE <br /> O r�O GENERRLCANTRACTOR <br /> M�IV�.D�9ES5 CT' ZiP FMONE LICENSE• <br />' '{t H 'i1 <br /> VJ H ��n� ZIp PHONc IILENSE� <br />� Ij z MEGHFNIGqLCANtARCTOR M�ILADDREiS <br /> �O� Lodestar Companv 6605 200th SW Lvnnwood 98043 6_70 196Y _ tADESRC174K0 <br /> y �+ PWMBINGCONiRRCTOR M�RADDRE55 QTY 21P PHONE UCENSE� <br /> OH <br /> H�g - <br /> N� C CUSSOfWORN <br /> z y� ❑�EW ❑ADOITION ❑ALTENATION ❑ FiEPAIR ❑DEMOLITION O BUILDING RELOCATION <br /> GONTICT PESSON ANp PHOYE ND.IF OTNER THAN ABOVE <br /> � H H CONiRACTPRICEOFWORK $ 12 964 Rod Christenson 670 1968 <br /> gy DESCRIpEWORKANDSOUPREFOOiFf.E1NVOLVED <br /> n�N� Install 5 ton as ac on roof <br /> � Ht�i� i a � � , ,.�, . <br /> H O C/1 PPOPOSEDUSEOFOUi�DiNO / <br /> Restaurant (4J0 <br /> L[GALDESCR:PT�ONOFPROPEBTY�SNJWOELOWORAIiACHFOUNLOPIES� NECN �SSS.00 <br /> LOT_OLOCN.�Of � } . <br /> JOBAD�RESS <br /> Broadway <br /> PLUMBING MECHANICAL <br /> ryp, TYPE OF FIXNPE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILeT) A�C-AHND�G UNIT$-H P <br /> �ATHTUB FORCEDAIRSVSTEMS-B.T.U. MEA. <br /> " _ LAVATORY�WASHBASIN) UNI(H[OTERS-B.TU. M <br /> SMOWER CLOTHESORYERS <br /> ��� NITCHEN SINK 8 DISP. VENTILATIGN FA1J <br /> DI�N'NASMEP AANG�NO00 <br /> ' 1 IAUNDRYTRAY \YATERHEA7ER <br /> ' ' � CLOTHES WASHEN WOOD STOVE <br /> � URINAL METAL FII7EPLACE 8 CHIMNEV <br /> DRIIJKING FOUNiAIN FIREPLACE INSERT <br /> ' 1 PLOOROflAIN HEATPUIdP . <br /> ' ' BAQCFLOY!PREVENTERS GAS PiPING <br /> � ROOF OfSAINS-�7AINLEAOERS E%HAUST FAN <br /> �1 SINK(SERVICE-OAR,ETC.) — <br /> 1 <br /> � SUBTOTAL 5 SUBTOTAL 5 <br /> ' PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> ' FRONTSETBRGK NEnaSE��ncK SiDESEronCn PLANCNECKNUMBER FEi RECEIPTNO. <br /> '_1 USEZONE LOTAREA VACANTSITE BOILDINGCOOE FEE <br /> FEES v�� �non <br /> ' ❑VES ❑NO <br /> MEOFWMSiPVCTIp1ALL01tiA01E iYPEOFCOVSTRUGiiONAGTUAL x�p�'+' kJOGNYEWNGU.4it5 BUILOING � <br /> PLUMBING <br /> � SQEOFOLDG. NO.OFSTORIES BASEMENT 165 00 <br /> ❑YES ❑NO MECMANICAL <br /> OCGUPANLYiORO FlRESPRINKLENSFEOD HEIGHTLIM:TRTION OTMER <br /> ❑YES ❑NO <br /> STATE BUILDING SURCHARGE <br /> qEA50NFOR5PflINNLERS <br /> STATEENERGYSURCHAPGE <br /> APPLICRTIONACC.OY PlA45APPROVEOBY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORNS <br /> IAX CODE IS TOTAL 165.00 �IIQ � <br /> 3105 �yHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PEH�IITS EXPIRE iF WORK IS NOT COMMENCED WITHIN pnDRESS FILE ? � �� , (� / <br /> 180 D4YS OR .^.EASES FOR MORE THAri 18o nA'i S. <br />