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U�c F.vrr�r�vn � . . � , . <br /> ��T, �,� C �jlNSTRUCTION <br /> everett PERMIT PERMITNO. _ <br /> 26� 66 <br /> �59 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING K] MECHANICAL ❑ PLUMBING ❑ SIGN <br /> nrmcn rann.nooisss citt .iv wwNe <br /> Rax George Benudette 5430 171st SG Dothell 98012 338-0660 <br /> 1ENAN1 MAIL�DOf1[:S fITY ZIP PHONE <br /> Hc� �+ <br /> TfICHITCCT Ofi 0E51GNE11 M�IL RODf1ES5 LITY ZIP P110NE <br /> ��y�y y� GENE�ALCONTRALIOR MAIL AODR[55 LITY 21P FMONE LIC[NS!• <br /> y �� A�ECIIANICALCONTRRCiUH RIRIlA0DRE55 pTY 2�P PIIONE IiCENSE• <br /> K y� Oimer <br /> O Gi O PWA��INGCONTMCTO� MRILRO��ESS CITV ZIP PHONE LICENSE+ <br /> � VJH <br /> H <br /> x� CUSSOF1VOfiK <br /> [s1 O � ❑ NEW ❑ A�DITION � ALTEPATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br /> O H CGYTACL PE(i50N/.k�PNONE NO IF OTMC�T WW AOOVE <br /> � �g CONTRACT PRICE OF WORK S ?OO <br /> L��' � �ESCRILEWORNANIl50UAP[fOOTAGEINVOLVEC <br /> z9 H Install gas heater <br /> t' y <br /> �-+ H <br /> gy <br /> H veoroseo usE oF ouaou+c <br /> C'�C5 tA <br /> �'+���','''�''' IEGAL�[SLRIPTIONOFPROL`ERiVISHOWBEIOWORnTTnCMFOURCOFIE51 <br /> y� y �or— oiocK—or <br /> �oa nooness <br /> 2402 Broadway <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%7UHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET� A/C—l�HNDLG UNITS—HP. <br /> UATHTUB 1 FORCED AIR SYSTEMS—BS.U. M EA. <br /> LAVATORY�WASHBASIN) UNITHEAT:RS—B.T.U. M <br /> SMOWEH CIOTHES DRYERS <br /> %' KITCMEN SICn d DISP. VENTILATION FAN <br /> i��. — RANGEHOOD <br /> DISHINA'.riER <br /> LAUNDRVTRAY WATERHEATER ry n . """' <br /> � CLOTHESWASHER WOODSTOVE <br /> 1 � METAL FIREPLACE d CHIA1 = <br /> UPINAL <br /> ��► OPINKING FOUNTAIN FIREPLACE INSERT <br /> .I ��' FLOOR DRAIN NEAT PUhIP = <br /> BACKFLOW PREVENTEPS GAS PIPING <br /> i ROOF ORAINS—RAINLEADEFS EXMAUST PAN <br /> SINK(SERVICE—BAR.ETC.) <br /> I r <br /> valuation less that $500 15 00 <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT S PEPMIT 5 <br /> I =,_' TOTAL FEE S TOTAL FEE f 3O OO <br /> FPONTSETtlACK RERRSETpACN 510[SEIDACN PIANCHECKNUMBER FEE RECEIPTNO. <br /> USEZONE LOTAliEA VACRNTSITE FEES BIII�DIN6COOE FEE <br /> I I ❑YES i7 NO <br /> 1� <br /> I iYPEOF[0.YS1nuClioNALLOWaBIE IrttoftOxSiPUCiloNncNaL °C�';a,'o' �or0�ltlC�:ci";ils BUILDING <br /> �, PLUMBING <br /> SiZE OF�LDG NO OF STOPiES Unfi_I.iENT 3O OO <br /> �,=1 ❑YES ❑NO MECHANICAL <br /> OLCUPANCVLO�D f�RESPR�NKLER5RE00 ME�GNTU!dRAi�ON OTHER <br /> ❑YES ❑NO <br /> REASON FOR SPf11NKL[OS STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPUCATIONACC �Y PLANSFPPROVE��Y CITY OF EVERETT <br /> LOCAL SALES PU�LIC WORKS <br /> PI.Pt. TAX CODE IS TQTp� 30 00 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN i,., ;., .• ;,�, � r 1 �i r <br /> �80 DAYS OR CEASES FOR MORE TIiAN 180 DAYS. <br />