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'�`E°��� '"`a t�ONS`TRUCTION -� " 1 <br />everett PERMIT PERMIT NO. 2� I O� <br />259-8810 <br />Ci DEMOLiTION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNrR <br />MAILAODPC55 CITY 21P PMONE <br />Ra}sx Rolando Morales 820 N. Broadway Everett 98201 _ <br />TENRNT <br />IAAILPODRESS CITY 21P PNUNE <br />Video Store <br />ARGMIT[GT <br />GENENAL WNTRFCLiR <br />MAIL AD�PE55 <br />MAIL <br />dtv <br />cm <br />ZIP Ph:ONE <br />p�p PHONE UGENSF,M <br />MECHANICAL CC YTRRGTOH MAIL RUORE55 CITY ZIP MONE LICEIb[ • <br />9820 1 252-3114 E1�ERGSK7121 <br />Fvex�Ye2n �tar_��haA1' Nn 4i M f�t aatU+�rc �'�iT ZiP pHON! ucEr+se. <br />PWMBING GONTPACTOP M4iL ADDHESS <br />CLR55 OF WORK <br />�7 NEW <br />❑ ADDITION <br />CONTRACT PRICE OF WORK S <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLV[D <br />HVAC % T Gas apalian e <br />❑ ALTERATION <br />VFO�OSED USE OF BUILDiNG <br />' Video Store <br />LEGAL DESCl11PTION OF PROPERTV ISHPW BELOW OR ATTFCH FOUR COPiES� <br />LUT -- BLOCN �— OF <br />)B�ODRE55 <br />820 N. Broadway <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CL( <br />BATHTUB <br />LAVATOFY <br />SINK 8 <br />LAUNORVTRRV <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />BACM,FLO\4 PREVEhTERS <br />ROOF DFAINS — RAINLEADf <br />SINK (SERYICE — BAR. ETC.) <br />US[IONE <br />ivR Of COHSiN <br />SiZE OF BLD( <br />OGf,l1PANCY <br />s.x. <br />SU870TAL <br />PERMIT <br />TOTALFEE <br />iEARSETOACN <br />LOT AR[A <br />IYIf OF fANSiPUGT <br />ND. OF STOR�ES <br />❑ REPAIR <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONiACT PEPSON ANO vnVne rvv. ir � i nrn �....�.,.�..•. <br />MECHANICAL <br />FEE NO. TYPE OF EOUIP! <br />�. A/C — A/NNDLG UNITS — HP. <br />FOFCED AIR SVSTEMS — B T.U. <br />UNIT HE�TERu — 0 T.U. IO <br />CLOTMES ��7YER5 <br />VENTILATION FAN N <br />RANGEHOOD � <br />WATEFi HEATER N <br />WOODSTOVE � <br />METhL FIREPLACE 8 CHIMNEN <br />FIREPIACEINSEFT 1'S <br />HEAT PUMP �I <br />GAS VIPING H <br />EXHAUSTFAN C <br />S <br />S <br />f <br />SIDESETBAC:'. <br />vncnNrsrtc <br />U YES ❑ NO <br />AGIDAL ��'���'' NOOFON4LliNG <br />FIR[ SPPINNlERS REO'� <br />❑ YE$ ❑ NO <br />PLANS <br />�/SEI�ENT <br />❑ VES ❑ NO <br />HBGHT LiMIT�Tl04 <br />B'' I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />CHECN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />BUILDING S <br />PLUM6ING <br />MECHANICAL <br />OTHER <br />STATE BUILOING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />�vHEN PROPERLY VALI <br />L'J <br />THIS <br />FEE <br />� <br />S 15 <br />s 24 <br />FECEIPT NO. <br />FEE <br />; �, � . <br />PERMITS FXPIRE IF WORK IS NOT COMMENCED WITHIN ADOi;ESS fILF ... }` <br />�ao DA�'S OR CEASES FOR MORE THAN iun DAYS. <br />PERMIT <br />