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'h�'"�°�"'""`� � �NSTRUCTION ^ '�` <br /> everett PERMIT PERMITNO. � 2951 <br /> 259 -8810 <br /> ❑ DF.MOLITION ❑ COMBINATION ❑ BUILDING ❑ MECt1ANICAL �E�! PLUMBINO ❑ SION <br /> OWNER MML�DDRE55 f.IT� Z�� F�'^.NE <br /> Robert S. Wilcoxon YY 3341 NE 185th Seattle 98155 364-1627 <br /> tEN�NT MAIL�DORE55 CiIY IiP PHONE <br /> •RCHITECiORDES�ONFH M�IL�OOBE55 CrtY 21P 1'HONE <br /> GENER�LCONTR�CTOF M�IL�O�RE55 GTv 21P PHONE LICENSE� <br /> MECN�NILALCONTR�CIOR M�IIAD�NE55 CRY 21P M�ONf. UGfiNSE� <br /> P�UAt01N0 CONTRACTOR MNL AOORE55 CitV 21P i'NONE LICENSE i <br /> Larson hfechanical 1P602 North Rd. Bothell 98011 672-1140 LARSOM264LQ I <br /> CL�53Oi WOPN <br /> ❑NEW flCAODITION ❑ ALTERATION ❑ REPAIA Cl OEMOLITION ❑ BUILDIN6 RELOCATION <br /> CONT�CT i`EP;'nN�NO PMONE NO If OTNf.R TH/1N RBOVE I <br /> CONTRAi,T PR�CE OF WORK:S <br /> DESCRIBE WORR AN�SOU�RE fOOT�OE�NVOIV W <br /> Roughin and finieh plu�nbing for toilet room <br /> PROPoSED USE OF BUILOIN6 I <br /> Retail <br /> LEO�I OESCAIPTION OF PROnEPTY�SHOW BELOW OF�TTACH fOUR COPiE51 � <br /> LOT_ BLOCX_OF—.-- I <br /> JOB�f`d1E55 <br /> 205 E. c;aeino Rd. Suite 18 <br /> PLUMlIN6 MECHANICAL ,� .�,_�..E..i <br /> NO. TYPE OF FII(TURE ON ITEM FEE NO. TYPE OF E U FFE <br /> WATER CLOSET(TOIIET� S OO A/C—A/MNDLG UNITS— '� <br /> BATHTUB FORCED AIFl SYSTEMS—B � A. <br /> LAVATORV�W�SNBRSIN� S OO UNiT1iEATERS— BTU M <br /> SHOWER CLOTMESf]RVEAS � <br /> NITCHEN SINK 6 DISP. VEM'IUTIUN FAN _ <br /> DISHWASHER RANGE HOUD _ <br /> UUNORYTNAY 1 WATERHEATER E1 $� <br /> CLOTNES WASHER M�000 STOVE <br /> URINAL METAI FIREPLACE 6 CHIMNEY <br /> ORINNINO FOUNTAIN FIREPLACE INSFRT <br /> FLOOH DRAIN S UG HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPINO _ �� <br /> ROOF DRA�NS—R�WLEADERS EXMAUST F�N _ �i <br /> SINK(SERVICE—BAR,ETL� ' <br /> eueror�� t 15 00 sueTor�� s 6 50 I <br /> PERMIT f PERMIT f 15 00 <br /> TOTALFEE i LS OO TOTALFEE f ZL SO <br /> FRONT SFTB�cK REnR SE*B�cK Sio[SETB�cK PLAN CHECN NUMBER FEF. RECEIPT NO. I <br /> usc zoNe �oT�ae� v�c�r+T srte FEES euu.mxa cooe FEE I, � <br /> O�ES ❑NO — i <br /> �rppppp�SiRUCiqNALlVNABIE i1fFOfGONSLPULiqN�CN0. ����' MOWON4LIINf:ONi6 BUILDING s 'i <br /> PLUMBING 15 OG � <br /> GIZE OF BLDO NO Of STORiES B�SEMENT — --- <br /> ❑YES ❑NO MECHANICAL 21 SO � <br /> OCCUPIVCYIO�U �IRESPBMNlFRSREOD MEIGN�LINA�iION QTHER � <br /> ❑ /ES ❑NO <br /> NE�SONfORSVPINNlFPS STATEBUILDINGSURCMRRGE _ � <br /> I <br /> _ 5(A?EENERGVSJRCHARGE i <br /> APFL;C�TIONACC BY JLPNSAPPRJVCOAV CITY OF EVERETT ' <br /> LOCAL SALES PUBUC WORNS <br /> TAX CODE IS TOTAL 36 50 <br /> __ S.H. _ 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 2 9 51 <br /> 180 OAYS GR CEASES FOR MORE THPN 180 DAYS. <br />