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'�eF°"�'"'" ^ C�NSTRUCTION � � <br /> cirv or Cf1p <br /> everett PERMIT PERMITNO. . 22U11 `� <br /> 259 -8810 <br /> ❑ DEMOLITION O COMBINATION 77& BUILDIN6 ❑ MECHANICAL � PLUMBINO ❑ SIGN <br /> Q�Ep Mslt�O�RE55 CrtY ZiP VMONE <br /> Daniel Cook 918 East Casino Rd Everett, WA 98204 353-6749 <br /> T[NAN7 MML�OORESS CiTv ZiP PMONE <br /> •RCMITEGT OR DESIGNER M�IL�OORE55 Crtv ZiP PHONE II <br /> i <br /> OENER�L CONTR�CTOR M�IL�DDRESS CItY ZiP PMONE LICENSE� <br /> Evarett Builders, Inc. 5606 Evergreen Everett, WA 98203 353-7161 EVEREB301PH <br /> MECN�NICAL CONTN�GIDN MML ApOAE55 CITY 2iP FNONE LICENSE• <br /> PIUMBINGCONTR�CTOR MMLAOORE55 CrtY 21P PHONE LICENSE• <br /> CU55 OL WORR <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ OEMOLITION G .IUIL�INO RELOCATION <br /> LONTACT PERSON AND WIONE NO li OTNER TH�N�BOVE <br /> CONTRACT PRICE OF WORK:S 4,334 <br /> DESCRIBE WOR1f�NO SOU�RE FOOT�OE INVOLVEO <br /> Bath remodel <br /> anoaoseo use or euaort+o <br /> LEOAL OESCRIPTION Oi PROPERTY�SMOW BEIOW OR�TTACH fOUR COPIES� <br /> lOT- BtOCN�OF <br /> JOB�AD11E55 <br /> �1B E Caeino Rd <br /> PLUMBINfi MECHANICAL <br /> NO. TYPE OF fIIITURE OR ITEM FEE NO. TYPE Of EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/HNDLG UNITS—HP. <br /> BATHTUB FOFCED AIR SYSTEMS—B.T.0 M EA <br /> LAVATORY pVASH B�SIN) UNIT NEATEFS— B T U. M <br /> SHOWER CLOTHESORYERS <br /> KITCHEN SINN 6 DISP. VENTIUTION FRN <br /> DISHWASHER N�NOENOOD <br /> LAUNDRVTRAV WATERNEATER _ <br /> CLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> . ORINNINO FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS aA5 PIPINO <br /> ROOF DRAINS—RAINLEAOERS E%HAUST FAN <br /> 91NN(SERVICE—BAR,ETC.I <br /> 6UE TOTIIL t aU!TOTAL t <br /> PEpMIT f PERMIT � <br /> TOTALFEE f TOTALFEE f <br /> FRONt 6ETB�CH PEeP SETB�CN SiOE SEiBecK PLAN CHECN NUMBER FEE RECEIPT NO. <br /> � <br /> USE ZONE l0T�RE� V�C�NT SITE FEES � � COD • �E ' <br /> ❑YES O NO M p�y� <br /> 7YffOfLON51RUL1qN�llOWA&E iYRaLON51PUL110NACIlI�L �r��`M`xp M�OiOKFIIIN�UNiIS BUILDIN�i MWqYWM�4 72 �� <br /> PLUMBING <br /> 612E OF BlDO NO OL 510RIE5 B�SEMENt <br /> C�ES ❑NO MECHANICAL CHECI� S7 .S�I <br /> OCCUP�NGVLO�D FIRESPPiNNlER5PE0D NEi�NTLIMit/,TION OTHER <br /> O YES U NO 1.S� %a �8 <br /> nE�soN ron smiHKiEns STATE DUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPIICATIONACC BY RANSAPPROVP90V CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORI(5 <br /> M.M. TAX CODE IS TOTAL 73 50 <br /> . 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENf:ED WITHIN ADDRESS FILE �� 11 O r� <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />