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1 <br /> r.�fi,� !'� �-; r. <br /> �,TYOF �ONSTRUCTION c CA <br /> everett PERMIT PERMITN0. . 2U�U`� <br /> 259 - 8810 <br /> ❑ OEMOLITION ❑ COMBINATION }�9 BUILDIN6 ❑ MECHANICAL Z1r ❑ PLUMBINONE ❑ S�aN �I <br /> MAIL e�DRE55 CIiY I <br /> pMMFR <br /> The goeiny �pgny PO Box 3707 MS OH-24 Seattle 90124-2207 342-087 � <br /> CITY IiP PHOHE � <br /> MMl�ODRESS . <br /> TEN�NT <br /> CItY ZIP PMONE <br /> �qCMRECT OR DESIONER M�IL ADDPE55 � <br /> �pp 4230 - 198th St SW L}mnwood 980?o cTY 272-2300 zP pNONE uceese. �� <br /> MAIL�ODHESS � <br /> OENERALCONTP�CTOR � <br /> Ferguson Nnst. 7433 Sth Ave S Seattle 9ft108 767-3810 FERGUH53 ONO <br /> MECH�NIGL CONTP�CTOR MM��O�RESS <br /> CITv MIONE UCENSE <br /> PLUMBINO CONiNACTON M�IL�ODRE55 <br /> dTY SIP PNONE IICENSE� <br /> CU490F WORN <br /> � H(NI ❑ ADDITION � AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINQ NEIOC�T10 <br /> CONT�CT PERSON�N�PMONE NO IF 01MER TMAN�BOVE <br /> CONTRACT PRICE OF WORK S Leonard Astemborski Z6_�I����� ��..�....—w## <br /> DESCN�BE WONM 11NO SOU�RE fDOTAOE INVOLVED � <br /> Remodel crew eheltars <br /> EL.D6 <br /> PROPOSEO USE Oi BUILDINO NU�y�,p.ppS �� <br /> T2et e i ment for aircraft en ine vr�rk �� <br /> LEOIIL OESCPIPf10N Of PPOPERTY(SNOW BELOW ON A�T�CH iOUH COPIES� ��yy�pb� <br /> NIJUvc <br /> �or-- a�oc�--or pQpppb363 <br /> Ib0026364 <br /> Jpg�pOPE89 ��S <br /> �LUMSING MECHANiCAL . <br /> Np, TYVE OF FUfTURE OR ITEM FEE NO. <br /> TYPE OF EOUIPMENT FEE <br /> A'G A/HNOL6 UNITS—M P. <br /> W�TER CLOSE?(TOILET) FOPCED AIR SVSTEMS—B i.0 M EA. <br /> BATHTUB UNIT HEATERS—B.TL. M <br /> � LAVIITORV(WASH BASIN) CLOTMES DRYERS <br /> SHOWEN <br /> VENTI�ATION FI1N <br /> KITCHEN SINK 6 DIBP. qpNGE HOOD � <br /> DISHWASHER <br /> � WATER h!EAT[H <br /> LAUNDRVTRAV WOODSTOVE ' <br /> CLOTHESW�SMEP <br /> METAL FIREPLACE 8 CHIMNEY <br /> URINAL FIREPUCE INSERT <br /> ORINKINO FOUNTAIN HEAT PUMP , <br /> FLOON DR�IN GAS PIPING <br /> 4 BACKFLOW PPEVENTERS EXHAUST FAN <br /> j ROOF DRAINS—NAINLEAOEFS <br /> � SINK(SEPVICE—BAR.ETC 1 <br /> BUBTOTAL � <br /> BUB TOTAL s pERMR � <br /> PERMIT � <br /> � T0TILFEE � <br /> TOT�LFEE = RECEIP7N0. <br /> 1 FRONT 5E1B�CIt PEAR SETB�CM S�oE SETfi�CR PUN CMECK Nl1MBER FEE —_ <br /> f 91/26360 <br /> USE ZONE LOT�RE� V�CANT SrtE FEES SUIlUINO COUF FEE <br /> ❑ves ❑ No S 13,300.00 153 00 <br /> IYVF0IGONSIRULIIOM�IION�BI[ lYRO�CON51PULiqN�Gill�l <br /> rr��•p. Npqpµ(ll�Nf,UNits BUILD�NG <br /> PLUMBING <br /> � SI2E OF BI�G NO OF STORIES B�SEMENT I <br /> 864sf exiating <br /> 1 ❑VES ��FIO AIECHANICAL .. <br /> OCLUP�NCVIO�D FiRESPPINNlERS�EOD <br /> MEiaNTUMiT�tioN OTHER I <br /> 9 exieting ❑ �Es IX7Yo �/a _4 50 <br /> STATE BUILDI4G SURCHARGE _ <br /> REASON f0115PRiNNlERS <br /> STATEENERGYSUFCHARGE _ <br /> 11PPLIC�TIONACCBY PLANSAfPROVEDBY CITYOFEVERETT pUBLICWORKS <br /> LOCAL SALES <br /> BE TAX CODE IS 70TAL 157 50 <br /> 3105 yyHEN PROPERLY `1ALIDATED THIS IS YCUR PERMIT � <br /> i <br /> !� <br /> PE <br /> RMITS EXPIRE IF WORK IS NOT COMMENr,ED WITHIN AODREss FiLE 2 6 3 6 4 'I <br /> ��e e�vs oR CEASES FOR MORE THAN iB0 DAYS. <br />