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I-y CJ �"I <br />� � ,�, <br />H <br />�H[Hi� <br />Y <br />y H <br />Ox0 <br />� F � � <br />Ce H <br />�O� <br />H �J' <br />OH�j <br />N C=i O <br />�r nq <br />9Ht� <br />rHH <br />�y <br />H <br />(] C'1 Cn <br />���1 <br />zy�n <br />HOln <br />�.�i 1 <br />�,,�F,���T;"�� � ' �"3�N�TR�J�;i10�9 , <br />���.��1�� P�f�1vu8� PERMITtdO. �l'�`t� <br />259-8810 <br />17 �EMOLITIUN ❑ COMBINATION ❑ BUILDING Q MECHANICAI. O PI.UMBING ❑ SIGN <br />n�.vrvrn r.n.�i�noonE,s crtv z�i� e��nrir <br />Roger Schulz 242-4413 <br />ic:nHr rnni�nnoness arr zir v�ar,c <br />AACn6EGTqR�E51ONER AIAIL\DDREtiS CRY ZIP P�WtlC <br />GENERALCUMI��CTOB �dAILAD�PE55 GTY ZIP P��ONE UCENSE+ <br />A�[CHnMCnLCONTFnCTO� IAAiLA0DRC5S CrtY 21P �'I�ONE LICEHS[� ', <br />Busbys Plumbing 3902 High SC. Everett, �9A 98201 253-3173 ➢USBY131hlli i <br />r�wemrt�r,corirnncron �ananoon[ss crtv zir rror+e uce+=[' II <br />c�ns oF �conK i <br />f� NEW ❑ ADDITION ❑ ALTERATION (3 REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br />CONiACT PEfiSON ANO PMON[ NO.IF mn[rr �nnn rvo�cc <br />CONTRACT PiiICE �F WORK: S <br />JE :CRI�E IYURd NND SOI1nfiE fOOTdGE IN\'OLVED <br />Reoair bath <br />•ROPOSEOIISE O:OUROING <br />.EGAL OESCRIPT�011 OF PliOPERTY (SN01V p[�OW OF �RACN FOUR <br />LOT— OLOCN -- aF <br />�conooness 12/19/40 3:22FN GOOAM5018 kkKk <br />��� -7�iB-7 Evergreen S•7ay _ � <br />PLUMBING MECHANICAL k000�6141 <br />NO. TYPE OF FIXTURE Ofl ITEM FEE NO. 'i YPE OF EO NT `_ F� <br />\YATERCLOSET(TOIL[T) NC-0.�HNOLGUNITS— ` <br />BATNTUB FORCEDAIRSYSTEMS-6. . �` ldEA. `� ' <br />Z LAVATORY�WASNOASIN� LO OO UNITHEATERS—OSL M <br />KITCHEN SINN 8 DI.".P. <br />OISNWASNER <br />IAUN�RYTRAV <br />CLOTHES\YASHER <br />URINAL <br />ORIhKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTI <br />ROOF DRAINS — RAIN <br />SINK �SERVICE — BAR <br />iRONT SETONCR <br />IYFf OF [OY9FVCI10�1 <br />SIZE OF pLDG <br />OCCl1�ANGYLOA� <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />REAfISRpFCN <br />LOTAREA <br />nff 0% [oN9qucLON aCI W.t <br />Ii0 OF STORiES <br />E SPRiNklERS AE00 <br />YES ❑ NO <br />pV I �LA1Li <br />5 <br />_ <br />CIOTHES�RYEFS <br />VENTILATION FAN <br />RANGEMOOO <br />Z 1'lATER HEATER <br />1Y00D STOVE <br />METAL FIREPLACE 8 CMIIdNEV <br />FIFEPLACEINSERT <br />HEATPUMP <br />G�S PiPING <br />E%HAUSTFAN <br />PLAN <br />SUB TOTAL <br />PEBMIT <br />TOTALFEE <br />FEE <br />Vf.CANT SR[ <br />FEES <br />❑ YES ❑ NO <br />«���!��NooFouwucu'.�Is BUIL�ING S <br />PLUM�ING <br />OHSEI.IENi <br />❑ YES ❑ NO h1ECHAN�CAL <br />HEiGHrt.n.uraTior� OTHER <br />STATE BUILDING SURCHAFGE <br />STATE ENERGY SUf1CHARGE <br />CITY OF EVERETT ��dUC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALI <br />PERMITS EXPIRE IF WORIC IS NOT COMMENCED WITEIIN qUtiHCSS Fii.t: <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />� <br />S <br />� <br />FECEIPT NO, <br />fEE <br />IS YOUR PERMIT <br />' 1 <br />�, � <br />�� i. . <br />