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rh: fl;,;trr,,; C �IY�7 1 llVi.� l ���IV r... <br /> everett P��MIT PERMITNO. GG�� `� � <br /> 259 - 8810 <br /> ❑ DFMOL{TION ❑ COM8INATION ❑ BUILOING � MECHANICAL �SCPLUMBING ❑ SIGN <br /> una noonEss <br /> cirv zio �•�a�+E <br /> c�:vrn <br /> Dennis [dovak 8E 4633 Glenwood Ave Everett, WA 98203 zP ,,,,one <br /> — I,�nIL nOD�E55 CiTv <br /> 1tYcqT <br /> ,v:�ralECT OR OESIGNER <br /> VfILA�DdESS CITY ZIP FHONE <br /> GCNCRALCONLRACTOR <br /> MAIL A�DRE55 GTY ZIP R10NE L�CENS[� <br /> � � m owner <br /> K MRILPDDRESS CITY ZIP PHONE LICEN'vE• <br /> H l�.FCHANIGAL CONi�/CTOII <br /> K) d <br /> �� M <br /> y GTr 21r PnoNE UCEN:�. <br /> � � <br /> f W MO�NG CONiRnCiO� MRII ADDRE55 <br /> M <br /> n <br /> y %� c�assorwonK <br /> b N � ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ AEPAIH ❑ OEMOLITION ❑ BUILDING flELOCA I <br /> �+ CONinGT Pf.RSON AND RIONE NO.IF OTHEP THAN�OOVE <br /> � O t9 � CONTRACT PRICE OF WORK S <br /> H d <br /> O F+ ocscnioe�vonKnrvosounn�ioornceiNvoiveo <br /> � � � Install 4" AHS sewer from PVC sewer service into crawl space for zesidence <br /> G� • <br /> � y � <br /> � t+ H i�novos�ous�ovnuao�r�c <br /> N <br /> d y Single family residence <br /> � C� r LEWLOESCi�IPT10NOiP�OfER1Y�5N0\'I�CLOWOAATTA�NFOUPCOPIES� <br /> $ HO L1 LOi� OIOCN__OF <br /> H <br /> �cuneoness <br /> 4633 Glenwood Ave <br /> FIUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> A.C—A'HNDLG UNITS—H P. <br /> WATEF CLOSET(iOI�ET) <br /> FORCED AIR SVSTEA!5—B i U. hl EA. <br /> BATHTUO M <br /> UNIT HEATERS—B T.U. <br /> LAVATORY�WASM BASIN) <br /> CLOTNESDRYERS <br /> SN01M1'ER <br /> VENTILATION FAN <br /> �� . KITCHEN SIn;K 8 OISP. RANGE HO00 <br /> ( � DISHWPSHER p/q7ER HEATER <br /> �� LAUNDR�TRAV <br /> � CLOTMES\4ASHER WOOD STOVE <br /> 1 URINAL METAL FlREPIACE 8 CNIMNEI' —_ <br /> '�_ FIREPLAGEINSERT <br /> OPINKING FOUNLAIN <br /> i ���' FLOOFDRAIN HEATPUMP <br /> ' ' BACNiLOWPREVENTERS GASPIPING <br /> i ROOF URAINS—RAINLEAOERS E%MAUST FAN <br /> � '�� SINK�SERVICE—DAP.ETC 1 <br /> ��� 1 sewer line 5 00 <br /> � SUB TOTAL S S OO SUB TOTAL S <br /> PERMIT S 1 OO PERMIT f <br /> �. f��' 1 TOTAL FEE S ZS OO TOTAL FEE S � <br /> �� FRONTSETOnLN RGnSETonCrc Si0E5[TanCK PLANCHECKNL'A1�ER FEE <br /> RECEIPT NO. <br /> �, t�� USEZONE LOTPREA V4C4NT9TE FEES BUIIOMGCODE FEE <br /> _, ❑VES ❑NO 5 <br /> i (,�.nf�,�. DUILDING <br /> � IYCEOFCON$ifiUC110NPLLIri1ABlC NROftON9FULilONFL1UAl �„�. �����NTlutiG11M111$ y � ` , <br /> i PLUM�ING ` / 15 �� <br /> I ' s¢eoFoioc r+oorsToaiEs onseMenr N000'.'.�74 <br /> � 1�' ❑YES ❑NO MECHANICAL <br /> OCCUi'ANCYLOAD vmesnainK�ensnEan ��cmNrunntnrior+ otHER CHEC1: $1 .�� <br /> ❑VES ❑NO <br /> STATE�UILDING SURCHARGE <br /> R[ASON iOR SVRINKL[115 <br /> STATEENERGVSUFiCHARGE <br /> APPLIC�TION�CC �Y PL�NSA4'FPOV[0�� CITY OF EVERETT <br /> LOCAL SALES PUOLIf.WOF7KS — <br /> TAX CODE IS TOTAL 15 00 <br /> Pf.bt. 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> �t � �l `7i� <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qODRESS NLE C G G I - <br /> 180 DAYS OR CEP.SES FOR MORE THAN 180 DAYS. <br />