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`� a7v oFeveaerr � <br />C�NSTRUCTION <br />razs� zs�-sa,o PERMIT <br />P�t�i! Nu�Wrt R62110 <br />stPA Nu�re <br />I��uw Dat�� <br />Job lWdr���s 203 DOR1f AVS <br />Own�r <br />so� ,isx�x <br />10171 6�TN PL N <br />NUICILT�O NA 98275 <br />{2S-34Z-1057 <br />O�n�rwl Oontr�ctor <br />11DDRL88 lIL� copy <br />T�nant <br />Plu�binq Contractor <br />Typ� of P�rmit: SPRINItL�R <br />N�atinq 9y�t«n: NWR <br />MS=C Cod�i <br />M�cription of Nork: SPRINRLSRS/10 HE71DS <br />Lpal D��cription/ 3945 OQO 011 0000 <br />Prop�rty ID= <br />Con�ErucEion L�nd�r� <br />1►rchil�et/D��iqn�r <br />ll�chanic�l Contractor <br />ROlINSOII PLUNBIl16 <br />29330 121T6 11Vi IIE <br />lU1LINOT0l1 N11 98773 <br />355-6171---- <br />xosi�rns�2cs <br />Contact P�r�on <br />..'::p.'::."..'"' lldi'9":�::"..::"Y""""""""'."""""""""...""" <br />QtY TYP�pof lixtur� 1�N 4tY TYP� oCifiAlsfqI lpuwnt !N <br />8ub Total Sub Total <br />...................................................:"..........................._... <br />B�TBACR lOOTAO� OCCUPIINCY V�cant Sit�T TYPt O! COdBTAUCTI0t1 <br />lront 0.0 Lo�d No. Dw�llinq unit�� 1111owabl�� <br />R�ar 0.0 6zoup 81:� of Bldq: 1►etual� <br />8id�1 0.0 / 8tori�• 61s� of 6ar: U�� fon�s <br />Bid�2 0.0 sa�mnt7 B�iqht Limit� fir� eprinkl�r R�q'd? <br />Lot Ss R�a�on !or Tir� 8prinkl�r�: <br />R�modol Sss lir� 111arm R�q'd7 R�a�on !or iir� 111ar�: <br />Plan� 1lpprovod By: TL <br />City of Ev�r�tt Local <br />Sal�� Tax Cod� i■ 3105 <br />Plan Ch�ok R�c�ipt No: <br />PAID IN FOLL 1►T BUDMITTI►L <br />r«: so.00 r�s <br />fEE TYP68 PiAMIT V71LUl1TION <br />Buildinq <br />Plumbinq <br />lNchanical <br />ph.rkl�r <br />Ot <br />St. Bldq. 8urcharq� <br />Public Work� <br />Additional Plan Ch�ck iN <br />TOT11I. <br />40.00 <br />j{0.00 <br />P�rmit• �xpir� if work not comn�nc�d within 180 d�y or c�a��� nar� th�n 180 day�. <br />� \.��\ � \ <br />.� � � �', \�-" \ ) <br />� �J' \,` � ` / <br />O �G 1gg9 ✓ <br />PpR ��1 � <br />„-, <br />l,� ��. ��� <br />�s <br />t:.i�� �I` ��,���c- R e2iio <br />v �t'' <br />