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CITYOF dO��•! • "������' � r.... . � r <br /> Ih�rEceiT.rrrn O <br /> e`7G-►���,`, P�RMIT PERM6TN0. _ � `)H � r; <br /> 259 -8810 <br /> ❑ D[MOLITION C�COMBINATION ❑ BUILDING ❑ MEC"HANICAL zr ❑ PLUMBING�NE ❑ SIGN <br /> MAIL ADf]R[55 LITY r <br /> OWNLR <br /> The Casa Group P.O. Box 2188 Everett, 47A 90203 347-3 _ <br /> T�yp��T MAIL A��PE55 <br /> CiTY ZiP FNO��E <br /> pPCHRECT OH�ESIGNER ldNIL POD(1E55 <br /> C!Pr ZIP PMO�JE <br /> Ron Johnson <br /> w � C�n, Z�P PnONE liCEt�SE� <br /> GENEPALCONTfiACTOA AIAILAODPE55 CASAGC*1530E <br /> � y Owner <br /> MECHI.NiCPI COhTtInGTOq MAIt A�ORESS <br /> CITY ZIP PIIONE L�CENSE� <br /> b H fd <br /> ' �w Ever reen St. Sheet Metal P.O. Box 1GD8 Everett 98201 %52 3114 �VERGSS121K7 <br /> M q � GITY ZIP PIIONE LILEN,.Ea <br /> H Z H p�UM01N^uGONTRACTOR MA�LAO�HE55 <br /> � " � Ro:��.nson Plumbir,:.__ .�_(-�7 SE Everett Ma11 Wav Everett 98208 355-'171 ROBINP*272C2 <br /> � � � CLA55 OG\':ORH <br /> H y "5,, Q NEYi ❑ ADL'ITIUN ❑ ALTEHATION G flEPAIH ❑ �EMOLITION ❑ BUILDING RELOCATION <br /> � � c CONTnCifEf150NAilDPMONENOJFOTHEPiNAN^oOVE <br /> H � <br /> � � � rnN7RACTPRICEOFWORK S <br /> � � OESCFIEEYlORNANDSOIIAFEFOOT�GEINVOLVEO <br /> q y � _ N�ECX��li3i3fKK34 New Construction <br /> r� <br /> M H <br /> N <br /> ~ FPOPOSED USE OF OIIROING <br /> O N <br /> � r Sinqle familv residence <br /> � LEGALDESCRIPTIONOFPRO�EPTY;SHOW9F:LOWO�ATfAGHFOUHCOPIE51 �<`PySj��I] .j:�?�';'il ' �"��`-'�-•'1�'-�' "`k"�" <br /> y o vi White Clif s of Dover � . <br /> �o,5 e�ocK_oF. .-- <br /> tiL��----�. <br /> r.- � 75.G0 <br /> �oo nooness _ � _.-. ,J.�J <br /> 1R75 c lanrLava_ ... . . . __'.. <br /> PLUMBING MECHANICAL :�� _ __" <br /> NO. TYFE OF FIY.TUHE OH ITEM FEE NO. TYPE OF EOUIPMENT � ' ! �l PEE <br /> ].S OO aC-A'HNDLG UNITS-H P. . <br /> 3 WATER CLOS2T�TUILF.T) FORCED AIR SVSTEMS-0 T.LL � � M EA.� � „'�') <br /> $3 BATHTUB 15 �� 1 " <br /> �I LAVATGPV�W.4SHBASINI ZO DO UNITHEATERS-B.T.U. M -I.' �I <br /> ` lp Q� ]. CLOTHES ORVEFS ' <br /> VENTILATION FAN 1� <br /> I Ia, 1�� � 1 K TCHEN SINK 8 DISP. S OO 3 RANGE HO00 <br /> � 1 DISHWASHER S OO <br /> . ,1 WATERHEATER <br /> 1 LAUNDflYTRAY _ <br /> s oo W000STo�E <br /> _ ]. CLOTHESWASHEF 3� �O <br /> ' �I URINAL ]. METALFIREPLACEBCHIIdNEY <br /> _._ FIREPLACE INSERT <br /> DRINNING FOU(lTAIN HEAT PUIdP � <br /> ' ' FLOOR DRAIN <br /> BACKFLOWPFiEVENTEFS X GASA�PING <br /> � E%HAUSTFAN <br /> � ROOF OAAINS-�1AINLEADEqS <br /> I ���� � SINK(SERVICE--�AR,ETCJ <br /> 8� �G <br /> �,I eit ' SUO TOTAL 5 �S OO SUB TOTAL f 11O 00 <br /> � PERMIT S PEflMIT = <br /> � TOTALFEE 5 ZZO OO <br /> � TOTALFEE S �S OO pECEIP•, NO. <br /> FRONT SETOncK nEnfi SEioACK SI�E SETOAC,R PLAN CHECK NUMBER FEE <br /> � - Zp per plat 6 90/23876 693.18 30237 <br /> �I �—' ' USEZOrvE LOT/.REA VAC�NTSrtE FEES BUinoiNGCOOE FEE <br /> R_1 ']OOO [�yES G NO <br /> �.�w�,�.:.� , 716.50-177.4 5121 948.00 539 O5 <br /> I IYf40f[@ISiFUCiIONFIIPNABIE tt{fOFWNSiFII:iIONAt1URl '� YOAF'1VEIlIKGONi15 BUILDING <br /> V-N V-N R��� P�UMBIMG 75 00 <br /> !�1_�I. Si2EOi��OG NOOFSTORiES �RSEMENT il �� <br /> 2Fi08�F85Z gdT 2 YES ❑1!O "�'ECHANICAL <br /> OCCUGANGY LOAD FlRC SFpINHLER:i REO'� H[IZ 18T L1�1�TRTICN OTHER <br /> N/A x ❑vEs x�] No <br /> STATE BUILDING SURCHARGE 4 50 <br /> 41EASON FOR SPRINRL[RS <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACG.BV PLAPiSAPPROVEDBY CITY OF EVERETT pU�LICWORK$ <br /> LOCALSALES <br /> TAX CODE IS TOTAL �ae 55 <br /> J.H. 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> � gft8� Credit $177.45 on building pexmit fee for overpayment of plan check fee. <br /> PERhAITS EXPIRE IF WORK iS NOT COMMENCED WITHIN AU�RESS FILE ��V I r' <br /> 1aU DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />