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��cE��'��`�.,� �� �NS�RU�TIOnI <br /> ��n o� _ <br /> eVeY'�tt PERMIT PeRnnir rvo. _ ' 6 �� 4� � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION Xk7{BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> nYWER <br /> r.+ni�nooaess arv zia n��o�+=_ <br /> 'Pollefson, C. E. 1119 Lombard �ve Everett 98201 252-1848 <br /> IRNNT I.IAILAD�PESS Cltt ZIP PHONE <br /> „nCHrtECTOROE51Gf.F"'� MAILADORE55 Cltt ➢P PHONE <br /> GENEqALCONTRACTOR <br /> MAIL��ORE55 CITY ZIP PMONE UGENSE� <br /> OcJROY <br /> MECMANICALCONTPNGTOFl Mnl: ND��E55 CITV Z�P PHONE LICEtSF.• <br /> CIiY l�V PHONE LICENSE= <br /> y�� PLUM�ING CONiRACTOR 61AIL FOORES$ — <br /> ��9�3 <br /> kJ�H CL45S OF V:ORH <br /> ��y ❑ NEW {�{AD�ITION ❑ ALTERATION ❑ REPA�R ❑ DEMOLI710N ❑ BUILOING RELOCATI <br /> — GONT/.Q PERSON AND PHONE NO.IF OTMER TNAN FOOV[ <br /> a -�,�'� CONTRACT PRICE OF VlORK:$ <br /> � y� CESCBIpEYIORKAND50UAREfUOTAGEIN'fOLVED <br /> � H� Ba window kitchen addition <br /> y H <br /> � � <br /> O� anoaoseo use or ouao�r�c <br /> H C7 — <br /> O H Sin le famil residence <br /> � �O LLGAL CESCAIPTiON OF PROfERTY 19!OVI pELOVI OR�TSACM FOUR CC?IES <br /> 4�� O Sec 17 twr� 29 rce OS Rt 25A Hea at ot 795' E of CiW Cor SWl/4 Th ti __ <br /> q3 LOT� BLOCN� OF <br /> y y z alg C/L Inmbarrl Yrod 599.35' th E to E Ln Sd Ave prod Th cont E 120' th S 83.75' 7J9B th _ <br /> r� <br /> HH <br /> � � S 42 ' . — <br /> H <br /> n b� !on��oo�aess <br /> � �C�1 <br /> z y y PLUMBIfvG MECHANICAL <br /> y 0� TYPE OF EOUIPMENT FEE <br /> NO. TYPE OF FI%TURF OR ITEM FEc NO. <br /> YJATEfl CLOSET(TOILET) A�G—A:MNOIG IJNITS—H.P. <br /> FORCEO FIR SVST�MS—�.T.U. M EA <br /> BATHTUB <br /> LAVATORV IIYASH�FSIN) INiT NE^TE�S—n T l� M <br /> SHOWEP CLOTHES ORVERS <br /> NITCHEN SINK 8 DISP. <br /> VENTILATION FFN <br /> '��� DISHWASHER �ANGE MO00 <br /> o� <br /> � LAUNUHY TRAY VlATER IIEATER <br /> WOODSTOVE ��^n , o n ........ <br /> CLOTHES WFSMER <br /> METAL FIREPIACE 8 CHIMNEY � <br /> URINAL <br /> R�� � �RMKING FOUNTAW FIREPLAGE INSERT o C�O <br /> ,i..�� HEAT PUh1P i <br /> FLO(�R D�AIN <br /> BACKFLOW PREVENTERS GAS PIPING I _^ S <br /> 'y�� �. ROOFDRA�NS—FAINLEADEFS E%HAUSTFAN u a � <br /> �_` 5 W K(SERVILE—BAR.ETC J <br /> 's A�� SUBTOTAL S SUBTOTAL S <br /> 9 PERMIT 5 PEPMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> FPONiSEIDAGK REARSEienCK ::iUCSRpnCrc �'L�NCH[CKNUtd�ER FEE RECEIPTNO. <br /> �, m,� <br /> 20' 20' S' 91/26948 TO BE COLI.G TED <br /> USEZONE ��T�`AEA �A�AN151iC FEES BU�lOiNGCODE FEE <br /> R_Z 5,090sf ❑vEs XDWo <br /> O`�e ineo�cor�staucuoxRua.v<nir ivfforcasinucuoxncm.+i. �x;�"�',;'°" �+aovowEui:�ur.ns oui�oiNc 51350.00 33 00 <br /> � ,�_N p_N R-3 1 a�uh+owc <br /> sizeova�oc rvoorsronies nnseMer�t <br /> 30sf addn 1 XYES ❑ NO MECHANIC�L <br /> �' Of,CUP�HCYLOAO RPESPNNNLEPSREOV HEIGIItL�1.UTa110N <br /> OTHER plan ck fee 21 4 <br /> n/a ❑ves k�o 28' <br /> STATE�UIIDING SURCHARGE A SO <br /> n{Aip'1 GON SPRINNIERS <br /> STATEENERGVSURCHARGE <br /> avvucnnouncc uv vinNSAvvnoveoov CITY OF EVERETT <br /> LOCAL SALES P��LIC WORKS <br /> � TAX CODE IS TOiAL 58 95 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> � <br /> PERNIITS EXPIRE IF WORK IS NOT COMMENCED WITHIN � � �� r� � ;I., <br /> ADDRESS FILE <br /> 180 DAYS OR CEASES FOR MORE �NAN 180 DAYS. <br />