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CITY OF EVERETf <br /> � ���NSTF�IJCTION <br /> PERNlIT PERMITNO. 2HO6O <br /> 259-88 i 0 <br /> ❑ DElAOLITION ❑ COMBINATION ❑ BUILDING XSMECHANICAL �J PLUMBING ❑ SIGN <br /> OWN[R IAAILFD�RE55 Gltt Zi? PHONE <br /> Paul G. Schamp 1409 Lombard Ave. Everett, S9A 98201 256-9302 <br /> TENANT 6�AILAOOPE55 LITY ZIP PHGNE <br /> � APCHRECTOROESIGNER 1dR�LNDDRE55 CITV ZiP PHONE <br /> GEIIERALCOt1TRACTOR l.IAILAOORE55 CITY ZiP PHONE LICEIISE+ <br /> Owner <br /> MECMANIGFLCONTRAGTOR MAILAODRE55 QTY ZIP PMONE LIGENSE< <br /> �C� PWlA�IlJGCONTRACTOR <br /> lAAILADDR[55 CITY ZIP PHOI�E UCEt�Si.+ . <br /> C1[� <br /> ��� CLASS OF VJORK <br /> 9 y N p ryEy./ ❑ AOOITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> CONiACT PERSON ANJ PHONE f�0.IF OTIIER TMTN ABOVE <br /> H 9� CONTPACTPRICEOFWORK: S <br /> y zH DESCRI�EYlORKAN�SOUAREFOOTAGEINVOWE� <br /> K n <br /> O x O Install wood stove in detached garage — <br /> � N� <br /> (q H <br /> � �� PROPOSEOUSEOFPNLDiNG �C,'J.��i J�,�'%�;';� '=�'�����=� � . . � <br /> y d Garaqe � <br /> Htf L[GAL�ESCRIPTION OF PROPERTV�SHOY/BELOIY CR A'TAG�FGUR GOPiLS� �I�'uOGB1E'� <br /> �o "�ErH "-:'0.p0 <br /> c�� nqq LOT__�LOCK__OF �,q�y --.�,,.;� — <br /> � H z -- <br /> HH <br /> g � _ -- <br /> N <br /> O C7 V7 .irnnnp�=cc <br /> � C� 1409 I�mbard Ave. <br /> C�1 <br /> z �.�y PLUMBING MECHANICAL <br /> H C(/� <br /> NO. TYPE OF FIY.TURE OR ITEM FEE NO. TYPE UF EOUiPMENT • FEE <br /> WATER CLOSET�TCILET) 0.0-hHNOLG UIIITS-H.P ,_ <br /> BATHTUB FORCEDAIRSVSTEMS-5.TU. M17EA. _ <br /> �.AVATORY�VJASH BASIN) UNIT HEATERS-B T.U. h� <br /> SHONlER CLOTHESORVERS <br /> HITCHEN SINK&DISP. VEtiTILATION FAN <br /> DISHWASHER RAN6E HO00 <br /> a""— — <br /> LAUNDRV TRAV YlAT'cfl HEATER <br /> �! CLOTHESWASHER 1 WOO[15TOVE 3O 00 � <br /> URINAL IAETAL FIREPLACE 8 CHIMNEY <br /> �� a DRINKING FOUNTAIN FIPEPLACE INSERT <br /> a ' FLOOR[1RAIN _ HEAT PUh1P <br /> B�CKPLJW PREVENTEFS GAS PIPING <br /> .ns � <br /> ROOF DRAlIJS-RAINLEAOERS EXHAUSt FAN _ <br /> ' ' SINK�SERVIC[-BAP,ETQ) <br /> � a. SUBTOTAL 5 SUBTOTAL 5 30 00 <br /> �.j� ' PERMIT 5 PERMIT S <br /> TOTAL FEE 5 TOTAI.FEE 5 30 00 <br /> FRoni5ElonCrc �[M5[inaCR 5ioE5etunCR PLANCHECKNl11.1�ER FEE RECEIPTNO. <br /> �`� V�� JSEZOtlE LOLAREA VACANTSRL <br /> FEES BUVALU TION E FEE <br /> ❑V[5 ❑NO <br /> f�`� a t'FEOPoONSiPUC➢0'�/�LLOT:AELE ttPEOFCONiiRUCti011ACiUAL a��wx°.=`' ��OGfV!lEWNGUA'.�5 DUILDING S <br /> PLUM6ING <br /> SL'EOFBL'JG. NO.OFSTOfiES OASEIAENT <br /> ❑�es ❑r+o h+EciinNicn� 30 00 <br /> .. GC'�t1PANGYLOr1D FlFlF:SFRiNN.ERSPEOD NEIGirtU�A!TATIOII pTH[R <br /> ❑YES [INO <br /> n[n:ou FaR SPRINHL[Rs STATE OLIILDING SURCHARGE <br /> STATEENEAGVSUPCHARGE <br /> ,,�ruinnoNncc.ov a�nNsnaaRove��.�t�v CITY OF EVERETT <br /> LOCALSALES PU�LICVJORHS <br /> TAX CODE IS Ta,-A� 30 00 <br /> __ 3105 �NHEN PROPERLY VALiDATED THIS IS YOUR PERMIT <br /> _ ( <br /> PERb11TS EXPIRE IF WORK IS NOT COMMENCED WITHIN � g�6� <br /> 180 DAYS OR CEASES FOR MORE THAIv 180 DA"S. Ni>C•�tgS t=i:_i= <br />