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CT' OF EVERETT <br />� � C:ONSTRUCTION i, <br />PEF;MiIT PERMITNO. 2%S�iH <br />259-8810 <br />❑ DEMOLI710N ❑ COMBINATION QBUILDING ❑ MECHANICAL ❑ PLUMBIND ❑ SIGN <br />ow��Ea w,il�UonEu G1v zie r�rorvE <br />_�irv of Everrtt A%W 3002 W tmorc E-ereet 98201 259-8800 <br />iENANf MRILAOpIlE55 CIiV ZIP FNONE <br />c r Fi n t If5 6A01 Beverlv Rlvd Everett 98203 259-8800 <br />AFCMRCCiOR005IGNCR MI.ILI.O4:..'SS CITV ZIV PNONf <br />G[NERALLWIIP�CTOf1 MAIL�DDRE55 CITY ZIV FWJXG UCENSE• <br />ot�rn <br />MECNANiC0.CONLRACTOP MAILAWRE55 CIiY 21P Y�ONE �RENSC� <br />PIOMBiNOCONiRACTOP MLIL�WqE55 CIiV IIP PHONE LiCENSE• <br />0 NEW <br />❑ AOOITION <br />ALTERATION <br />❑ PEPAIR <br />❑ DEMOLITION ❑ BUILOING flFLOCATION <br />ANO PNON[ 110 �� OiH[R TMAN �OOVE <br />CONTRACTPRICEOFWORN�.$ �lpp � N 7 P 1 �59 R848 <br />oEscaiee wonK�xo sau�ne ioouce nno�vEo <br />Addi 1 f A�crmant efnirvay <br />PPOPOSEO USE OF OUMi1:G <br />t4.n Sr�v�i <br />�cGl.t DCSCPIPiION OF PROPEfliY 15�� BEIOW Oi1 ATiI.M f W R COPI[5� <br />I.OT_BLOGR_O! <br />JOBAJC'1C55 <br />l �Ol BI <br />PLUMBING <br />wnrEn <br />URINAI <br />�RINKiNG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PPEVENTERS <br />ROOFORhINS-RAML[A�ERS <br />SINK ISERVICE - BAR, ETCJ <br />SUBiOiAL S <br />PEPMIi S <br />TOTALFEE S � <br />':roecn �c<�s��wcK si�ese�o.ca <br />m�anE� veceersre <br />❑ rEs ❑ Ho <br />�xsrauc�wr�uiwu��[ rvvEo�caxrnvcno�+�c*w� �cwx. roo�oaEur„u+ <br />ILDO. NOAFSIDaiCS E��EMENT <br />❑ vE5 ❑ NO <br />ICYl0�0 FIflE $PPIryYL[f15P[0� ME�GHLLIM!iA}�04 <br />❑ vcs ❑ rvo <br />GOR 6�PINK�[fl$ <br />�iorv�ccov ruuseNvi�ovcoov CITYOFEVEREIT <br />LOCALSALES <br />TAX COD6 IS <br />3105 <br />MECHANICAL <br />w000 <br />ExMRUST <br />euuowc <br />PIUMBING <br />�IECHANICAL <br />OTHER plan Ch¢i <br />STAiE BUROING SURCMARGE <br />STATEENERGVSURCNRqGE <br />PUOLIL WORNS <br />TOTAL <br />PEIiM1T5 E%PIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR �dORE THAN 780 DAYS. ' �' '� � ''- <br />S 1200 29 <br />Fee 18, <br />47 <br />\LIDATED TI11S IS Y ERMI <br />� <br />X,A�c�o�'� ,C 1 <br />(1� �ri�"" u�0 �3� � <br />1t <br />2795�3 <br />