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��,.�..,_. <br /> s ���:3 r 1"u�� t",..L k `�..,�g`� <br /> ��erett PERMIT PERM�TNo. � ' � i� <br /> >59 -8810 <br /> CFMOLITION ❑ COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUM8ING ❑ SIGN <br /> u.n��now¢ss crtv ziv �'��oi<e <br /> Dave Johnson 10922 Slst NS Dtarysville 98270 653-1034 _. � <br /> , ,. MRiLF0�RE55 CITY IIP fHDNE <br /> � '.�'LCTOROESIGNCII 1.IAILApDRE55 GIT' ZIP PHON[ <br /> Owner <br /> . ..'���LCONTMLTOR MAIL�DORE55 CITY ➢P PNONE L�CO+'�L� <br /> Owner <br /> ..i.��>t�ICRLGONTqRGTOP MAILPO�RESS CIT'I 21F CNONE LILE'JSI �� <br /> y 171-'� __ �-_ <br /> ,..[^KJ ��.u!�.fIAGCONTBPCTOR MAII/ODPE55 CITv 21P 1'110NE ULEIifE- <br /> �^� <br /> >H <br /> '�'�� CVoiO(WORN <br /> C H <br /> 9�-3 V� f.l NEW �ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ Bl11LDING RELOCATION __ <br /> rx <br /> H a3 CON�RCTPERSONNN[JPMON[NOIFOiHENT1IAY/.00VE <br /> N Z H CONTRACT PAICE OP WORN'S IS OOO.OO <br /> �C n <br /> y�1 ::e;crnoe wonK nrvo sounne roornce n+vou�co <br /> � H M 240 sf addition <br /> fn H <br /> ri C <br /> � za <br /> h O� r�,,.,�osEo use or ooaowc <br /> Hl7 <br /> � n b SPR _ <br /> H CO t[G:LOESCRIVTIONOFVROPEPTV�SMOWOELOWORATTACMfOUIiCOPiF.S1 <br /> �` � 27-28 370 Everett Div L <br /> z H� lUT_ OLGf.+�OF . .. _ <br /> a y�_, <br /> rH y -- ----...__ -- <br /> o �'H <br /> c� C cn -- — <br /> q �� ��. nonn�s5 <br /> 3 p; 1812 13oyt Ave. <br /> a p CNj� PLUMBING MECHAN�CAL � <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A:C -A.HN�LG UNITS—HP <br /> BATHTUB FORCLD AIR SYSTEMS—6 T U. M EA _ <br /> _ LAVFTORY�WASM OASIN� UNIT HEATERS—8.T L'. M <br /> 5l101NER CLOTHES DRVERS __ <br /> NITCHEN SINN 8 DISP YENTILATION FAN <br /> DISHWASHER RANGEHOOD <br /> !� � LAUNDRVTRAY WAiERHEATEN <br /> � CLOTNES WASHEH WOODSTOVE _ <br /> URINAL METFL FIR[PIACE 6 CHIMNEY _ <br /> DRINKING FOUNTAW F�REoLACE INSERT _ <br /> P � � FLDORDRAIN HEATPUMP <br /> ' �ACKFLOW PREVENTf:RS GAS PIPIt:G <br /> IIOOF DRAINS—RAINLC:ADERS E%HAUST FAN <br /> SINK�SERVILE—BAR.ETC) <br /> SUBTOTAL f SUBTOTt.I S <br /> � PfipM1T S PEPMIT f <br /> � TOTAL FEE f �'OTAL FEE f <br /> FnOrv1 SErOncK �EnP SEiAnCn v0E i[IDnCh PLAN CHECK NUMpER FGE (IECEIPT N0 <br /> � q,�� 20 20 5 9C/23799 ^/POB'i(hQ1:4 M�UID8g0�57 k:t::kk <br /> �-�^� USEZONE LOTAREA VACANT;ITE <br /> FEES ew�oi cooe FEE <br /> R-2 5610 ❑YE5 rvo � ., <br /> rr�orcowsixucnovaiirmnei[ rvrcnrccnstaucimxaauni �� �roorcxtm�::,u�ars OUi�oiN� 135.00-17.55 0���49�0 117.95 � �yq <br /> '� � ,�,w � <br /> .,.I � V-N V-N - PUIMDING E S�iCH 4 .50 <br /> size o�eioe r+o of sromes o�scrner+* CHECI( S12 '.95 <br /> LQ�G Z ❑Y�S f NO MECHFNICAL <br /> ��.,rnrvcvionD rmEsnniHe�EasR[ao i�Eu:�rtimn`�*�or+ pTHEF <br /> N A ❑YES C�40 � <br /> .�.anrOnsrnn+rcicns STATE�WLDINGSURCHAflGE _� __ 9 50 <br /> STATEENFRGVSURCHARGE <br /> - ,.��:.�u�ancc ov r�nnsncrnoveoav CITY OF EVERETT <br /> LOCAL SALES ru�ucwonKs <br /> I;.:;. J.H. TAX CODE IS TOTAL 21.95 `" � <br /> - -- � - - ���' WHEN �'ROPERLY VALIDATEO THIS IS <br /> '- - - ---- l'OUR PERMIT <br /> PERi. -S V.i.!'�.� _' :F '.VO��I: I:' l�.Cil CGtl1�9f:WC�FD WITNIN . . <br /> 180 ���IS �- . - : . . !i fdONE THAN 180 I�AYS. ... . ... ... � �. � � . <br /> � <br />