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HC�� <br />„ C -_ <br />n � 1-_ <br />A�.^: <br />C H <br />9 �3 C/� <br />C'� .w <br />H 93 <br />�z� <br />�'] .b <br />� x� <br />R] H �=] <br />(!J H <br />h? r <br />�, z a <br />non <br />H C7 <br />p H <br />H C�T7 O <br />yn V �] <br />zH� <br />ryz <br />Hy <br />C7 � <br />od� <br />CC <br />3 C�7 C" <br />Cs7 CT7 <br />Z H Cn <br />r3 O fn <br />I� �'' <br />�m ,o, <br />I, ry� <br />�' '' <br />4 ��0 <br />cTvoF V�,` 11.7 1 1'iUl,r 1 IV1�1 � <br />�verett PERMIT PERMITNO._ `-=�' <br />259-8810 <br />�-: DEMOL1710N ❑ COMBINATION p BUILDING ❑ MECHANICAL ❑ PLUMBING C; SIGFI <br />.._ ,_ n�no.�moa�cs arv Zm rr.or:e <br />Grnie Itenderson Lower Ridge Road lvci-ett 98201 <br />. .,� IdAI�qOC:fi55 CIiY ZIP PHG�lE <br />- ".r•iECTOF�E5IGNER i.�/�LADOHE55 CiiV 21P FHONE <br />t: & D Hame Imp 527 93rd SW Everett 98204 347 6091 GDHOMI*160NC <br />..':[nALf,ONTilFCiOR MPLLAOORE55 CItY Zlr PHONE l.ICE!�'"' <br />� PwNiC4LCONiRACiOR IA�11LAppRE55 GTv ZiP FHONE ULU:�.` � <br />PWM��YGCONTNAGTOR M1IFILRD�RE55 CITY ZI? PIIONE UCC.: � <br />CL<SSOF WOFY <br />❑ NEW ❑ ADOI710N O ALTERATION �{REPAIR ❑ DEMOLITION O BUILOING HELOCATION <br />I GO'R<CT VERSON AND PMONE NO �F OTHEB iMAN AfiOVE <br />COM RACT YRICE OF WORK�. S 21SS <br />[:E ;! �IC1E 14GR1( A6D SOUARC fOOTAGE iNVOLVEO <br />Iteroof - tear off old roof and install new hot tar <br />,1pt <br />l CGnL DESCRIPTION OF PROPEFI� iSHOY; AELOYI OR PFTAGM GOtIR GO� IESi <br />�a.2b62�iocK68LoF ��Q� �81__(126�99b 09/19/90 10:�7RM OOUfiH3733 kkl'k <br />! <br />.:t>noontss <br />2922 13oyt <br />P_UMBING <br />NO. T"PE OP FIXTUHE ON ITEld <br />WATER CLOSET �TOi:ET) <br />�ATMTUB <br />IAVATCFY (WASH BASIN� <br />SHOWER <br />KITCHEN SINN 8 OISP. <br />�ISHWASHER <br />IAUN�RYTRAY <br />CLOTMESWASHEfl <br />�RINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />�ACKFLGW PREVENTER£ <br />FOOP ORAINS — PAINLEA�ERS <br />SINK ISERVICE — BAR. ETC.I <br />I SUBTOTAL <br />PERMIT _ <br />TOTALFEE <br />FNONi SETOFCK PLAfi .ETpACH <br />❑SEZONE LOTnnEn <br />nrtorco�+srAuctmHnuuxnme tta�occorarauCnorvacrua� <br />: UC O!' OLDG NO OF STORIES <br />ieCUPANCYIOHD fiRE5PI11NNLER5REC0 <br />❑ YES ❑ NO <br />ui; �.pNFpRSPPWNLEqS <br />4PPROVEO �v <br />2LDG <br />R Sf�`f. <br />CHECY, <br />M[CHANICAL <br />NO. 7YPE OF EOUIPMENT <br />A'C — P.�HNpLG UNIT$ — MP <br />FOiiGE�AIRSYSTE/.!S—BT.U. MEA. <br />UIJITHEATERS—BT.U. M <br />CIOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />YlATER HEATER <br />WOODSTOVE <br />METAL FIREPLAC'i A CHIMNE� <br />FlREPLACEINSERT <br />NEATPUMP <br />GAS PIPING <br />E%MAUSTfAN <br />5 SUOTOTAL <br />$ PERFIIT <br />S TOTAL FEE <br />,ieE SETuaCN PLPN CHECK NUMBER FEE <br />YAC4NT SRE BUILO <br />❑ vEs ❑ No FEES <br />�,,, �^ xa m oxEi.mr,urms BUiLDiNG S <br />PLUAI�ING <br />p�$[M[ili <br />❑ YES ❑ NO MEC4ANICAL <br />HLiG111LIMITATION OTHER <br />STATE �UILDING SURCHARGE <br />STnTEENfRGYSURCHARGB <br />CITY OF EVERETT <br />LOCALSALES �'ueucwor�Ks <br />TAX. CODE IS TpTn� <br />-- 3���- --- --- WHFN PR(]PFRI V VAI If14T <br />PERMITS EXPIRF li' 1YUR1: IS NOT COMMENCED WITHIN �„�uFl;.;�, IIi.0 <br />1E0 DAYS OR CEASE',; FOR MORE THAN 100 DAYS. <br />sss.io <br />24.50 <br />539.60 <br />� <br />S <br />5 <br />RECEIPT NO. <br />39 60 <br />D THIS IS YOUR P[RMIT <br />. <br />