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yC�H <br />�in� <br />ay <br />C.�H <br />aym <br />y � h�+ <br />K n <br />H xl <br />oxo <br />�] H'� <br />V1 H <br />H C <br />�O� <br />H C7 <br />OH <br />7� c� t7 <br />H C7 O <br />H� � <br />zH� <br />CyZ <br />h+ H <br />C �n <br />O H <br />C� C7 �n <br />��th <br />Z H fn <br />H O f/� <br />era � <br />� ' <br />6 '"'� <br />� }:y' <br />�. J <br />';".,""���r" �ONSTRUCTI���� <br />Clry pF <br />e��rett PERMIT PEt���-,� � ���. <br />259-8810 <br />$] DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING i-: SIGN <br />01VNER h�A�LFOD11E55 CIIT 21P PHOYE <br />Alf F7. tditchell 805 Hoyt Everett, WA 98201 258-2572 <br />TENaNi MPRAO��E55 CITY 21P PMONE <br />FFGHIIEQCRDLS',GNCR 1.1AILADORE55 CITY ZIP P��ONE <br />GENERALCONTRACTOR 11.RILADCRE55 CITY ZIP FHONE LiCENSEs <br />Owner <br />A�ECNHNICALCONTP,ICTOR MAILAOOPE55 QTY 21P fr10NE IILENS[• <br />fW1A�INGCONTRNCTOR MNILAODRE55 CITv ZIP PHONE ULENSEo <br />cLnSs oF WORrc <br />❑ NEW ❑ AOOITION ❑ ALTEFiATION <br />CONTRACT P(710E OF WORK: S <br />DESCRIpE\VORY.ANOSOUAREfOOTAGEINVOLVED <br />take off roof has permit to replace <br />Single Family <br />L[GAL DEYRIGtION OF PFOFERTY �SHOY/ BEL01'! OR FTfACH iOUP COPIES� <br />�or— oiocn — oF <br />�conooaess <br />805 Eioy1 <br />PLUMBING <br />TYPE OF FI%7URE OR <br />WATEB ClOSET (TOLLET) <br />SHOWER <br />NITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CIOTHES WASHER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR OflAIN <br />ROOF DRAINS - RAINLEA�EHS <br />SINK (SERVICE - DAR. ETC.) <br />SUBTOTAL S <br />PEflM1T f <br />TOTALFEE 5 <br />f9ACR f1EAR5ETpdCK <br />IYfF OiLurv5lnUCINn <br />$IZL O� aL�G. <br />OCCUPANLYLO�� <br />rlEA50N FOFl iPRR. <br />pppL p4T10N ACL <br />LOTAREN <br />tvPE Of C049flUC110NlC1UF <br />NO OF STORIES <br />FlRE SPRINKlERS REO � <br />❑ VES p NO <br />AN : AVPf1pVf [J FlY <br />FEE <br />❑ HEPAIR ❑ DEMOLITION ❑ BUIL�ING RELOCATION <br />CONThCT FERSON ANO FMONE NO li U��[n i rvnn nuvrc <br />MECHANICAL <br />A/G - AiHNDIG UNIT$ �- HP. <br />FORCED AIR SVSTEA75 - B.T.U. A7 EA. <br />UNITHEATEF$-AT.U. �� <br />CLOTMESDRVEFS <br />VENTILATION FAN <br />RANGEHOOD ���5 <br />W ATER HEATER <br />WOO�STOVE �� <br />METAL flREPLACE 8 CHIMMEY "' � <br />FIREPLICEINSERT � <br />HEAT PU61P <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />5[TOAGK I PLM CHECK NUMBER � FEE <br />VACANT SITE <br />FcE:i <br />❑ YES ❑ NO <br />,,���, " rvo aw�tituwci^.��is BUILDING $ <br />PWM�ING <br />OASEMENt <br />❑ VES ❑ NO MECHANICAL <br />�2ic�rt ur.frtnnorv OTHER <br />STATE �UILDING SUflCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORHS <br />TAX CODE IS <br />3105 <br />PERMITS EXPISE IF WORf< I`J f�:OT COf.9Pd��!CED W;THIN <br />180 DAYS OR CEASES i-.�II i..__...` Tlii;i! 1nf, i)R.`r5. <br />PR <br />FEE <br />�S <br />PECEIPT NO <br />DATED THIS IS <br />4 50 <br />9 I50 <br />� . . � �. � ..:. .. <br />� . . � �-� .,. . ��: .�_, - �J �� ,i.•a.�fiu'.i+.Ji ..� Ji � <br />.._ ._ .. � _�.�.,....�...........�,..,,e..�.�.__. .. <br />��a <br />.�,:,__ . ._. ....�„ �-_,9.�i. s...�,.::. -�ri�u_w�s-n�:.�c�s�.e�v,�--.u,.,. y -.>.,. -.-s_ -`—„a <br />