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fheEt•rrgrcrn � � ■ _�. -�gTRI�CTION - � <br /> ��-� CITY OP v - <br /> everett PEFcMIT PERMIT NO. �- � - <br /> 259 - 8810 <br /> .] DEMOI.ITION ❑ COMBINATION ❑ 9UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> c::nen <br /> mnannc:+ess cirr zi� arorve <br /> Kathaleen D Hudson Gverett 982�:1 252 1737 <br /> CNA4T <br /> MA�LpDDFESS CI'v Z�F PHONE <br /> nr�U�ITcGT ON�ESIGNER <br /> µqILADDRE55 GiY ZIP NHONE <br /> - MAILADDFE55 CiTY 21P PHOHE LICENSE� <br /> ." ...:::.L CONiRACTLR <br /> l)I:IICL' <br /> -- MAILPOORESS CiTV 2iP PHOHE UCE�15E� <br /> „ �F'�iCALCONTRACTOR <br /> ��� � � •4!rt+GLONTRALTOH MA�lR00RE55 CITY ZIP Pi�ONE LiCE�LE= <br /> n <br /> ��� ,._,��;ocvroaK <br /> 9 y N ❑ NEW ❑ ADOITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> CONTPCt PERSON AND i'M�NEl10 IF OTMER THPN ADOVE <br /> H 9 3 �CtiTRACT PRICE OF WORK S 3OO <br /> y 2'H <br /> K y� CLSC��bEN'ORKPM1DSOUAAEFOOTAGEINVOlVEO <br /> � H� Patch roof - approx 200 sf <br /> f/]H <br /> x z�[-y y� .:.-,-�=eu use or ewioi�i� <br /> o H sra 09/19/90 11�33RN OOOAN'a734 A=A:4-t: <br /> �,C�::.:GLSCRIPTION O�GROPEii fV�SMO W DEIOYI OR NiTACII f OUR CO^�ES� � <br /> c~i n� 13 & 14 775D-02 Stanford Lan: Co NOG025625 <br /> H �_-- owcrc—or_ EY.DG 415.�0 <br /> y y� B SkCH 44.50 <br /> t" H y — CRSN 519.50 <br /> � � <br /> r� <br /> Oq Cq N �a�u�.D:mtss � <br /> 3 lT1 C 3226 Kromer Av <br /> Z y� PLUMBING MECHANICAL _ <br /> H O CA _ TYPE OF EOUIPMENT FEE <br /> NO. TVPE OF FI%TUR�OR ITEM FEE NO. <br /> WATE�CLOSET�TpILETI �G-A�NNDLG UNITS-H P <br /> FORCEDAIRSVSTEM$-9TU A1EA <br /> BATHTUB - <br /> Lf`�FTORY(WASH BASIN� UNIT HEATEP_-B T U ti� <br /> C�pTHESDRYEHS <br /> SHOWER <br /> VENTILATION FAN - <br /> NITCHEN SINK B OISF. — <br /> RANGEHDOU <br /> �g .� �ISMWASHEF <br /> .,. . I LAUNDRY iRAV 4�ATEP HEATE(i <br /> — \:COD STOVE - <br /> CLOTNES WASHER <br /> METAL FlREPLACE d CMIMNEY <br /> URINAL <br /> ��� -`�� OFINKIfiGFOUNTAW FlREP�ACEINSE�iT <br /> ` "s FLOOR DRAIN HEAT PUMP <br /> pACKFLOW PFEVENTERS GAS FIPING <br /> 'm. y. _ POOFDRAINS-RAWLEADERS E%MAUSTFAN -- - <br /> �.„ SINK(SEF'JICE-BA0.ETC� - <br /> SUUTOTAL f <br /> G � ' SU�TOTAL S pEHM1T S <br /> ��-> PERMIT f <br /> TOTALFEE f TOTALFEE f <br /> �� fPOMSRl3ACN RC<RSCipACN <br /> �ip��;�7�i��:K PLAN GHECK NUM6ER FEE REC[IPT NO <br /> �, 6 <br /> � <br /> usczcur �o*neea vac"r�TsuE FEES euuoieccooe FEE <br /> ❑YES ❑NO <br /> � .�� �.,.n,�' eoo�ow[un+r,uxus BUi�oiNG S 15 00 <br /> IYff 0i fAN51HUC110NA1lOWAGLE ttIF W CON51qL'L11�H�C1URt. <br /> PLUMBING <br /> sve ov o�oc r+o or sromes unseMe�+� <br /> •,�VES ❑NO MECHANICAL _ <br /> -' �'�ICUPANCYLOAO fIPESPi�INNlEN5RE0U IILIG11iLIMITATION OTHER <br /> ❑VES ❑NO <br /> STATE BLl'�I.DING SURCHAFGE G O_ <br /> �...+'�AN LOR S�RINItlE1i5 <br /> STATEENERGYSURCHARGE <br /> ���-,�.�� �.. i�i�r,snni-��oveoor CITY OF EVERETT <br /> LOCAL SALES PuoucwoaKs __ _ <br /> TAX CODE IS rorn� ___L__ <br /> _ 3105 _ _— WHF_N PFlUP[r!_f VALI[]AT[D THIS IS YOUR PER�d:T <br /> PERMfTS EXPIRE iF WORK IS NOT COPAMEN�:[D ':NITHlt�! ;,��;,��i_.::`, ' I" , , `. _ - � <br /> 10Q DHYS OR CEASES FOR MORG THAN 1�0 DAYS. <br />