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w r � <br />�7H <br />��H <br />rr`f'. � <br />H 9 :3 <br />y 7' H <br />K c� <br />�j N <br />� x� <br />�z] H "7 <br />C/� H <br />� O C�] <br />H C7 <br />�nd <br />Hno <br />�� o <br />fi <br />a � - <br />rHy <br />g`� <br />� <br />�d� <br />��� <br />�Z-7 O lyA <br />th�•l:i�C�;r<�Cn AO,v���V����� . <br />everet� P��IYI�T PEt�MITNO. -., <br />259-8810 <br />� UEMOLITION ❑ COMBINATION ❑ BUILDING Cj{MECHANICAL ❑ PLUMBING ❑ SIGN <br />�.IJ� iip VnONE <br />. ..,._ � 1.1>IL P�GPE55 <br />Lverett HousinK Authorit� �� h paR� r' * rr 9R�O1 95R 0799 <br />.i... IA51LApDFESi CITV LP FHONE <br />nrnnlECi OR DESiGNBR <br />M1IFI_ ApDRE55 CITV 21P i'��0 �= — <br />GENEPAL GONTRAQOR MAIL IL'�RESi <br />CITY 21P u. . LICENci ' <br />. _..�%.NiCAL CONTRACTOR <br />IdniLA00PE55 CITY ZiP PHO� E LICENSE � <br />�CoLb� IRC 1471 127th Plarn NF Rall 9Q005 FL6-4/�71 rnunv�rt�p�ns N��E iicE�+��� <br />vL V 1AE V:G CONiRACTOR <br />1.1qIL AD09L55 OTV <br />c�_,:ss ar wo�,✓ <br />❑ NEW ❑ AUDITION _ _ ALTERATION <br />CONTRACT FRICE UF WORK: S� a70 <br />c�scaioe woae neo souar+e FootacE im�oc+eo , <br />f_.:'.: i f/Sp 4::;5FH �!]V;aE;::241 <br />lienlace 2 �� f rnar�c <br />ii0a��?J: Pi� <br />Clul '_�t61�-��`d.' tt�'� ��+J.UU <br />.;:oFoseo u;e ov rw,mN;• �'000'S3E? <br />i'IL` J. <br />�,f'YLGESCNIFTIOA�iFPF':PEAt"S�O\vCRO\':D'�/•iTACNfOl1BCOVi[5� ��OQ�S �L�i�? <br />:pT— CLOCH_�_ O: �--� ��i rJ .Ll <br />uoaozs._ ea <br />fi�r ----. - Nri:.h b S.0 <br />;;70D.^.5'.&5 <br />� qEpp�p ❑ DEMOLITtO'v ❑ BNLDING RELOCATION <br />CONTAQPERSGNANDPNONENC ��OTNERTMnNFBOVL <br />,�_�,.���_:s <br />m5 m � ' ��� <br />PLUMBING <br />NO. TYPE OF FI%TURE OR <br />YlA1ER CLOSET �TOLLET� <br />BATIiTUO <br />� �AVATORY(1YASMBASIN� <br />SHOwER <br />KITGHEN SINK L DISP. <br />DISITYlASHEF <br />IAUNORVTRAY <br />CIOTMES WASHER <br />UR�NAL __ <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />ONGKFLOW PREVENTERS <br />ROOF ORAINS - RA W LEAOER$ <br />SINK �SERVICE - BnR. ETGI <br />FR�NT SP <br />USEZONE <br />OCCUaANGT <br />n[n50NfOR <br />='.iECHANICAL �,;-,.�"�� <br />FEE NO. TVPE OF EOIIIP.q{E'NY <br />hC - 4iHP"�'.G UNITS H . ., <br />FOPGEi� A�:i 51'TEh15 — B. J`� � <br />uNiTHentEns—oi�� 'E�,�M <br />GLOPi[5 ORYERS <br />VENT LATION FAN <br />RANGE��OOD <br />WATERHEATER <br />WOODSTOVE _ <br />~ MEIAL FIREPLACE 8 CM�IANEY <br />FIREPLACEINSERT <br />HE� T PL1MP <br />GAS Y:^ING <br />E%MAUSTFAN <br />FEE <br />SU�TOTpL S SUBTOTAL f <br />VENMIT S PENMIT S <br />TOTALFEE f TOTALiEE S <br />�;ip� �.� in4CK PLPN CHECK NUM3EP FEE R[GEIPT NU <br />R[AqSLtOnpR � <br />ior anEn vncnr�t sii� FEES a V�L �yARqK E FEE <br />❑ YES ❑ NC <br />;l[ ntSOFeoN5lFueuorvzc�ue� ,,,�,,-'MooronLuvcunus BUILDING S _ <br />PLUMBING <br />NO OF $TOPiES BASEN.ENT <br />❑ YES ❑ NO b1ECHANICAL 5, <br />RPEYPINNLE�SR[O"� NEiGMiLIlAlIAIiON OTHER <br />❑ YES ❑ NO <br />STATE BUIL�ING SURCHAFGE <br />STATECNER6YSUFCHARGE <br />r�nr+saaanoveonv CITY OF EVERETT <br />LOCAL SAL[S �'UBUC WOAIcS __ _ __ <br />TAX CODE IS TOTAL SS <br />_. 310 i __ -- WHEN PROPERLV VAL�DATED TFIIS IS YOUR PERMII <br />PERMITS EXPIkE IF VJORK IS NOT COMiv1FN�:ED WITH�N <br />100 DAYS OP. CErtSES FOR MORE TFi.4N 180 DAYS. <br />