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n] (; 1 <br />Ci : "J <br />n: -y � <br />i0 CO � <br />C M <br />� H N <br />3 � H <br />K y � <br />O C O <br />b M K7 <br />V1 H <br />tJ O h7 <br />H O <br />O H <br />z n o <br />t+ M O <br />L7 • n <br />M C <br />7 N [�+7 <br />y <br />M H <br />O y H <br />C7 C7 N <br />.'Gi M t� <br />H O N <br />i <br />I' `:..���. <br />r. � <br />I O� <br />r��,�:� ... R.C'. N�" �"�' � <br />. .���.:3�"i ���: � E�'� <br />�d `�'y'��� �f�RMI� RERMIT PIG. � <br />279-� ..10 <br />�-� DEMOLITION :� COMBINATION ❑ BUILDING �7 MECHANICAL ❑ PV.IMBING ❑ SIGN <br />�' 1.1NLADG�E55 <br />CITY .I�' �`NuNE <br />� - Fcr�r�tt 98201 258-9222 _ <br />i.••c.rr�i-t Irn�c121 A ith 'f l4th k Pcx� eNOrvc <br />,�.,,�� g :•ru�noon6` n�r <br />- ritr zic rHouE <br />„�� i �'�iCCt OR OESiGVEI MFR FpONESS <br />' HMIAOG�E55 GITT JP PM04[ UCE�BE• <br />.._'f��l CONiPAClOP <br />Cltv .'iP PMOnE LCE�d�- <br />�•.ec��nraicn� cunrnnr,ren r.�na nooaes's <br />�� .�,P 9Rf105 Fi46-347Lmrovi:d9Fi➢OS ---- <br />!`nr' l d71 1 971-h Pl r NF Z�r ai�orvc ucv:.:. <br />i•iu�!oir+cco ncror+ <br />�v,rt norness citr <br />cinss or wonK <br />� ��Ey,� ❑ ADDITION <br />CONTRACT PRICE OF WORK: S <br />p[SG�IFE KD�K PNO SOl1ABE GOOTAGE <br />ALTERATION <br />❑ REPAIR <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />CUNTTCT PERSON RND PH']NE NO �F OiHEfi rn��• nn��vc <br />_� .�ir��J ..:J•.ril V'__.n.!oC:; � . <br />vnoi°osEu use ov uwioi�+ � <br />_....1...._J.i - _ <br />_[GTLDESCBIPTIONOFPPOVERTYI��'O\;pELONORPTTACMFOURCOPIE51 f::_�� M�� V� <br />�ot— o�ocrc_ oF —'_" ��o�.� <br />;1ECV1 4SJ.O0 <br />t aJ i1 <br />HECH `-55.7(7 <br />.t --- <br />.�ou,�nn�-ss �'iL�ii� >.K,J,�� <br />--" � - r3 i..�._�,..�-�_ � <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CLOSET (TOILETI <br />BATHTUD <br />KITCHEN SINN 8 DIS�. <br />OISHVJASHER <br />LAUNOfiY TRAY <br />fi OTHES WASHER <br />�RINKING FOIJNTAIN <br />FLOOR ORAIN <br />pACKFLOW PAEVENTEfiS <br />ROOF OPAINS - RAINL[AOEP$ <br />SINK �SERVICE - BAP. ETC.1 <br />us=_zoNe <br />iYK OF LO!:SIIIOf➢G4 <br />sce or oi oc <br />OLLUPANCYIOA� <br />nEnsa� v� <br />nrruC��� <br />MECHANICAL ��r,- <br />FEE NO. TYPE OF EOUIR,� <br />p�(; -� A: hMCN„G UNITS - H.Pi <br />FOFCED FIF 5'lSTEMS - 9;T;U <br />UNRHEATERS-BTU. � <br />CLO � �'ES DRYERS Nrlf <br />VENTILATION F:.v �� <br />pANGE HOOD fl;; <br />WATERNEATEF <br />IVOOD STOVE <br />METFL RREPLAGE 8 CMIMNEY <br />FIPEPLACEIRSERT <br />HEATPUNP <br />G�5 PI�ING <br />Ekl1AUST FAN <br />SUBTOTAL � <br />PEPtAIT S <br />TOTAL FEE S <br />pqSFiP�fF $IOEiEiF3AC� <br />PLANCH[CN NUMpEF <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />�o* neen vncnr�i sn: FEES �. <br />❑ v!5 ❑ NO S <br />IONABLf ttMOFCON51POG110NApL�LI „�{��j:� NOOPOWELLINGU�ll�S BUILDING <br />PLUMBING <br />NO Of SiORI[5 OAS[l.tEYT ' <br />❑ vE5 ❑ ND ti�ECHANICAt <br />FI�ESaNNNLlR5RE0D ��[iGi�i�R'.IiA*iOK p7FIEfl <br />❑ YES ❑ NO <br />STATE �UILDING SURCHARGE <br />iERs - <br />STATE E�dEFG'f SURCHARGE <br />n, i:•�+snavnoveoov CITY OF EVERETI" <br />LOCAL SALES �'U�LIC WORKS <br />TAX CODE IS TOTAL <br />3105 ..,��.i �ono�oi v vni i <br />PERMITS EXPIRE IF WORK IS F:�l' COMME�t.�:ED VJI�i"!iIN ;..,� i,�,,�.,_,,..,, '� . <br />180 DAYS OR CEASES FOfl MORE THAN 180 D�YS. <br />M <br />FEE <br />�5 <br />RECEIPT NO. <br />55100 <br />PER <br />