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,-. <br />"� �� �' C�INSTRUCTION �� <br />everett PERMIT PERMITNO. _ 26692 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION C�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑$�aN <br />ONTlER MAII AUURESS G�TY 21P PHONE <br />R. M. Fieher 3828 High St. Everett, WA 98201 252-8539 <br />TENANT <br />M�ILADORESS CITY ZIP PHONE <br />�RCHITECT OP OESIGNEH <br />MAII ADDRESS CITY 21P PHONE <br />QENERAICONTRACTOR <br />MRILADORESS GTY 21P PNONE LICENSE� <br />OWROL PHONE UCENSE� <br />MECIUNICAL CONTP�CTOR <br />MAIL �ODRESS ��T� Z�P <br />PLUMBING CONTR�CTOR <br />MRIL�DORESS GTY 21P PNONE LICENSE� <br />CUSS OF WONI( <br />p �y/ ❑ ADDITION <br />CONTRACT PRICE OF WORK: S <br />pESGqIBE WORK ANO SOUAAE FOOTAOE <br />Reoair Porch <br />❑ ALTERATION <br />500.00 <br />rnoroseo use or euuort+a <br />Single Family <br />LEML. �SCRIPTION OF PROPENT' I��W BELOW OR ATT�CH FOUP COPIES� <br />LOT �— BLOCK —�. OF <br />pLU1MING <br />Np. TY�E OF flIfTUNE 0111TEM Fl <br />WATER CLOSET (TOILET) <br />BATlITUB <br />UVATORY (WM4N BA&NI <br />SNOMIER <br />KITCHEN SINK 6 DISP. <br />DISYIVVASIIER <br />uuaonr rn�r <br />CIOTMESWASMER <br />UHIWAL <br />ORINKINO FOUIRAIN <br />FLOpR DRAIN <br />BACKFLOW PIiEVEMERS <br />qOOF ORAINS — RAINLEADERS <br />SINK (SERVICE — B�R. ETC.) <br />lU�TOTAL f <br />pEI1MIT f <br />TOT1LLfEE f <br />��..�ne�n�n� OC�NSGTP1f.N $I�f$ETBALN <br />BLDG <br />qE�$pN <br />AREA V�C�NTSITE <br />o ves ❑ No <br />pF [ONSiPIICiI(NI PLiUAL �^;�' no a m <br />NO OF STOA�ES <br />IE SPRINN�ERS REO D <br />YES ❑ NO <br />�REVAIR <br />BASEMENT <br />❑ VES ❑ NO <br />HEIGNT LIAIITATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br />CONTACT PEHSON PN� mvnc no. rr �. ��m <br />MECHANICAL <br />NC — NHNDLG UNITS — <br />FORCED AIR SYSTEMS — <br />UNIT HEATERS — B.T.U. <br />CIOTHESDRYEPS <br />RANGEHOOD <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN _ <br />!IN TOTAI <br />pE11YR <br />TOTALFEE <br />,NUMBEA FEE <br />FEES su�nuc <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILOING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />S <br />� <br />� <br />� <br />f <br />f <br />RECEIPT NO. <br />41 50 <br />191 50 <br />�-- <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED wITHIN qDDRFSS FILE 2 6 6 9 � <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. _ <br />