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x C'� <br />�T� �! <br />ay <br />[ � H <br />9HCn <br />y � r�-+ <br />� H� <br />�+! H'+J <br />V] H <br />y r <br />� o �i <br />H C7 <br />� H�y <br />Hh0 <br />� V �% <br />�H� <br />i-+ H <br />g �' H <br />O Cy N <br />� � CT7 <br />Z H tn <br />H O fA <br />'e �,�.' <br />� r <br />�� � <br />.�ew � ! <br />�s �� <br />s <br />� . a�+.. <br />. ..s <br />�,,cE��.���� cr �vsTRucTiorv <br />CITY Ot n <br />everett P�Rt�11T PERMITN0. ���1��' <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL C�? PLUMBING ❑ SIGY <br />�;.r:En n�nunooaes; arv zm v��on[ <br />Thoman P. Allen 7210 Ftighland Everett 98203 353-2818 <br />IENRNT M1rMLA.^.U(1E55 CITY ZIP FIrONE <br />:,��puiECT OR UESiGNE� <br />MAILdO0AE55 QTY ZIP M10NE <br />i,iGLRALCONTRFGTOR VAll.�00RE55 CITY ZIP PNUNE LICENS[• <br />AIAR�DOf1ES5 QTV ZIP CMONE IICENSE• <br />. I C����NiCAL CONiRnCiOP <br />MAILADOPESS C�TY 21P CIIONE LICENSG <br />�I U',�I1141: CONTRAGiOR <br />Owner <br />Ci �E`+OF WORK <br />n r�rw SS ADUITION ❑ ALTEflATION ❑ REPAIR ❑ DEMOLITtON ❑ BIIILDING RELOCATION <br />CONTACi FERSON AND PNONE NO IF Oi n[n i nnn nn�vc <br />CONTRACT PRICE OF WORK: S <br />�E[CRIpE \1'OP/ ANO SOUARE �OOTA� <br />�ROPOSED USE Of OUILOING � <br />SFR � <br />LF G�L OESCRIPTICN OF PROPERTY (SHOW �EL01Y OR �TfACN FOUN COPIE51 I <br />LpT- 9LOCK�� OF I <br />�n nooness <br />PLUMBING <br />NO. <br />2 WATEf <br />FIXTURE OR <br />SHOWER <br />KITCHEN SINN 8 OISP. <br />I115MWASHER <br />LAl1NDPY ThAY <br />URPIAL <br />Df71NKING FOUNTAIN <br />FLOOR ORAIIJ <br />BACKFLOW PREVENTE <br />ROOF ORAINS — RqINI <br />SINK �SEHVICE — BAR. <br />USEZONE <br />�,�iacav <br />SUBTOTAL <br />�enuiT <br />TOTALFEE <br />n[�.0 se�nncK <br />LOT AAEn <br />'C OF OLDG NO OF STORIES <br />ICUPANCYLORO iIRES�'�INRLEl1 <br />❑ YES ❑ N <br />ASONLORSPRINNLERS <br />'t�UUTIONACC �Y PLP'ISAPPROVED <br />SH. <br />MECHANICAL <br />FEE NO. 7YPE OF E�UII <br />SO OO hC—aHNDLGUNIiS—NP- <br />S OO FOflLEt AIR SYSTEMS — B.T.I <br />ZO OO UNIT HEATER$ — � T.U. <br />S 00 1 CLOTHESOR�EPS � <br />VENTILATION FAN <br />RANGE HOOD i�f <br />WATEPMEATER FI <br />S 45 <br />siot setuncn 95 <br />VnCANi SIIE <br />❑ YES ❑ NO <br />METAL FIFEPLAGE <br />FIPEPUCE INSERT <br />I IEAT PU41P <br />liA.`� f'IPING <br />EXMAUSTfAN <br />PLANCHECN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />iHnCtuni ,,,,,,;" �oroxiwrvcus�.ti BUILDING <br />PLUMBING <br />OnSEMENT <br />p YES ❑ NO �.�ECHANICAL <br />SfiCOD NEIGIITLIMITRiiON �TH�R <br />O <br />STATE BUILDING SURCHARG <br />STATEEN[RGVSURCHARGE <br />p1 CITY OF EVERETT <br />LOCALSALES �'uuucwor�Ks <br />TAX CODE IS 70TAL <br />_ 3105 . _ yyHEN PROP[RLY b <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qpDRESS FILE <br />180 DAYS OR (;EAS�S FOR MOHE THAN 1B0 DAYS. <br />M EA <br />N <br />FEE <br />S 1S <br />s 21 <br />RECEIPT NO. <br />IS <br />00 <br />50 <br />u <br />A <br />