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� <br />theF.vrrgrcrn � �NSTRUCTION � <br />CITY OF � C <br />everett PERMIT PERMITNO._ rJ34JO <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />owNen Mna nooness eitr zir r��or+e <br />Don Solle 719 Granci Ave Everett, 98201 259-6655 <br />ifNnNT MMLPDOPE55 CITV 21P �IIONE <br />MICHttECTO00E51GNER MaILAOURESS CITY 21P PI/ONE <br />CENEMI GON71iACi0R MML �DDIIESS CIiY ZIP PHONE LICENSC • <br />MCCH4NILRLCONTR�f.TOR MAlL�0�RE55 C�TY ZIP M�ONG --�^CENSE• <br />n�cion <br />cu55 or wonK <br />r1 NEW ❑ ADDITION <br />CONTRACT PRICE OF WORK: D <br />oescn�oc won� er�o sounn� root�� <br />irstall boiler r� <br />— M•a nDonEss <br />O ALTERATION <br />iM1VOlVEO <br />ater heater <br />PRO�'OSiA U5E Or OUILDING <br />SFR <br />t FG�L �[SCA�PTiON Of {'ROi'E�TV �SIIOW ��=OW O� ATT�CN fOUP COPIE51 <br />l01 _� BIOGK - OF <br />JOO �DOf1E55 <br />719 Grand Ave. <br />PLUMSINO <br />NO. T'PE OF FIXTURE <br />W�TER ClOSET �TOILET) <br />BATMTUB <br />UVATORY IW�SN BAS�N) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISNWASHER <br />LAUNDRYTRAV <br />URIN�L <br />DRINNING FOUNTAIN <br />FLOOR DR�IN <br />B�CKFLOW �HEVENTERS <br />ROOF DHAINS - RAINLEA�E <br />SINK ISERVICE - BAR, ETC � <br />SUlTOTAL <br />PERMIT <br />RE�R <br />USE ZOHE � LOT �REl1 <br />IYROfNMSiPUCfidl�ll0�YA9lE ttfEOFCOMSfPUCIKNPCtUtI <br />.`.4E Of OL�G NO Oi STORiES <br />OCCUFPNCYLOAO FiRESPRINNLERSREOD <br />❑ VES ❑ NO <br />REASON FD� SPRiNNlERS <br />ev <br />f <br />❑ 11EPAIR <br />cirv zir <br />O DEMOLITtON <br />I�CENSE� <br />❑ BUILOIN6 RELOCATION <br />GONT�GT PE850N ANO P,iONC NO li OTN[R TIUrv �UOv� <br />MECHANICAL <br />FEE NO. TYFE OF EOUIP <br />!vC - ��NNOLG UNITS - H P <br />FORLED AIR SVSTEMS - B T U <br />UNIT MEATERS -- B T U <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RnNGEHOOD <br />1 W:.T'-� HEATER j�j <br />w000 STOVE <br />METAL FIREPLACE 6 CHIM <br />FIREPLACEINSERT <br />HEAT PUMP <br />2 GAS PIPING <br />E%HAUSTFAN <br />"LAN CMECK NUMBEF <br />BUSTOTAL <br />VERM1- <br />VAC�NT SIiE <br />❑ rGS ❑ NO FEES <br />�K?p°`M' xoo�m�vu'�cmms BUILDING S <br />�ur <br />PLUMBING <br />BASEMENT <br />❑ YES ❑ NO MECHANICAL <br />MEIGNTUMiTA•i0N pTHEF <br />STATE BUILDING SURCHARGE <br />S7A7E ENERGV SURCh�ARGE <br />CITY OF EVERETT pUBLIC 1'lOF7KS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />.3��$ .....�....n�nvn� v �u� i <br />M EA <br />M <br />� <br />IS YOUR <br />PERMITS EXPIRE IF WORK IS NOT COMMENf:ED WITHIN AODRESS FILE 2 3 4 5 0 <br />180 DAYS OR CEASES FOR MORE TNAN 180 DAYS. <br />� <br />0 <br />