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��� <br />A�x <br />G H <br />ayxcn <br />H Z� <br />� H� <br />h�C H 'L <br />[A H <br />[�7 O � <br />H <br />�/��g <br />y� V C% <br />9 H� <br />r� z <br />HH <br />8N <br />�Cd� <br />[�1 � M <br />H Oy <br />fhcEccrgrcen -' � �� <br />crvo� �F-tJNSTRUC��ON <br />everett PERMIT PEFiMITNO. 2Y�� � I <br />259-8810 <br />❑ DEMOLITION � COMBINATICN ❑ BUILDING �#l:ECHANICAL ❑ PLUMBING ❑ SIGN , <br />OV.SER AIAILADDRE55 ❑TY 21F � ��'JE <br />Kim Iarson 7911 Grant Dr Everett 98203 353-1947 � <br />TENANT A'.RILADDRE55 GTY S�P i'r�ONE II <br />qppHrtECTORDE5IGNER l'>RA��RESS Liiv :�P GwONE � <br />GEkE�>LLONTP4CiCt1 MAILApDRC55 CITY ZIP F��U:E UCENSE• I <br />MECNSNIUICONTR4CTOR AIAILADDPESS CIiY Z�o pHONE I�LENSE• I <br />NW Water Heater %YH 3110 Hill Ave Everett 98201 259-5831 NOR'�Hl9fi137KJ _, <br />PwA181NGCONTRACTO� 1.1mLADDRE55 GTY ZI P D LCE SE <br />� <br />CLA55 OG \YOBN ''. <br />❑ NEW ❑ ADDITION ❑ ALTEPATION ❑ HEPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION I <br />GONTALT PEASCN AND f NON[ NO IF OTNER THAN AOOCE <br />CONTRACT PRICE OF WORK'. S 340. <br />DESCRiBE WOPN AND SOU4R[ f00TAG[ INVO WED <br />Hot water heater <br />vaoroseo usE or duauino <br />SFR ILE WL UESCR�Pi lON Of PROFERTY 6MO W OELO W OR RTTACII t OUH COPiES� <br />�ot— oiecrc_ or �sf�� ' <br />7:1" <br />/ i <br />I1ECH� S30.OJ <br />�oo nooeess <br />7911 Grant Or. <br />PLUMBING <br />NO. TYPE OP <br />WATER CLOSET fT� <br />OR ITEM <br />� KITCNEN SINK 8 DISP. <br />DISHWASHER <br />!� � IAUNDRVTRAY <br />! CLOTMES\4ASHER <br />URINAL <br />�, � ORINKING FOUNTAIN <br />I ' PLOOR DFAIN <br />BACRFLOW PREVENTERS <br />ROOF ORAINS — flAINLEA0ER5 <br />SINK �SERVICE — BA0. ETC.) <br />� <br />� � <br />! ' I <br />f '� <br />IRONiSETBAIX <br />USE 20rvE <br />1YR 01 CON51NUG110N ALLUVA9lC <br />SiZE OF OLOC <br />occurnHcr�ono <br />ni.n��onronsreirvn�ens <br />APPIICATIONACC DV <br />SUBiOT�L <br />PERMIT <br />TOTALFEE <br />RE/.R $EiOPLN <br />LOT ARU <br />NO OF STORiES <br />❑ VES ❑ NO <br />MECMANICAL <br />FEE N0. TYPE OF EOUIFM°.NT <br />A C— A HNDLG UNITF — F: P <br />FORCE� AIR SYSTEMS — B T U M <br />UNITHEATEfiS—BTU. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEA HEATEfi <br />WOODSTpVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLAGEINSEFT <br />NEAT 7UMP <br />1 GAS PIPING <br />EXHAUSTFAN <br />f - SUBTOTAL <br />s PEpM1T <br />f TOTALFEE <br />SmESEienCK PLANCNEGKNUMBEF FEE <br />VRChNT51iE FEES BUILO <br />❑ VES ❑ NO <br />pL1URl O0� a"' � a �Nswxc ur.n5 BUILDING 5 <br />PLUMBING <br />pASEMERT <br />O VES ❑ NO MECHANICAL <br />EOG ��EmNtueutatioH OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCH.4RGE <br />'� CITY OF EVER[TT Puauctvoi�Ks <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />_ 3105 _ yyHEN PROPERLY VALIDA' <br />PERMITS EXPIRE IF WORK tS NOT CUMMENCED WITHIN qUDH[SS FIIF <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />THIS <br />FEE <br />� <br />f <br />f <br />RECEIPT NO. <br />30 <br />PERMIT <br />B <br />q <br />� <br />F1 <br />n� <br />t� <br />:+ <br />}: <br />y <br />� <br />