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x��1 <br />Ch <br />H <br />�HV+ <br />H�� <br />�e n <br />� � � <br />H <br />H� <br />Zp <br />OHd <br />��g <br />GJY (] <br />t"y� <br />�yHH <br />C� y <br />� <br />� <br />� �� <br />c <br />'h��°"'�`r" `` �r�NSTRUCTION �- " <br />GTY OF <br />�verett PERMIT PERMITNO. �6817 i <br />259-8810 � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING H1 MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONMER MNILAO��E55 GTY PP PHONE I <br />John Butters 5131 Harbor Lane Everett, WA 96203 <br />IENAM h1A1LAD�RE55 C�iY 21P PHONE <br />ANCHiTECT OR OESIGNLR MAII NDDBE55 CITY 21P PNUNC <br />G[NERPLCONTRACTON FINLAOOP[SS CiTY ZI2 GIION[ UCENSE• I <br />� <br />MECIIANICALCONTRACTOR MA�LAOORC55 CITY Z�P oNDNE LICENSE� I <br />Everett State Sheet bfetal 3911 Hayes Everett, WA 98201 252-�3119 EVERGSS121K7 <br />PWMBINGCONTRACTOR M1ITILApORE$$ GiY 21P PIIONE UCENSE• � <br />CLASS OF \VORR <br />CXNEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTFACT PRICE OF WORK: S 6�000 <br />SOUAREGOOTAGF.INVOIVEU <br />vRO,bSED USE OF BUIlOiNG <br />SFR <br />LEGAL DESCRIPTION OF PqC1'CBTY �SN�1\ O[LO W OR AiTACM IC W: COf`IE51 <br />LOT - OLOCN - O� <br />5131 Harbor Lane <br />PLUMBING <br />NO. TYPE OF FI%TURE OR I7EM <br />WATER CIOSET �TOILET� <br />SHOWER <br />KITLMEN SINN 8 DISP <br />01SMWASHER <br />LAUNORVTRAY <br />CLOTII@S 1YASMER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BFCKFLOW PREVENTERS <br />ROOF DFAINS — RAINLEAO <br />SINK ISERVICE — OAR. ETC <br />USE20NE <br />sizE or o�oc <br />OCCUCANGYLOAD <br />S118 TOTAL <br />CEPMIT <br />TOTALFEE <br />n[nn2c*uacrc <br />�oranEn <br />tt�[ oRONsnucnax acmu <br />FlRE SPPiNNLEPS RE00 <br />❑ VES ❑ NO <br />�S <br />SiOE SET[IACN <br />VPCRNT SIiE <br />W NTACT PERSON AND PMONE NO iF OTM[R iMAN I.OUVE <br />MECHANICAL <br />A�C -- A-NNDLG IINITS — HP. <br />FORCED A'9 SYSTEMS — D.T l <br />UNIT HEPTERS — � T.0 <br />CLOTHESDRVLFS <br />VENTILATIONFAN QQ� <br />RANGEHOOD <br />WATEPIiEAiLR �}( <br />WOODSTOVE ZjE <br />METAL FIREPLACE 8 CNIMt�( <br />fIREPLACEINSERT � <br />NEAT PUMP Cj <br />GAS P�PING <br />E%HAUSTFAN <br />PLAN CMECR <br />SUB TOTR� <br />PEflMIT <br />�TOT�A��L_ FEE <br />I Ftt <br />❑ ves ❑ No FEES _ <br />„^��� rmovoxr�.uvr,uun< eui�OiNc S <br />PlUA1�ING <br />�ASEI.IENi <br />❑ YES ❑ NO MECHANICAL <br />NEic�rtunuipTioru pTHER <br />STATE OUILOING SURCHARGE <br />STATEENEHGVSURCHARGE <br />CITY UF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALI <br />PERMITS EXPIRE IF WORK IS NOT COMMENC:ED WITHIN <br />1B0 DAYS OR CEASES FOR MORt THAN 180 DAYS. <br />AODRESS fILE <br />� <br />M EA <br />M <br />S 80 <br />f iS <br />s 95 <br />RECEIPT �VO. <br />� 1� <br />IS YOUR PERMIT I <br />\ -_ � <br />�0�!i <br />