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'h�h-"�,�T��.,, `-' C�(VSTRUCTION .' "- <br /> C11 V UF n <br /> everett PERMIT PERMITNU. _ � � J� � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C7� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> H O H OK'N[R MFILR�DR[55 CIIY 21P PHONE <br /> f� <br /> Mike Duffy 1714 Pine Everett, WA 98201 252-5894 <br /> A � TENANT MAILA��RESS LITY ZIP PMONE <br /> �y y � Same <br /> � ARCHRECT OR OESIGNER AIAIL PDUHE55 CITY ZIP PHONE <br /> H�H <br /> K n GENEPRLCONTNACTOA h1AILA00RESS CITY ZIP FHONE UCENSE� <br /> O x O Dave Hen�on 26 Virginia Everett, WA 98201 259-4555 DAVEHC123DQ <br /> � y � MECMRNICALCONTRALTOR MnLLADORE55 CITY ZIP PHONE IiCENS[• <br /> ��, Darrell Holland 13th Hoyt Everett I9A 98201 252-5795 <br /> PLUMBINGCONTR�CTOR MAILAOI1RE55 CRV ZIP FIIONE IICENSE• <br /> � d <br /> OHM <br /> �� Z CLASSOF\VORN <br /> y�� n ❑ NEW ❑ A�DITION ❑ A�TERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> CONTACi FERSON RND PMONE NO I(OTN[R THAN ApOVE <br /> � y� CONTRACT PRICE OF WORK S ']OO OO <br /> HH DESGRIpEWORKPNp50UAREF00Tr1GEINVOLVED <br /> gy H Install b'urnance 800 SF <br /> C] CCn <br /> �i y� PROPOSEOl15E0FBUiLDING <br /> y�y Sin le Famil <br /> LEGAL OESCPIPTION OF V'ROGERTY�SHO\Y�EL01V OR ATfFCN FOU�COPIES) <br /> IOT� �LOCN_—OF <br /> JOBFDDRESS <br /> 1714 P'n <br /> PLUMB�NG MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILET� aC-A�HNOLGUNITS-�BI?S�SO IO�OSR OOOAN'1R2 'I::k:!_k <br /> FORCEOAIRSVSTEMS—BT,U /MEA. <br /> BATHTUB <br /> LAVATORVQVASMBASIN� UNITHEATERS—�T.U. �QOOG�{B�O <br /> '�1 SMOWER CLOTHES�RYEPS MECH a4S. � <br /> KITCHENSINKBOISP. VENTILATIONFAN C SH 44`. 0 <br /> DI:HWASHER RANGEHOOD <br /> t� WATER HEATER <br /> �Al1NDRY TRAV <br /> '�� CLOTHES\VASHER �Y00�STOVE <br /> URINAL METAL FlREP�ACE 8 CHIMNEV <br /> 1 ' DRINKING FOUNTAIN FIREPLACE INSERT <br /> � MEAT PUMP <br /> FLOOR ORAIN <br /> ' BACKFLOW PREVENTERS GAS PIPING <br /> ' ROOF DRAIFS—RAINLEAOERS E%MAUSi FAN — <br /> SINK(SERVICE—BAF.ETC.) <br /> � ; SUB TOTAL 5 SUB TOTAL S 3O OO <br /> � PERMIT S PEHMIT f LS OO <br /> TOTALfEE 5 TOTALFEE f �}S OO <br /> ' ' GHONTSET�nCN REARSETOACN SIpESETPACe PIl+NC/1ECKNUMBER FEE RECEIPTNO. <br /> '�' USE20NE LOTAREN VRGNTSITE FEES OU�LOINGCO�E FEE <br /> ❑YES ❑NO <br /> '_' IVIEOfCON51Ft1[TOIALLPA>9lE 1YCE0�[OYSiPUC1i0HALiVAI �"'�p�'[t°' �O�PM4lUKGUGiIi BUILDING S <br /> ' PIUMBING <br /> SIIE OF OLDG NO OG STORIES OnSEMENT �I S OO <br /> . ❑YES ❑NO MECHANICAL <br /> OCLUPANCYLOAD FlNESPRVIXLE�15FE0� MEiGNTliM.1iAT10N p7HER <br /> ❑YES ❑NO <br /> STATE BUILOING SURCHARGE ' <br /> PEASDN fOR SPRi4'llERS <br /> STATEENERGYSUHCHARGE <br /> APPLICATIONACC OY PL/NSAGPROVEOOV CITY OF EVERETT <br /> LOCAL SALES P���IC WORKS <br /> TAX CODE IS TOTAL 45 00 <br /> 3105 WHEN PROPEflLY VALIDATED THIS IS YOUR PERMIT <br /> PERM TS EXPIRE IF WORK IS NOT COMMENCED WITHIN AODftESS RL[ 2 4 9 l C <br /> 190 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />