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� � � <br />H <br />�HN <br />H�� <br />'iIH� <br />Hy <br />x <br />o�d <br />��g <br />�Y (] <br />t"y� <br />HH <br />g�H <br />A�VJ <br />�O� <br />1 <br />' <br />CITY OF EVERETT <br />""� ' "�CON�TRUCTION -� � r�� <br />PERMIT PERMITNO. 27662 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION XZXBUILDING ❑ M1IECHANICAL ❑ PLUMBING ❑ SIGN <br />MAILAODRESS CITV ZIP PHONE <br />OWNER <br />Kenneth L. Olson 9714 Seahurst Ave Everett, t9A 98203 252- <br />...�� .�..vicee CITY ZIP PMONE <br />MAILAODPESS CITV 2iP PlIONE <br />ARCMITEGi OR OESIGNEP <br />GENERRLCONTRACTOR MAILAODRE55 CITY ZIP PHONE LICENSEr <br />O61I�L'i ���, Zp PMONE LICENSE+ <br />IAECHPNICRLCONTRAGTOfl MRILPOORESS <br />PLUMBINGCONTRRCTOR <br />IdAILADORE55 CITV 21P PNONE LICENSE� <br />CUSS OF WOFK <br />❑ NEW ❑ ADDITION ❑ ALTERATION <br />CONTRACT PRICE OF WORK: S <br />768. <br />❑ DEMOLITION <br />qND PHONE NO iF O <br />❑ BUILDING RELOCATION <br />qpOVE <br />PROPOSEG USE OF �UILDING <br />Gara e 04/09J91 9:02f+H OOOAII6809 Cl�i. <br />L[G4L DESCRiPT�ON OF PPOPERTV �SMOW �ElO1V OR ATfALM FOUR COPIES� <br />�or_e�ocK_oF - ttC0027602 <br />EIDG �^' ^� <br />6 SRCH 24.5Q <br />CHECY, �^5 �n <br />PLUMBING <br />NO. TVPE OF FIXTURE OR <br />WATEfl CLOSET (TOILE � 1 <br />UATHTU6 <br />LAVATORY (WASH BAL�N� <br />SHOWER <br />NITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRViRAV <br />CLOTHES WASHER <br />U INAL <br />�RINNING FOUNTAIN <br />FLOOR DfiAIN _ <br />ROOF DFAIKS - <br />USEZONE LOi <br />' T1PEOffANSLPUC➢O4U1011'4Bl[ i\P <br />OF <br />❑ YES ❑ NO <br />� <br />5 <br />5 <br />sioe SetoncK <br />VAf,ANT SIiE <br />�j Y[5 ❑ NO <br />�iii�TP1 NOOiP�VELI'Nv <br />pAS�MENT <br />❑VF.S ❑��0 <br />HGGNT UMITAT10Y <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />MECHANICAL <br />�p, TYPE OF E�UIPMENT <br />A/C - h'HNDLG UNIT$ - H.P. <br />FORCEDAIRSYSTEMS-BT.U. MEA. <br />UNITHEATERS-B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLAC[ 8 CHItdN[Y <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING .. <br />CHECK <br />�UILDING <br />PLU:dBING __ <br />MECNANICAL <br />OTHER <br />STATE DUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY' <br />q�f!fiESS FILE <br />3 <br />41 50 <br />IS YOUR PERMIT <br />27662 <br />6 <br />