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��� <br />�t� �H <br />9HC~/� <br />H�� <br />k n <br />H ;U <br />�H�i1 <br />HN <br />�HC <br />O�yH�y <br />N�70 <br />� Y (� <br />t"y� <br />HH <br />g �' <br />C] C V+ <br />� <br />�H� <br />HO[n <br />IheEi•ergrccn ��`` �-��NSTRUCTION ���� �� ��� <br />CITY OF n <br />everett PERMIT PERMITNO. _ �`�O�t� <br />25�J -8810 <br />❑ DEMOLITION ❑ COMBINATION :�7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OIVNEN MAILAODPL55 CIiY ZIP �'NONE <br />T�a N� 'tl P(1 Ao i1�4 T'v�rr>tt QR7f1'i iSS-71Sd -_- <br />TENFNT MAILRDORE55 CITY ZIP P ONE <br />ARCRrtECT 0Ii OESiGNER <br />MAiLADDRE55 CITV ZIP PHONE <br />GENEPAtCONiPACTOR AUILA�DRE55 C�1Y ZIP FMONE IICENSE• <br />C�ty 21P CNCNE UCENSE+ <br />PLUMpINGCONTRAC'OR MAILI.DDRE55 CITY ZIP PHONE LIGEN:E• <br />C�ASS OF WORN <br />n NEw ❑ noomor+ <br />ALTERATION ❑ AEPAIR ❑ DEMOLITION ❑ BUILOING RELOCATION <br />CONTAQ P[ii50N FN� PHONE NO IF OiMEIi 1 n�rv nuuvc <br />CONTRACT PFICE OF WORK: S <br />DESCRIDCv�ORKAND50UARELOOTAGEINVOLVED <br />Re-roof re-side Gara e on � <br />SFR <br />LEGAL�ESCRIPTIONOFPROPERtY15MOWfiEL01YORATTRGNFOURCOPIES� p3/Ob/90 12=07FH OOORN0273 �-k�' <br />lOT �� OLOCK � OF <br />H00024064 <br />B S�iCH 44.50 <br />, . <br />� ne <br />PLUMBING <br />NO. TYPE OF <br />WATER ClOSET (T( <br />BATHTUB <br />LAVATOFYIWASHI <br />SHOWER <br />NITCHEN SINK 8 �I <br />DISMWASMER <br />LAl1NDRV TRAV <br />CLOiHES WASMEF <br />URINAL <br />DRINKING FOUNT/ <br />fLOOP DRAIN <br />BACKFLOW PREVE <br />ROOF ORAINS — P <br />S W K �SERVICE — I <br />MECHANICAL <br />OR ITEM FEE NO. TYPE OF E�UIPI <br />NC — A'MNOLG UNITS -- HP. <br />FOBCED AIF SYSTEMS — B T.U. <br />UNIT NEATEAS —� B.T.U. <br />SUBTOTAL 5 <br />PERMIT s <br />TOTALFEE S <br />FR SETOnCe 5 <br />USE ZONE LOT AREA VnC4NT SITE <br />❑ YES ❑ NO <br />iV{40FCPYSIHUC110!:NLLU1'ABIE Nf4(�CONSIHUCiIONACNAI ��q�' �OFO'hElll4Gl <br />S¢E OF OL�G NO OF STORIES OASEA�ENT <br />❑ YES ❑ NO <br />OCCUP�NCYLOAO iIRESPPINNLER5flE0-0 HEIGHTIIMITATION <br />❑ VES ❑ NO <br />REn50N FON SFRINNL[f15 <br />or I 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 />VENTILATION FAN <br />RANGEHOOD <br />WATERIIEATER <br />1YOOD S70VE <br />AIETAL FIREPLACE 8 CHIA7NEY <br />FIRENLACE INSENT <br />HEAT PUMP <br />GAS PIPING <br />E%MAUSTFAN <br />SUBiOTAL <br />PEHMIT <br />TOTAL PEC <br />FEE <br />BUIlOING S <br />f <br />PIUM�ING <br />MECHANICAL <br />OTHER <br />STATE BUILOING SURCHARGE <br />STATEENERGYSURCHARGE <br />PU�LIC WORKS <br />WHEN <br />Ai1DRCS5 FlLE <br />M <br />M <br />f <br />S <br />RECEIPT NO. <br />IS <br />Li <br />58 <br />PERMIT <br />2,�06� <br />\ <br />f <br />