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CITY OF EVERETT <br />"` �ONSTRUCTION �� � <br />PERMIT PERMITNO. 2H1S� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL }C8 PLUMBING ❑ SIGN <br />MAllA0DRE55 CIiV Z1P PHONE <br />owr+ER 339-5558 <br />� Donna Noborikawa 3017 Nassau A1it St. Everett, WA 98201 pHpNE <br />TENANT <br />MA!LAODRE55 CITY Z�P <br />ARCMITECT C3 OESIGNER <br />MAILAD�RESS C�n' ZIP PHONE <br />GENER�LCONTRPCTOR <br />MAILADDRESS CITV 21P PHON[ LICENSL/ <br />MECHFNICAICONiRACTOR <br />MAIIADDFE55 CIiY ZIP PHONE IICENSE� <br />PWMBINGWNTRACTOR MAILADORE55 CITY ZIP PMONE ��CENSE� <br />Dav & Nite Plumbing PO Box 1021 Lynnwood, WA 98046 775-6464 DAYNIP112Q <br />❑ NEW ❑ ADDITION <br />QSALTERATION <br />CONTRACT PRICE OF WORK: S 2� 984. 00 <br />DESCPIBE WORK AN� SOUARE FOOiFGE INVOLVED <br />Place interior water piping & tub valve <br />❑ REPAIR <br />CONTACT <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />AND PHONE NO. IF OTMER TI IPN AOOVE <br />PROPOSED VSE OF BUIIDING <br />Sin le famil residence <br />LEGAL UESCRIPTION OF PROPEFTV (SHOW BELOW OR ATTACH FOUR COPIES) <br />11/^S/01 if�•/1/`M nnnnu+^nc ������.t�?: <br />LOT__ BIOCK � OF , <br />PLUMBING <br />USEZONE <br />BY <br />OF <br />OR ITEM <br />DISP. <br />5 <br />NOAF <br />YES ❑ NO <br />SITE <br />I.IMITAiION <br />e`' I CITY OF EVEREiT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />A/C - AlHNDLG UNITS - H <br />FORCED AIR SVSTEMS - <br />UNI7 HEA7ER5 - B.T.U. <br />CLOTHESORYERS <br />VENTILATION FA!: <br />RANGEHOOD <br />WOOD <br />METAL <br />GAS <br />INSEFT <br />FEES <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHAPGE <br />STATEENF.RGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />1,����;�J a�0.l�1� <br />M EA. <br />M <br />SU8T0 <br />PERMiT <br />5 <br />FEE <br />NO. <br />FEE <br />PROPERLY VALIDATED THIS IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 818 6 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />p;ll�RcSS FP F <br />