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x C''Hi1 <br />�ay <br />,o�x <br />C �-+ <br />Y H V7 <br />y�H <br />FG C'� <br />H �7 <br />o .i o <br />� Vi H <br />y r <br />�i o �i <br />HC <br />O H <br />��g <br />ia] V �] <br />ay� <br />r z <br />F-+ H <br />g`� <br />H <br />n d � <br />�r�r <br />2 H t�i� <br />H O cn <br />7heFt�rrprrrri CINSTRUCTION � <br />��T, o� <br />everett PERMIT PERMIT NO. �'r� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUlLDING ❑ MECIIANICAL �7 PLUMBING ❑ SIGN <br />pNNE�1 <br />MNLAODP[55 CItY ZIP IYIONE <br />Wiltshire 3332 Nassau Everett ldA 98�01 <br />1ENANT MARADDPE55 CITY ZIP PMONC <br />AaCHITECTOROE5IGNE(i AIAILAO�A[55 bTY 21P CNONE <br />G[NEFALCONTq\CT0f1 MNLAOORESS CITY ZIP G110NE UCCN:�L• <br />Everett Builders 5606 Evergr�an WAv t'•��*r, tdA 4A2na zs� �lhl rvr•Ran�ntru <br />NECHANIGALCONTRAC�OR UNLA��RESS CILY ZIP PIIONE LICE!8L• <br />�LUNpINGCONTPACiOR --- ••./d�aDUREtiS PlV ZIP PNONE LICCNSE• <br />Everett IIuilders <br />c�ass ov wonn <br />❑ NEW ❑ AODITION ❑ ALTERATION X] REPAIR ❑ DEMOLITION ❑ BUIL�ING RELOCATION <br />CONTilACT PRICE OF WOFN: $ <br />GC66ULE1YORRANDSOUAPEFOOTA <br />12emodel <br />ir�vo�vEo <br />v;:p�`OSEO USE OF BILLJING <br />Single Family <br />� c,�� ccscnianor� or vnoreArr isr�ow ouow on n*Tnc� rou�� ce�res <br />� �, — o�o�.. — o� <br />don<ocr��:, <br />3332 I2assau <br />PLUMBING <br />NO. TYPE OF <br />�� WA7ERClOSET�T1 <br />SM0IVER <br />KITCIiEN $INK 8 DISP. <br />DISHWASHEq <br />LALINDRY TRAY <br />URINAL <br />�RIN6ING iOUNTAIN <br />FLOOR �RAIN <br />�ACKFIOW PPEVENTENS <br />ROOF DRAINS — RAINLEP <br />SINK �SERVICE — OAR. ET <br />fNONi SFTIiqCK <br />USEZONE <br />IYH pf CANSIPUCIt04 <br />saEOFo�oc <br />OCCUPANCvtOAD <br />i� i � �.nrv wn srnm <br />ITEM <br />SUBTOTAL S <br />PERMIT f <br />TOTALFEI S <br />NEn�i5tlP�cn��� <br />tornn[r <br />F 1Vf4GiC0451PUCIlONA[W: <br />NU Of STOPiE: <br />f�6E SPPINnLERS fiEO D <br />❑ VES ❑ NO <br />CONiPCi PE��SON �ND 1'H��tiE ND li O1MEH i rAn au�ve <br />I MECHANICAL <br />FEE NO. TYPE OF EO � <br />� nC-n�wDlcUK:'�-N <br />FORC[D AIR SYS1EA15 — 0 <br />UNIT NGTERS — 0 i.0 <br />CLOTHESDRYERS <br />VENTILATION �AN <br />PANGE1100D <br />1YATER 11[ATER <br />WOODSTOVE <br />METAL GIREPLACE d CHIM� <br />FlFEPLACEINSERT <br />HEAT PU6�F <br />GAS PIPING <br />[%HAUSTFAN <br />SUOnCn IFLANGHEGB <br />SU�TOTAI <br />PERMIT <br />TOTALFEE <br />FEE <br />vacnr�r taie FEES <br />❑ YES ❑ NO <br />,,,�„`r+oo�nra�•.u�,cu•.is �UILDING $ <br />PLUMBING <br />(3A5[NCNi <br />❑ VES ❑ NO MECHANIC4L <br />��Eic�rti�nurnnoN OTHEfi <br />STATE �UILDING SURCHARGE <br />STATEENERGVSURCHAFGE <br />CITY OF EVERETT rusucwanKs <br />LOC�aL SALES _ <br />TA;C CODE IS TOTAL <br />3t�'r'� WHEN PROPERLY VALI <br />�ERMITS EXPIRE IF WORK IS NOT COMMENC[D WITHIN �;pI�R1:55 fil l <br />1�� �AYS C`R CEASES FOR MORE THAN 180 VAYS. <br />� <br />M11 <br />�S <br />RECEIPT NO <br />FEE <br />��j <br />_�_ 75j 00 <br />IS YOUR PERMIT.�' <br />� / <br />