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� � '1 <br />H <br />>yU <br />� � � <br />'it N �i1 <br />y � <br />�x <br />O � d <br />��g <br />� Y (� <br />t"y� <br />HH <br />�yH <br />t]Cy <br />� �y C+1 <br />HOt�u <br />`�`F°"x'c`'" - -� ('�-7NSTRUCTION -� <br />CIN OF <br />everett PERMIT PERMITNO. �3923 <br />259-8310 <br />❑ DEMOLITION ❑ COMBINATION �1 BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OW4[R MAILADORC55 Cliv Z � <br />Ralph Haller 716 NIles Everett, WA 98201 _ 334-2572 <br />1ENPNT FIqILA�DRE55 CITY Z�P PHONE <br />ARCMITECT O� DESIGNEP MAII P��RE55 GTY .'IG PHON[ <br />Frans R. Thuyns 3207 Oakes, Everett, WA 98201 258-3232 <br />G[NERAICONTRPGTOR AIAILAOOR[55 CITY ZIP fl�ONE LICENSE� <br />Carl Larsen Construction inc. 4801 76th Ave. S.W. % hfukilteo, WA 98275 355-9795 CARLLCI160NH <br />MEp1ANICALLONTPFCTOR AIAILAO�R[55 QTY ZIP PNONE LICENSE� <br />CLn55OF WORR <br />❑ NEW � ADDITION <br />CONTFACT PRICE OF Y�ORK: S <br />Remodel and <br />MAI� AODfiESS <br />RIALTEHATION <br />invo�vEo <br />raorosco use or ouuoirvc <br />Garage <br />ICGAL �ESCRtPT10N OF PROPCRtt �SHO W DELO W OR nTTRCN FOi1P COPIES� <br />�or zl-2 utocK 9 o;.Rucker Paxk <br />PLUMBING <br />NO. TYfE OF <br />WATER CLO`,ET IT� <br />BATNTUB <br />LAVATORY(J:ASN <br />{ITCHEN SIVK 6 DI <br />OISHWASMER <br />LAUIlO�V TqAY <br />CLOTMESY:ASHER <br />11RINAL <br />FLOOR DFAIIJ <br />BAGKFLOWfAEVENTEHS <br />ROJF ORAI�S — RAINLEF <br />SINK ISEF���E — OAR. El <br />Fnorr sc�uncrc <br />70� <br />usc _onE <br />R-1 <br />trR a avstaur.r�� <br />N—N <br />SI'[57G G <br />CfCU�ANfYlO <br />N/A <br />.,c:;cr+�onsa <br />nnvi GATICN% <br />SUBTOTAI <br />PERMIT <br />TOiAL FEE <br />LOTAOREA <br />approx. 19,000 <br />tYlt OF fAN$iAUCilOV ALID4l <br />ri V—N <br />NO. UF SiORI[5 <br />1 <br />RRE SPRikrcLEPS REO�� <br />❑ VES f8 NO <br />FEE <br />f <br />5 <br />S <br />CITY ZIP PMONE UCENS[ • <br />❑ qEPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />JAC4NT S�tE <br />] VES E➢ NO <br />a�.�W�'��.'�• NaOIpNEI NGi <br />M-1 NA <br />pA5[MCNT <br />o ves � vo <br />HFGMT Llp'T.?IOt! <br />15� <br />aR�venor CITY OF EV: 9ETT <br />LOCAL SAI�ES <br />�� TAX CODc IS <br />3105 <br />CONTFGiVLNyUNPryU1MVfICnV i�v�ncn���n•�^�v•� <br />Sharon RLarsen 355-9745 <br />PERMITS EXPIRE IF WORK IS MOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />MECHANICAL <br />NO. TYPE OF EOUIf <br />A�C — ArHNDLG UNIT$ — H P. <br />FOFCEO Alfl SYSTEMS — B.T l <br />UNITliEATERS — E.TL. <br />GLOTMESDRVERS <br />VE4TILATION FAN _ <br />RANGEHOOD <br />WATER MEATER <br />WOOG STOV[ <br />METAL AqEPLACE 8 CHIM <br />FIREPL/CEINSERT � <br />HEAT PUMP <br />GAS PIPWG <br />EXl1AUST=AN � <br />oLAN CMECKHUMBEF <br />40/23923 <br />M EA <br />M <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />70.20 <br />BUILDING 58�640 <br />PWMBING <br />MECHANICAL <br />OTHER <br />STATE OUILDING SURCHARGE <br />STAIEENEFGYSURCHARGE <br />PU6LIC WORKS <br />ADDRESS FII.E <br />FEE <br />f <br />S <br />S <br />RECEIPT NO. <br />32989 <br />ove FEE <br />108 00 <br />4 50 <br />2� �� <br />132.50 <br />THiS IS YUUR PERfdiT <br />�,�q�J <br />