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r`zr7 <br />tn n <br />9H <br />A �1 S <br />� H <br />aycn <br />rx> <br />yzH <br />K n <br />H x1 <br />oxo <br />'+] H '�J <br />V7 H <br />H Cg <br />C��] O [�7 <br />H CJ <br />Q H <br />H^�g <br />M. V � <br />ay� <br />rHy <br />gy <br />H <br />C� C7 � <br />�r�r <br />2 H f�i� <br />H O cn <br />'�s �� <br />�� ' <br />�� � <br />1 <br />a .,� <br />�� � <br />Ih<�l:'rriArrrn G >NSTRUCTION <br />( 11 <br />�VeY���� P�RMIT PERMIT NO. �� -' - � � <br />259-8810 <br />'�'� DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PWMBING ❑ SIGN <br />_r�� <br />vnu aoon�ss c��+ .- r-��ose <br />G Clark Robert P O Box 573 Everett WA 98206 _ 9SA_roa� <br />,... IdAILAD�RE55 f.ILY Z O E <br />a������iiECTOft�ESiGrv[s MnILADDfiE55 CITY Zio �HONE <br />i:l Y.i.(iPL GONiRACTOR AIAIL P�D�E55 CITV ZIP PNONE LICEY.4[. �� <br />Schultz Techwo P.O.Box 3374 Arli t ' <br />^[��•:.KICALCONTPACTOR l,b�40�CRE45 CiTY ZIP PMONE LICR:i[� <br />�'LU V LING CONTl1A�TOR <br />MNLRDORE55 C�iY ZIV PHOh[ IICEN�:�I:+ <br />nnss or v:onrc <br />❑ ALTF.RATION <br />CONTRACTPRICEGFWORK S Z�OOO.00 <br />C[::CRiC[ 140RK �ND SOUARE 1 pOiFGE IrryOLVCO <br />FTGS & Stem Wall - New Foundation <br />REPAIH ❑ DEMOLITION ❑ BUILOING RELOCATION <br />CONiACT {'[RSCN AND P��ON[ NO IF O➢�EN �nnrv nuwt <br />.._�__� .. ...__i. �cn_novo <br />i'�lO�OSED L15E OF 6 W l uihc <br />Residence SFR <br />L!6<L OESC�IPTIO'1 O� F?O�ER*Y 6nOW OEIOIv OR nTTACN �OU� COCiE51 <br />nains �- 1i•sso�+ nn�iaanar,� et::rt <br />�, ]t � fiLOCN � OF � <br />�oi�.nnoaess <br />2116 AScDougal <br />PLUMBING <br />NO. 7YPE OF F <br />WFTER CLOSET �TOI'. <br />�AVATORY (VfASM BASIN� <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISH11'ASIIER <br />LAUNDiiY TRAV <br />CLOTMES WASHER <br />UFINAL <br />pRINNING FOUNTAIN <br />fLOOR DRAIN <br />9ACNFLOW PAEVENTERS <br />POOF DRAINS— RAINLEAC <br />S�NN �SERNCE — DAR. ETC <br />fPONi 5C <br />28 <br />usc : o�+E <br />Tff nV LI�'� <br />1G'x50' <br />l CGtll'ANCY IOAD <br />N/A <br />nensorv ron sm�ir�KiEns <br />EL�G 445.00 <br />P 4FfN 84.50 <br />C4ECf; 849.50 <br />MECHANICAL <br />OR I7EM FEE NO. TVPE OF EOt11PMENT <br />n c� a�r�Ne�c unirs' - r� r <br />FORCED AIR SYSTEh15 — B T U �d EA. <br />UNIT MEATEFS -- 0 T U R1 <br />QOTHES �R�ERS <br />VENTILATION FAN <br />RANGEMOOD <br />IVATER NEATEF <br />WOODSTOV[ <br />�dET�L FIREPIACE d CHIAINEY <br />i IfiEPLACE INSERi <br />HFAT PUM1IP <br />GAS PIPING <br />,. E%NAUST FAN <br />SUBTOTAL <br />PERMI( <br />TOTALFEE <br />rV,� s[rnnC+ <br />50' _ <br />io* net.+ <br />IYIf Oi CdA51NUC110k -LtU% <br />rvo orsTonics <br />2 <br />llnE SPNIrvKLERS REC O <br />❑ YES 7C7 NO <br />FEE <br />f - SUBTO�AI f <br />5 r[AMir S <br />f TOTALFEE f <br />:�n/ tiflrl�nGK PLAN CMECK NUA1FiER FEE PELEIPT NO <br />5'-�4.�' 90/24299 29.25 33254 <br />.; nr�r sue FEES ° vs�i <br />�;'. vE5 M7 NO <br />,:� � � 1qoIIMLihi,u•.�is �UILDING S 2 <br />R-3 N�7\ pLUMBING <br />nnsce�Er�r <br />❑ YES M7 NO ��ECHANICAL <br />�i[iG�rtuw*qiioN OiNER <br />STATE �UILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT ruui.ic wo�Ks <br />LOCALSALES — <br />TAX CODE IS Torn� <br />3105 WHEN PROPERLY 4ALIDAI <br />PERMITS EXPIRE IF WORK IS NOT CONiMENCED WITHIN qDUiiL55 ! Il.k. <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />4 <br />49 <br />IS YOUR <br />� 'i '�. <br />L'iL.J� <br />