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�� <br /> `h�E°��.`�o '�y"` C�NSTRUCTION ~- <br /> everett PERMIT PERMIT NO. � � Q ? � <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION �7 DUILDINr, ❑ MECHANICAL ❑ pLUMBING ❑ SIGN <br /> ONNER p1AILADDRE55 CITY ZIP CMONL <br /> Faith Wallingfor3 7629 Rainier Ave. Cverett 98201 353-9367 <br /> TENnNT MAI�AODHESS CITV ZIP PnONE <br /> ARGHRECT OR pE51GNER MAIL ADDRE55 CITv 21P FHON[ <br /> GENERAICONiPAC10R A�pILACORE55 QTV ZIP PHONE LICENSE� <br /> Nicolo Bruno 1252 W. Mt. Baker Blvd. Oak Harbor 98277 675-6137 NICLOBC1210H <br /> MECHANICALCONTR�CTIt MAIIA�DRESS CIIY ZiP PMONE UCENSE� <br /> PWMBINGCONTfiACTOR AINLAOORESS CITY 21P PHONE IICENSE� <br /> CLA55 OP WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT P[RSON AND PNOiaE N0.IF OTMER TIiAN ApOVL <br /> CONTRACT PRICE OF WORK:S 1480.00 <br /> DESCRIBE\YOfiN ANp SOU/+RE FJOTAGE INVOLVE� <br /> Re-roof <br /> PROPOSED USE OF pUILDiNG <br /> 8B SFR <br /> L[GFL DcSCRIPIION OF PIiOPERTY�SHOW OELOW OR ATINCN FOUR COP�ES) <br /> LOT_ BLOCK-OF <br /> J�DAODR[SS <br /> 7624 Rainier <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OFl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi(TOILEi) A�C—A/HNOLG UNITS—H.P <br /> BATHTUB FORCED AIR^YSTEMS—B.TL. M EA. <br /> LAVATORY(WASHOASIN) UNITHEATERS—BT.U. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DiSP. VENTILATION FAN <br /> DISHWASHER qANGE HOOD <br /> LAUNDRYTRAV WATER HEATER <br /> CLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOORORAIN HEATPUMP <br /> BACKFLOW PREV[NTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE—BAR.ETC.� <br /> SUB TOTAL s su��q�yg9 10:1 OOOAN5184 :k�K:l::k <br /> PERMIT S PERMIT / s <br /> TOTALFEE s rorq�pp�199C = <br /> FRONi SETPACK P[Aq SET�ACK SIDE S[i9ACN PLAN CHECK NUMBER ��G' $'l. ��EIPT NO. i <br /> E SftCH s. .50 <br /> USEZONE �OTAREA V4CANTSITE ' <br /> ❑ vES ❑ No FEES E FEE <br /> lYPEOF�ONSiHUC110YAlLNVAp�E ttPEOFLON57flULIIONAGtUAL �+Q^'o� NOOFOWFIIIN[UNi15 BUILDING ��,QQ �. cO 35 �� <br /> ' J <br /> PLUMBING �QQ��iSL�F <br /> SIZEOfBLDG NO.OFSTOPIcS ��SEMENT <br /> ❑ YES ❑ NO MECHANICAL F SRCH �L�.SO <br /> JCCIIPANCYLOAD FIRESPRINNLERSIiE00 NEIGMTLIAIITATION OTHER CHECK �S�I .JO <br /> ❑ VES ❑ NO <br /> REASONFORSPRINKlERS S7ATEBUILDINGSURCHARGE 3 50 <br /> STATEENERGVSURCNARGE <br /> APPLICATIONACC DY PLqNSAPPROVED�V CITY OF tVERETT '� <br /> LOCALSALES PuoucwoRKs <br /> S.H. TAX CODE IS TaTA� 38 50 <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR FERMIT <br /> PERMITS EXPIRE IF WORK IS NOT CO�dMENCED WITHIN AD�NESS fILE I � <br /> i_ <br /> 180 DAYS OR CEASES FOR MORE TH/�N 180 DAYS. ' ' ` - " <br />