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CITY OF EVEI tETT <br /> �ONSTR�ICTION <br /> PERIIIIIT PERMITNO. 27I9O <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ tAECHANICAL ❑ PLUh1BING ❑ SIGN <br /> OWN[P 1.'ARADOF_55 CRV 2�P PMONE <br /> Sidne Mollerud 2123 Rockefeller Ave Everett 98201 252-1001 <br /> TENANT <br /> I.IAILApOPE55 CITY ZIP PHONE <br /> ARCHITEGTOR�ESIGNER hIPILF��R `: CIiY 21A PNONE . <br /> G[NERRLCONTR4CTOR IdARAD�RE55 CITY ZIP PNON[ LICENSE� <br /> Nicolo 8runo Construction 1252 Canterbu Oak Harbor 962^7 675-6137 NICOLBC1210N <br /> A'ECIIANICALCONiRACTOA IdAILAODHE55 CITY ZIP PNONE UCENS[• <br /> PLUM�INGCONTRACTOR MnILAp�RE55 CI1V Zi� FHONE �ICENSE• <br /> C1A55 OF�YORN <br /> � ❑ NEW ❑AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ �UILDING FiELOCATION <br /> LONiACT PERSONANO PMONE NO IF OtHER THAN ApOVE <br /> p� H CONTRACT PRIGF nF WORK S 8996 <br /> � DESCRidEWORRANO50UAREFOOTAG[iNVOWEO <br /> �,yx>y Roof re air kitchen fixtures ti cabinets <br /> yx �-�i <br /> �C C] <br /> y � PROPOSEDUSEOFpULLOiNG <br /> 'il y'�'+�D SPR — CHIF PROSECT <br /> LEGAL DESGFIPTiON Of PROPERTV 15NOY/DELOW OR ATTACH FOVR COPIES� <br /> [xj C� LOT_F1LOCrc_OF <br /> y 'lJi.�'.5%71 +C�i�'� '�i�l�:�il�'•O <br /> OM <br /> �� � NOL0�7740 <br /> zH� �� � .. . <br /> > JD�ADOH[SS Ci �';J ��Q.�� <br /> r� y 2123 Rockefeller Ave " <br /> yy � <br /> H <br /> PLUMBING MECHANICAL c SF� q4.5(1 <br /> n�y TYPE OF E�UI NT ��S�a,1 FEE <br /> �y NO. TYPE OF FIXTURE OR ITEM FEE NO. � <br /> 3 WATERCLOSETQOILET) S OO A'C-A'HNOLGUKITS-NP. <br /> 1 <br /> x y ]. DATHTUB S OO FORC[�AIRSVSTEtAS-B.T.U. MEA. <br /> H � � 1 LAVATORVIYIASHBASIN) S OO UNITf1EATEHS-PTU. M <br /> SHOWER CLOTHESDRVERS <br /> �' 1 KITCHEN SINH 8 OISP S OO VENTILATION FFN <br /> � DISHW�SNER FiANGE HOOD <br /> LAUNDRYTFiAV 1 �4'ATERNEAiER <br /> � WO00 STOVE <br /> I __ CLOTHES WASHER <br /> �� URINAL METAL FIREPLACE 8 CHIMNEY <br /> �t DRINKING FOUNTAIN FIRLPLACE INSERT <br /> FLOOR�RAIN NEAT PUMP <br /> � �ACKFLOW PREVENTEHS GAS PIPING <br /> ��� ROOf�RAINS-HAINLEl.JERS E%HAUST FAN — <br /> I ��' SINK�SEROICE-BAR.ETC.) <br /> '�' SUBTOTAL 5 20 OO SUBTOTAL 5 6 $0 <br /> . �� rERM1T S PERIAIT S �.S.00 � <br /> TOTALFEE 5 Q TOTALFEE S 2L SO <br /> P4i0NT5[T�ACK RERRSEiOaCK SIOESEil3ACK PLANLHECKNJIdBER FLE FECEIPTNO <br /> !1_I USEIONE LOIAREA VACANTSITE BWl01NGL0UE FEE <br /> FEES /pLUA�ION <br /> ❑YE$ ❑NO <br /> rvaeoFcor�saucnoHuio�vw3:e rvreeFtor+sraucnor+ncruni �-�g�,;,�° i+oorwau�•.sv,'s UUILDING 5 g996 108 00 <br /> 20 00 <br /> �1_1 PLUMBING <br /> 512[Of13LOG NDOFSiORiES 9ASEM[NT <br /> ❑vE5 ❑NO MfGHANICAL ZL SO <br /> � OCCUPANCVL040 FlRESPRINNLERAR[0'D HEIG11iLIM!TRTION OTHER <br /> ❑VES ❑NO <br /> STATE DUIIDING SURCHARGE <br /> 11FRSON FOR S�HINHI[RS <br /> STATE ENERGV SURCMARGE A 50 <br /> nri�ccnuoNncc ov r�nnsnv�-novmnv CITY OF EVERETT <br /> LOCAL SALES ruui ic�vor�ks 154 00 <br /> TAX CODE iS TOTAL <br /> 3105 - y�HEN PROPERLY VALIDAfED THIS IS YOUR PERMIT <br /> PEPMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN Q��RESy �'i � 2 7 7 9 0 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 CAYS. <br />