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U�P L i'Cr/; rPrn <br />��„ oF <br />everett <br />259-8810 <br />❑ DEMOLITION <br />owrven <br />Robert Webb <br />TENANT <br />�ONS7RUCT101`� <br />PERMIT <br />PERMIT NO. _ <br />��J�f�� <br />}L� COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />n�nanooness cnr zu� v�ioNe <br />5306 Rockefeller Everett 98201 355-0142 _ <br />RIAIL AODRE55 CRY 21V PHONE <br />�RCnITCCTORDE5IGNER h1ARApDt1LS5 QTY Z�P PNONE <br />GENERnLCONTRAGTOii AIAILAO�RE55 CIIY ZIP PHONE LICENSC� <br />Nalbach Const. 2132 Highland Ave Everett 98201 252-7950 NALBAC*2300H <br />AIECHANIC�LCON1RlCTOR MAILADDRE55 QTY DP i'HONE LICENSE� <br />PWMBINGCONTHACTOR AtA�L�DOR[SS CiTV ZIP PIIONE �ICENSE• <br />CLn55 OF 1VORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION [}�}HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I CONTACT PERSON ANO PMONE NO IF OTHEP THAN ADOVE <br />CONTRACT PRICE OF WORK: S 3� 615 . 00 <br />OESCRIf3E \40RK AND SOUARE FGOTAGE INVOLVED <br />Remove plasterboard to studs & re-sheetrock & reolace batli fixtures <br />PROPOSEO USE OF bUILDING <br />SYMC�iiY Single family residence <br />LEGAI DESCRIPTiON OF PROPEHTY (SMOW BELO\Y OR ATTFCH iOUR COPIE51 <br />LOT— �LOCK — OF . . . <br />?/ / `Y...i.e, 1::;�1n.:.iii . . <br />� <br />JOBADDRE55 <br />5306 Rockefeller <br />PLUMBING <br />NP. TYPE OF FIXTURE OR <br />1 WATER CLOSFT �TOILEi) <br />1 �ATHTUB <br />], LAVATORY �WASH BASIN) <br />SHOWER <br />HITCHEN $INK d DISP. <br />DISHWASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENiERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK (SERI'ICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALPEE <br />�RONTSETOACI( REARSETpnCH <br />USE'.ON[ IOTAREA <br />ivI40fCONS7P11lii0NAIL�itiAOIE fYtiOFtONSiPOGTI <br />S�ZE OF OLDG I NO OF STOPIES <br />ACiUAL <br />LOAD FIRESPRINNL[RSPEO'D <br />❑ YES ❑ NO <br />nr•rurr.rieNnrC i+r �r��rv5nrcr�ovEDov <br />� <br />S <br />F�.DG '�ti �,�'U <br />�'�Y�—".�'8 <br />E: u�Lf{ SG.;iO <br />MECHANICAL <br />FEE NO. TYPE OF EOUIP! <br />A/C — ArHNDLG UNITS — HP. <br />FORCED AIP SYSTEM1IS — �.T.U. <br />11N1T HEATERS — B.T.U. <br />CLOTHES Di7VERS <br />VEN7ILATION FAN <br />Rl.NGEHOOD <br />WA1ER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIR[PLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SETOncn 1 PLAN CHECK NUMBER <br />SUBTOTAL <br />PERh1iT <br />TOTALFEE <br />FEE <br />VAC! NT SITE BUIL <br />❑ ves ❑ No <br />FEES �p <br />";G�,••�• r+oovnr:ewHcur+irs BWLo�NG S <br />PLUMBING <br />pASEMENT <br />❑ VES ❑ NO MECHANICAL <br />��eia�T un+rtnnov OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENEHGY SUfiCHARGE <br />CITY OF EVERETT <br />LOCAL SALES PUOLIC WORKS _ <br />TAX CODE IS TOTAL <br />_ _ 3105 WHEN PROPERLY VALIDA <br />M EA. <br />M <br />FEE <br />� <br />S <br />S <br />RECEIPT NO. <br />IS YOUF PERMIT <br />PERMITS EXPIRE IF WORK IS NOT C061MENCED WITHIN �, i� � % <br />r,qUl{I ;'o I-il C , . .�� .� ' '- <br />1f10 DAYS OA CEASES FOR MORE THAN 160 DAYS. <br />