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`h�E°"���" ~ONSTRUCTION- <br /> c�Tv oF <br /> everett PERMIT PERMITNO. G .�i32i <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION G� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> OwNER MA4/.DDRE55 CrtY Z6 PMONE <br /> Oscar and Fuby Carlstad 19309 98th Ave W Lynnwood 980�a 77a—z4aa — <br /> TLNANT MAILAODRE55 CIiY ZIP PMONE <br /> AFCNrtECTOPpE51GNEN MRILnDDRE55 dTY ZIP CI10NE <br /> GENERPLWNTRACTOR MARAODRE55 CITY 21P ���ONE LICENSE� <br /> thaner <br /> MECNANiCALCONTRnCTOR A1AllADOAE55 CITY 21P i'MONE UCENSE• 'i <br /> f��uIA�INGCONTRACTOR MAILAODRE55 CIiY 21P PHONE LICENSE� II <br /> I <br /> C1A55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION �] REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> CONiPCT FERSON PN�PIIONE NO I(OTMER THAN ABOVE <br /> CONTRACT PRICE OF WORK'S 1SOO OO <br /> DESCA�UE WOPN RND SOUARE GOOI AGE INVOLVED <br /> Reroof <br /> rno��wEo use or om�ort+c <br /> SPR <br /> l[GAl O[SCRIPTION OF FNOP[RTV�SHO W BELOn'OR FTIPCM FOUR GOPiES� <br /> lOT_ �LOLK_�OF <br /> JOO RO�RE55 <br /> 9907 � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE NO. TYPE OF EOUIPI�AENT FEE <br /> WATER CLOSET(TOILET) AiC—A/HNDLG UNITS—H P. <br /> BATHTU9 FORCED AIR SYSTEMS—B T.U. M EA. <br /> LAVATOFY�WASHBASIN� UNITHEA?EPS—BS.U. ';;/11:'/��d .i:Qji'I' i�j]�Iy�UBl:i -G�������:�!� <br /> SHOWER CLOTHESORYERS / <br /> KITCHEN SINK 8 DISP. VENTILATIOh iAN � �?�-.^' <br /> OISHWASHER flANGE HOOD ._;LC%� 4�S �� <br /> LAUNORVTRAY WATE�l1EATEf7 ' ��n' . S. � <br /> CLOTH[S WAuHER �':OOD STOVE '4;' I' �1:� -� I <br /> URINAL METAI FlREPIACE 8 CNIMNEV I <br /> FlREPLACEINSERT � <br /> DRINKIIIG FOUNT�IN � <br /> FLOOR DRAIN HEAT PUMP _ � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOFDRAINS--RAINLEADERS EXHAUSTFAN _ <br /> SINK(SERVICE—BAR.ETC.) - <br /> I <br /> SUBTOTAL f SUBTOTRL f <br /> PERMIT S PERMIT S <br /> TOTALFEE f TOTALFEE S <br /> FpONT5ET9ACK RE/�iSETOACK SioE51:TOAGN PIANCH[CKNUMpER PEE RECEIPTNO. <br /> USC.ZONE IOTAPE4 VACANTSITE FEES BUIL�INGCODE FEE li <br /> ❑YES p NO <br /> nrcaFcorvsrRur,nanaumvnoi[ rrr�oFca�+srnucnanncmni „o .,;°` rvoovo�tEuc�cunus BUI�OiNG S 1500.00 35 00 <br /> PLUMBING I <br /> y��r nt�i�DG NO.Of STORiES �ASEMEHT <br /> O YES ❑ NO MECHANICAL I <br /> I <br /> OCCUPANCYLOAD FIRESPRINNLEASPEOD MEIGHTUl.!ITATION OTHEH I, <br /> ❑VES ❑NO <br /> neqSoruFORSvnwrc�[ns STATEBUILDINGSUFCHARGE Q SO i <br /> S7ATE ENERGY SUI7CHARGE <br /> nri�ucnnor+ncc or F�ar�sncrno�eoov CITY OF EVERETT <br /> IOCAL SALES PUOLIC WORKS __ <br /> s.H. TAX CODE IS TOTAL 39 5� <br /> 3105 WHEN PROFERLY VALIDATED THIS IS YOUH PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN A�DRLSS FlLE c. J � L . <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />