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�r� <br />ay <br />A.`Cx <br />a�3c~n <br />y ZH <br />.e n <br />H� <br />O SO <br />'�tl N'� <br />VJ H <br />H t" <br />z <br />� HC <br />ON <br />��8 <br />(�] Y �i <br />�H� <br />HH <br />gy <br />� <br />('] ly N <br />��M <br />HOy <br />(heF.rrrti��'�'�� C�NSTRUCTfON � <br />ri7Y OF Q A <br />Everett P�RMIT PERMITNO. 24U`�� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION C� BUILDING ❑ MECHANICAL u PLUMBING G SIGN <br />rn;u[R <br />vFILPDDRESS GItY i��' FHGHC <br />Dennis Smith 5208 S. 2nd Evertt laA 98203 <br />�ENANT MAILPDDHE55 l.rtv .J� Pw�NE <br />A9C�atEf.T OR DESiGN[R l'nii AD�RESS <br />C�iv . vHn��E <br />GENC��4t CONinPCiOR <br />441L��:[1P65 Otv Z'n PHONE UCENSE• <br />Paint PRo P.O.Box 2388 Everett, WA 98203 252-0385 PAINTP* z210K p"ONE iiCENSE• <br />1�1C11ANl':Al COIIi1��ClOfl I.��IL AD01iE$$ <br />PWM�INGCJNiRACIOR IfAIL�1CDRE55 CiiV 21P YIION[ IICENSE• <br />CLn55 O� 1YOPN <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIN ❑ DEMOLITION ❑ BUILDING RELOCA I <br />CONTRACT PRICE OF \VORK�. S 2 r%LS.00 <br />oesuuoEwoaK nrvosounae rooinc[ iH�-����'�u <br />Remove/RePlacc Suspended Ceiling 1040 SF <br />rneroseo usE or euaoir�c <br />Office <br />L[GAL OESCPIPtl040� fPOPC��T� 1`���n��� �FIOW OR ATTACMlOIIR COPIC51 <br />io1 — oiocrc — o� <br />dooAonness <br />5208 5. � 2nd Ave. <br />PLUMBING <br />NO. TYPE OF FIXTURE OF <br />\'lATEF GLOSET �TOII.ETI <br />pATHTUO <br />LAVATORV IWASH HASIN) <br />SMOWER <br />KRGHEN SINN 8 DISP. <br />DI51iWA5HER <br />LAl1NDRY TRAY <br />CLOTHESWASHER <br />URINAL <br />�AINKING FOUNTAIN <br />FLOOH OPAIN <br />BACKFIOW PREVENTERS <br />ROOF DRAINS — RAINLEACERS <br />SINK (SERVICE — BAR ETC I <br />fRpNTSETAPCK <br />usE zo�vE <br />1VCCOfGIN51PUCli <br />SiZ[ 0� OIDG <br />OGGUCfHGYLO <br />��[nsor+�on sc <br />SUB TOTAL <br />PEOMIT <br />TOiALFEE <br />REARSCTOACN <br />LOi AREA <br />IVR OF CONSIFJC� <br />F�lp4l <br />NO OF STLaIE i <br />�me svnirvKires nEo � <br />] VES ❑ NO <br />f <br />cov*act rensor+nr�o i+�orve no n uircn �,.��,,,��,. <br />MECHANICAL <br />ry7, TYPE OF EOUI <br />AC—AMNOLGU��ITS -HP <br />FORCED AIR SYSiEMS — 0 T <br />UNIT HEATEFS — A.T U <br />CI.OTMES ORYEFS <br />VENTILAtiON FAN <br />RANGEHO00 <br />WATEfl NEATEfi <br />\VOOD STOVE <br />METAI ���EPLACE d CMI <br />FIREPLACEINS[FT <br />HEATPUMP <br />GAS �IPING <br />[%HAUSi FAN p. <br />M EA <br />M <br />FEE <br />SUB TOTAL S <br />PERMIT f I <br />TOTALFEE S <br />NUM�ER FEG RECEIPTNO <br />'�""" ""' FEES <br />❑ YES ❑ NO <br />,,. ;-' �oxoNuutiruw�s oui�oiNc <br />PLUM�ING <br />n.sEti�Er�t <br />❑ YES ❑ NO b/ECHANIC�L <br />��[�crau�.ninnor+ OTHER <br />STATE DUILDING SURCHAPGE <br />SipTEENEPGYSURCNnRG[ <br />CITY OF EVERETT P�oi�r,wor�Ks <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3��5 ......-.� nnnneoi v v� <br />PERMITS EXPIRE IF WORK IS NUT COMMENCED WITHIN ppiu�k.5;; f II I: <br />180 DAYS ON CEASES FOR MORE THAN ��0 DAYS. <br />$2,715.00 <br />THIS <br />9 I50 <br />58 50 <br />PERMIT <br />