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'h,.F``.'��`-'°' t'rJNSTRUCTi01�1 <br />��,Y �,� �c <br />everett PERMIT PERMITNO. _ 2���\)U <br />259-8810 <br />❑ DEMOLITION ❑ CPMBINATION X] BUILDING ❑ MECHANICAL ❑ PLUMBING <br />owHer� ��nn nooaess cirr ziv r��o�+e <br />➢orseth Custom Nomes 562G Parkside Dr Marysville, W7+ 9ffi70 659-6G56 <br />1fNPNT M4ILADOI1C55 QLY 2iP ��10N[ <br />PRGMITCCTORpE51CN[R R+MLADDFC$$ CITY ZIP PIION[ <br />PAPI Design 347-0944 <br />G[NEI1nLCONTPnCTOR MRILADD�ES$ CiTV 21P PIIONE <br />Borseth Custom Homes BORSECt9137� Q2 <br />MEG�eNiCALCONfRAC101i � MAItAppR65$ CIiV ZIP PMON[ <br />PWMOiNGCONIRACTOP MAILADORE55 LIiY ZiP PHONE <br />❑ SIGN <br />Llf,[NS[ � <br />ucErrs� • <br />LICCNSE � <br />tuss or �snnn <br />Il NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING NELOCATION <br />CONTRACT PRICE l.F WORN' S <br />�E'+CRIBEWORRFN�SOUARElOOiA <br />Three unit apartmei <br />INVOLVED <br />building <br />vnows[o use or aunoivc <br />Apartments <br />IEG�L DESG111PTION OG PROPERtY �SHO W pELOW U0 ATT/ CN fO110 COVIES� <br />5 23 Town of Lowell <br />�or_ eiocrc — or <br />5330 5. 2nd Ave ., <br />PLUMBING <br />NO. TYPE OF FII <br />Qv WATERClOSETQOIL <br />NIT�HEN SINK E <br />�ISMWASMEF <br />LFUNDRVTRAY <br />DPINKING FOUN' <br />FLOOR DRAIN <br />BACKFLOW PRE\ <br />ROOF DRFINS — <br />SINN ISERVICE — <br />10' <br />ZONE <br />B-2 <br />Cr cons' <br />YX <br />nccu�nr+cr�ono <br />I:I ASON fOR SPRINNILI <br />.,00��cnrinr�atc.nv <br />SUB TO <br />PEHMIT <br />20' <br />i ARC/ <br />%20� <br />[ Of fA451PU:I10!i PLNht <br />V-N <br />� OF SLORIES <br />IE SCRINRlEnS REO 0 <br />YES � NO <br />�a <br />[iY <br />�5 <br />sioe 5e*oncrc <br />5' 6 10' South <br />CONT�Ci 1'ERSON ANO PIION[ NO I� piNEfl 111wrv nnuv[ <br />MECHANICAL <br />NO. TYPE OF EOIIIPMENT <br />A�C — A;MNOLG UNITS — HP. <br />FOBGEO AIq SYSTEM$ — � T.U. M EA <br />UNITMEATERS—OS.U. M <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RA11GE HO00 <br />WATERHEATER OS/O%�9O � <br />\VOODSTOVE / <br />IdETAL FIPEPIACE 8 CHIMN p�^�.,�= <br />FIRLPLACEINSERT �'j',^ 4; <br />HEATPIIMP ^i.i.ii <br />GAS PIPING <br />EXI IAUST FAN FW FC <br />SUB <br />;r�ECK Nun+oEn �0�1317 <br />88/21317 �3�gIC <br />Q`YES ❑ NO <br />• rvu ar n'n¢utirle;us DUILDING <br />�R-1F 3 <br />PLUMf31NG <br />t1A5EMENi <br />❑ YES � NO h1ECHANICAL <br />�rtiGrrt ur.urnnor+ OTHER <br />STATE �UILDING SURCHARG <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT �UOLIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 �yHEN PROPERLY V <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />� <br />ADDRESS FILE <br />WATER <br />B"ID II <br />� <br />REGEIPT N0. <br />.� <br />F�_ <br />JJ81 JU <br />R PERM/�IT[ <br />tJ1t�{�+ CG <br />