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��� <br />Q � <br />1'��� <br />R�� <br />��� <br />� � <br />Q� <br />C" y <br />N� <br />� <br />aM <br />W � <br />O� <br />. .y. <br />(IIPF.t'Cl(,TM91 �NSTRUCTION �-� '� <br />GTY OF <br />everett PERMIT PeRM�T No. 25111 , <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL C�h4LUMBING ❑ SIGN �, <br />OWNCR MNLADL1RE55 LIiY ZIP Iq10NE <br />Kirk Borseth 7015 - 62nd P1 NE Marysville 98270 653-3720 �. <br />TlN�N* MMLq�DRE55 CIiY IIP fq1pN[ <br />nHC�UiECTOROLS�GNFR NNLAODRE55 GTv ZiP �'rONC <br />OfN[R\LCONTRACTOR 61PILpODRE55 CITY Z�P %IDNE ��C�M1��^ I <br />Owner <br />I.IECItAWCALCOYTq�CTON MAILNDORE55 CILV ZIP PIIONE LICENSE� <br />1'WMOINOCONIPACl0�1 MAIL�OplIE55 CILV ZIP �'MONE UCCNSE• <br />Art's Plumbing 102 Ave D ffiStl6S Snohomish 98290 335-5G33 ARTSPI123BD i <br />ClAS50f K'OPN <br />RpWEW ❑ AODITION ❑ ALTERATION __ ❑ REPAIR ❑ DEMOUTtON ❑ BW�DING RELOCATION <br />CONinCil'ERSONnvp�'nVrlcrvV n��rmni.�n�.wv.. <br />CONTRACT PRICE OF WORK�. S <br />oescr+mewonK�rvo sounncvou*ni <br />Plumb new apt bldg <br />rnovosco use or omioiec <br />apts <br />LLGP� DCSCRIFTION Of PPOPE�TV �SIIO W OELO\Y OR ATTFCH FOUR COPIES� <br />LOi � �LOCe - Ui <br />/ <br />FLEG�J� 4130;00 <br />�O' pooi�css .,a r..., _ ui . Ci �'�i n S, o2u n� Nv-E- �ii' � b00025112 v' -- <br />PLUMBING <br />TYPE OF FI%TURE OR <br />WATER CLOSET�TOILET) <br />DATNTUB <br />LAVATORV IWASH BASIN) <br />SHOWER <br />NITCHEN SINN 8 OISP. <br />DISHWASHER <br />LAUNORVTiAY <br />DFINKING FOUNTAIN <br />Ff.00R ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEFDERS <br />SINK ISERVICE — BAR. ETC J <br />SUBiOTAL <br />PERMIT <br />TOTALFEE <br />SETpACN RENRSETOACK <br />)NE LOTAPLA <br />CONSIINCIIONALLCNnOI[ ❑R�FLONS(POLI <br />f6L�G NOOFSTOPIES <br />i�PE 51'OINHLENS fl W D <br />] YES ❑ NO <br />JRSPRrtixLEli: <br />io^�r�cc nv <br />MECHANICAL ,i4 5 <br />FEE NO. TYPE OF EOI�f N/E T ;^ �) FEE <br />Z A�C—A�HNDLGUNITS—MP <br />ZQ FORGEO AIR SVSTEMS — B T.0 M EA <br />20 00 uNiTH�nT�ns-or.0 n+ <br />GLOTHESDRVERS <br />� VENfILATIONFAN _ <br />2 Q RANGEMO00 <br />3 WAiGR MEATER <br />WOODSTOVE <br />METAI FIREPLACE 8 CHIMNEV <br />FIREPLACEiNSERT <br />HEAT PU�dP ___ <br />GAS FIPING _� <br />E%MAUST�AN <br />S 1 9= sue rorn� <br />s PEPMIT <br />s 13O 00 rorni FEE <br />9�[s[104CK �'LANCHECHNUh1BER �EE <br />vncnr�*srte FEES euno <br />❑ YES O NO <br />,,,�„�'rroavow[uwcu�.ns DUILDING S <br />PLUMBING <br />APSCMENt <br />❑ YES ❑ NO MECHANICAI <br />r�¢ic�rtinailniiDN OTHER <br />STATE DUILDING SURCH�RGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES �'uouc woaHs _ <br />TAX CODE IS TOTAL <br />_ 3105_ yyHEN PROPERLY VALIDA'� <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />— . - <br />AU�R[`iS FlLE <br />� <br />t <br />f <br />PECEIPT NO <br />IS <br />FEE <br />� r � . <br />c�1��d ,' <br />