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'h°`:°�"�`"'" ' ('�JNSTRUCTION � � <br />c� � ; or l <br />� everett PERMIT PERMITNO. L,`=.?� � <br />259-8810 <br />O DEMOLITION ❑ COMBINATIO : ❑ BUILDING C�MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNfR MAILAL1��Ge� CiIY 2�� �MONC <br />Kirk 13orseth 7015 67rc3 P1. NE Nlarvsville 98270 653-3720 <br />J���q^,j MMLAppqE55 GiY IIP fY�ONE <br />��"' <br />� � <br />��� <br />R�� <br />�u� <br />�o <br />OHn <br />�p� <br />�y��� <br />� <br />���'" <br />O t� <br />Df.51GNEH <br />N<II. ApDf1E55 <br />LIIY I��' �'NONC <br />G[NERALCONTR�CTOR NaL:.[II;4C5ti piY bP �'HON[ UCCNiC� <br />gorseth Custan Iianes 7015 62nd P1 1� Marvsville 98270 653-3720 BURSFTIi170¢W <br />MCCHeNIULLONiRnQC�� MAILMD86S OtY ] O E LGLH <br />MDIIApfIRLSS <br />QTY ���' <br />L�CENSE� <br />q q55O�k'ONK <br />�NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINC RELOCATION <br />CONTPCT I�ERSON AND PMONC NO �� OT��[R LM9 N�OVE <br />CONiRACT PRICE OF WORK S <br />oescn�eewoeKnrvosoun=eroo�ncert+m�v�o p7/30i90 3:0?rr OODRH�905 I-1�Z�1� <br />Duct c�ork installation Venti ) , <br />q0�]025�61 <br />t'POPOSCUUSFCiBURDiNG �CL 'S VJ. <br />rn�— 1#OD0�526� <br />� t i JJ./�n <br />lCG4L�ESCFI!'TIONOiPFOFERiY(SHO�VO[LOWORAtTAb�10URCCVIE51 L�JrLr` g�4o.yy <br />�or _ owGn — or <br />3-units at 600 sf <br />PLUMBING <br />NO. TYPE OF <br />_ BATMTl1B <br />SI/OWEF <br />NITCHEN SINY <br />DISHWASNER <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOti DliAIN <br />OACKFLOW PREVENTERS <br />FOOF DRAINS— RAINLEADE <br />SINK FERVICE — 9AR. ETC.� <br />USE <br />sizE <br />PCASONfOR <br />OR ITEM <br />SUB TOTAL <br />PEpM1T <br />TOTAIFEE <br />eEnn �e,n>ca <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A�G — A. �iNOLG UNITS — �� P. <br />FOPCED�IRSYSTEMS—f3TU MEA <br />UN17 HEAT[RS - B T U. M <br />CLOTHESfJFYERS <br />3 VENTILATION FAN <br />PANGEHOOD <br />WATERHEATER <br />W00�570VE <br />METAL FlFEPLAC[ 8 CHIMNEY <br />FlR[PLAGEINSERT <br />HEAT PUMP <br />GAS PIPIYG <br />E%NqUSTFAN <br />f <br />SNE SEIOnCK <br />LOt FRE� VPCnNI'+IIE <br />❑ YES ❑ NO <br />iY140fGGNS1PUG➢ONAGtURI .r.ou "� � UI ON4LLMLl <br />r+o o�sror+iEs onsEn�Ervt <br />❑ VES ❑ NO <br />fiFESPRINkLCRSREO'D RHf.MiLiMIIAtION <br />❑ VES ❑ NO <br />CITY OF EVEFiETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMFNf:ED WITHI�J <br />180 DAYS OR CEASES FOR MOAE TtiAN 180 DAYS. <br />PLAN Cli[CK <br />SUBTOTAI <br />PERMIT <br />TOTAIFEE <br />FEE <br />BUILDING 5 <br />PLUMBING <br />M[CHANICAL <br />OTHER <br />STATE PUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUOLIC WORKS <br />TOTAL <br />ADDIlL`_•S FII.E <br />FEE <br />f <br />� <br />R[CEIPT NO <br />THIS IS <br />FEE <br />r <br />' 1 !-� � �_ ' <br />c_. � <br />