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fheF_'rc�rcen -�- �..,�NSTRUCTION �- ��� <br />C�TY �F <br />everett PERMIT PERMITNO. �4q�� <br />259-8810 <br />❑ DEMOLITION O COMBINATION &7 BUILDING ❑ MECHAN�CAL ❑ PLUMBING ❑ SIGN <br />0\VN[R MAIIPD�{iE5$ CiTY ZIP PIIONE <br />Jacob Rastetter fr4i9x3x�c4ndxAxe�cxxEx�cekkXxKRxx4fl8Et3�c Snohomish, WA 568-6732 _ <br />1ENnNT h�AiLADOPESS GiTv ZiP oHONE <br />�ibwnsend, DM S�e 5918 S 2nd Ave. Everett, Wa 96203 259-�109 <br />M.,NrtECTOB�E5IGNER MAILApDRE55 GTT 21e !'HON[ <br />GFNERALCONTRACiOR MAILAODRE55 GTY ZIP PIIDNE LICENSE� <br />�x Tenant <br />MELMANICALCONTRACTOR MAIL�DO��[55 CITV ZiP PMONE LIC[NSE+ <br />PLUR1B14GCONTRACfOB MRIL/DOAC55 GITY ZIP PHONE LILENSE• <br />CLASS OF WOPs <br />❑ HEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUIIDING HELOCATI <br />CONTPCT vERSON nrvu vnurve rvv. v �mcn m..i.,.o...� <br />CON7RACTPRICEOFWORK:S 1�200 <br />OFSCRi9[ WORK AND SOU�PL FOOTAGE INVOLVED <br />place post under house (12) <br />Single Family — <br />LEG/L DESCRIPTION OF PRO�[lITY ISHOW OELOW OR ATTACN FOUR COP�[5� <br />LOT - [3LOCK - Of <br />5418 S. 2nd Ave. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WAiER CLOSET �TOILET� <br />BATHTU� <br />LAVATORY IWASN BASIN) <br />SHON'ER <br />NITCMEN SINK 8 DISP. <br />LAUNDRVTRAV <br />CLOTHESWASHER <br />URINAL <br />DRINKIw�3 FOUNTAIN <br />FLOOR DHAIN <br />BACKFLOW PREVENTE <br />ROOF DRAINS - RAINL <br />SINK (SERVICE - BAR. <br />FnONT SEiBACK <br />usc zor+e <br />lYfti 0f COKSiNIlf,1104ALLOW0.1 <br />SIZE OF �LD� <br />���� <br />OCCUPnNCYLOnO <br />N1 /+ <br />REASONFOR SPRINNL[RS <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />4R5[TpACK <br />�or ar�eA <br />f1'CE OP GONSiNUGi�ON <br />� N <br />NO. OF STOiiiES <br />FIRE $PFIYKLEfiS REO'D <br />❑ VES �NO <br />MECHANICAL <br />FEE NO. TYPE OFEOUIPMENT <br />A'C - A/MNDLG UNITS - H P. <br />FORCED AIR SYSTEMS - 0 T.0 A7 EA. <br />UNITHEATERS-�TU M <br />CLOTHESDRYEHS �`� <br />VENTILATION FAN —�_ <br />flANGE NOOD �� <br />WATERHEAT[R <br />WOODSTOVE h <br />METAL FlREPLACE 8 CHIM f?S�— <br />FlREPLAC[ MSERT <br />IiEAT PUA9P <br />GAS VIPING <br />E%HAUSTFAN <br />� I I I SUBTOTAL <br />o� �s PENMIT <br />S TOTALFEE <br />smFSRnnCrc PLANCHECKNUMOER FEE <br />vncnr�t ste FEES <br />❑ YES ❑ NO <br />��;�o^�y=` No ol owFLIINGUNiis DUILDING S <br />.-� PLUMBING <br />pASEMENT <br />❑ YES p MECHANICAL <br />MEIG TLIMITATION OTHER <br />STATE OUILDING SUFCHARGE <br />gtATE ENEI7GV SURCHARGE <br />CITY OF EVERETT Puoucwor�Ks <br />LOCALSALES <br />TAX CODE IS I�pTAL <br />3105 E .....�.� .,.,,.,.�.,� „.,.� � <br />� I <br />f <br />f � <br />RECEIP7 NO. I <br />� <br />_ FEE <br />9 50 <br />33 0 <br />S YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMFNCED WITHIN � �� �-i ��'� d <br />non�3Ess ri�e � •, � �, <br />180 DAYS OR CEASES FOR MORE THAN 1A0 UAYS. <br />