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(hrF'rrry,�rrrn r��NSTRUCTION � � <br /> CI11 (q <br /> everett PERMIT PEAM���� No. �� � � � � <br /> ��s - 8a � o <br /> [kDEMOLITION ❑ COMBINATION ❑ UUILDING ❑ MECHAkICAL ❑ PLUMBING ❑ SIGN <br /> ornvu� n�nn nooncss atv =��� r�ror¢ <br /> Ed Brunes P.O. Sox 2208 Lynnwood 98036 367-84'1 _ <br /> :I4AN1 MM1II RUDf1E55 ❑TY ]�P MIONk <br /> nnC�aTCCTOBCES�GNE❑ MGIL�DOf1C55 CITV ZIP M�ON[ <br /> �:fNE11�LCGHTR�CTO� M�IL�DORE55 CITY : i'HO4E LICENSE� <br /> Owner <br /> �.+ECM4NiUL CON1nACTOR M�IL RDDRE55 Cliv li�' %�ON[ LICENS[� <br /> ��UMOiNGCONTR�C�O� MAIL�DDRCSS fITY �IP PNONE UCENSE� <br /> CUCS CL\401iK <br /> ❑ NEW q ❑ ADDITION ❑ ALTERATION ❑ REPAIR A1 DEMOLITION ❑ BUtLUING RELOCATION <br /> ' CONipCT 1'ERSON?NO IiIONC NO If Oi�1[R THAN ROOVC <br /> CONTRACT PPICE OF WORK'.S <br /> OFBGaipE WORK AND SOUARE�OO1�GE IM'OLV[0 <br /> Demolish garage <br /> �AOR15E�lISE Oi OURD�NG <br /> �rn un <br /> lE WL OESCRIPTION Of t'n0�'E��Y�SHDW PClO W O�ATT�CII POUR CCPII.51 <br /> See Attached <br /> I OT� lti OCn_UF <br /> JJB�D[Mk5`. <br /> 1514 Vir inia <br /> PIUMBING MECHANICAI. <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYOE OF EOUIPMENT FEE <br /> WATER CLOSET ITpILET) A/C—MMNDLG UNITS—�i�' <br /> BATNTUB FORCEDANSVSTEMS—�t��S(L1EA•O3P �M9M1O8 #� <br /> LAVATORY�WASM BASIN) UNIT MEATERS—0 T U �M <br /> SHOWER CLOTHESORYEFS q00023681 - <br /> KITCHEN SINK 8 DISP. VENIILATION FpN B �H S�F. <br /> OISHWASNER RANGEHOOD �OZ�� a <br /> LAUNDR�TRAY WATER H[ATER B .CjRCH f1. <br /> CLOTMESWASHER WOODSTOVE CHECK f9� _ <br /> URINAL METAL FlREPLACE 6 CHIMNEY <br /> DRINM.ING fOUNTAIN FIREPLACE INSERT <br /> F�OOF DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING _ <br /> POOF DPAINS—RAINLEPDERS EXHnUST FAN <br /> SINK ISERVICE—BAR,ETC 1 <br /> SUBTOTRL f SUBTOTAL S <br /> � pERM1T S PEflM1T S <br /> TOTALFEE S TOTALFEE f <br /> �noNT SETnnCK eEna SEioaCK '.SiDF SET�ACK PIAN CHECK NUM�ER FEE RECEIPT NO. <br /> u=rrnc io*nacn vncnr�tsne FEES euaoiNecwe FEE <br /> ❑vE5 ❑NO <br /> hR;F(/J'ISiPUCTqNALLPNAB�E N�iOfGONSt9pC10NaC1pAL i,,,n,� �O�DWFLUNLIIHi15 �UILDING 5 <br /> PL�MBING <br /> r.,ri or ia�.o, No or stoaiEs ensEmEr+t <br /> ❑VES ❑NO MECHANICAL <br /> occw��•uCrLono �inEsrron�Ea:in[on ��[iGrturni*ntic,� pThIER <br /> ❑ VES ❑ NO <br /> STATE�UILDINGSURCHARGE 4 SO <br /> nErtcnq�oa snnwq Cn; <br /> $TATEENERGYSURCHARGE � <br /> nr•�i��,r.��au.cc iiv v�nNsnvr-aov�oov CITY OF EVERETT <br /> LOCAL SALES PU�LIC WORKS —_ _ <br /> 9 0 <br /> TAX CODE IS TOTAL <br /> _ _ __ 3105 _ �yHEN PROPERLY VALIDATED T��IS IS YOUR PERMIT <br /> PEFid1T& EXPIRE IF WORK IS NOT COMMEN�:ED WITHIN '� `� � <br /> l,I;I�!'L`,l . . .' � : _ <br /> 180 DAYS OR f:EASES FnH MORE THAM 180 DAYS. <br />