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"'"'"�'��`T'°" CINSTRUCTION <br />�:,,, �,, CAc <br />everett PERlN�T PERMITNO ��J`�J <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION kl BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONNPI AIM /�DDIlC55 CILY ZiP PIIONE <br />Kirk and Kathleen Naxg Hauff 3304 Rockefeller Everett 98201 259-1689 <br />�cHpNi Mnil.noon[55 c.itr 2in r��oNE <br />O��LSiCNER MnILADURE55 GTY 21P PIION[ <br />1dAIL�D�fi[SS CITY ZIP PHONE UCENSE� <br />GCNEIUI COM�+n�� Vn • <br />Oaner <br />MECMqNIL�lCON1P�C10R 1ARILROOPC55 CIiY ZIP P110NE LICENSE� <br />RUMOMGCONTR4C10R MAIL4DORF55 CITV 21P �'NONE LICENSE� <br />CUSSOf WO�n <br />❑ NEW ❑ ADDITION RALTERATION <br />CONTR4CT PRICE OF WORK: S lOO.00 <br />UESCPiOE \�'OaK ANO SOUnRC fOOTAGC I�+VOLVEO <br />Replace window <br />rvorosco use o� eu�iu��+� <br />Duplex <br />LEG�L OESCRIPTION Of PROVERTY �SMOW [�El OW OR �TTACH IOUR COPIES) <br />IOT� BLOCR-- 0� — <br />)B �ODRESS <br />2511 Vizginia Ave. <br />PIUMBING <br />N0. TYPE OF FIXTURE <br />�WATER CLOSET ITOILET� <br />6 OiSP. <br />IAUNORV TRAY <br />CIDTHES WASMER <br />11RINAL <br />DRINKING FOUNTAIN <br />FLOOR GPAIN <br />BACKFLOW PPEVENTERS <br />ROOF ORAINS — RAINLE/ <br />SINK (SERVICE — OAR. Ei <br />rnonr <br />USE ZOIr� <br />SUB TOTAL <br />FERMIT <br />TOTALFEE <br />9ERRSETpACN <br />�or anen <br />fvl'C M fAN51PUCi <br />9Z[ O� ptOG NO OF SiORiES <br />�ppU �NESPNNNLFRSREOD <br />❑ YES ❑ NO <br />RLnSONfORSPFIM ERS <br />M'PLICFTIONACC �Y <br />s.�t. <br />❑ REPAIR ❑ DEMOLITION ❑ BUIIDING RELOCATION <br />CONinCT �CP50N nND 1'MONE NO �� OO�ER t���N AOOVE <br />�(i(!`1(xT�i_� r <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AiC — A�HNDLG UNITS — H P. <br />FORCED AIH SYSTEMS — 0 TL. M EA <br />UNIiNEAiERS—BTU. M <br />CLOTH[S DRYERS <br />VENTIIATION FAN <br />RANG£IIOOD <br />WAiER HEAIER <br />WOOOSTOVE <br />METFI. FIREPIACE 8 CHIMNEV <br />FlflEPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />Sip[ 5[T�ACN <br />�nHt sirE <br />YES ❑ NO <br />_...... ` �b OF ORRI <br />[iASEMENi <br />] VES ❑ NO <br />N[�GMi UMITATION <br />v�aNsnrrnoveoov I CITY OF EVLRETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />SU9TOTAL <br />TOTRLFEE i <br />CH[CNNUMBER �Oi�J4S <br />E.LDG <br />DUILOING <br />PLUM�ING <br />MECHANICAL <br />OTHEfl <br />STATE UUI' OING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORNS <br />70TAL <br />� WHEN PROPERLY VI <br />FEE <br />RECEIPT NO. <br />00 <br />�pEE <br />IS <br />PERMITS EXPIHE IF WORK IS NOT COMMENCED WITHIN pDDRESS FILE � G�' "- <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. _ <br />