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'h,.':,.'�'"""' C-�NSTRUCTION � <br />CITI' OF C n <br />everett PERMIT PERMIT NO. 2`,3 J� <br />259-8810 <br />❑ DEMOLITION ❑ COMB�NATION ❑ BUILDING $1 <br />MECHAN�CAL ❑ PLUMBING ❑ SIGN <br />MnRnDnn[55 cnr z�r rHON[ <br />Oq'NE� <br />B�d AbrU�en 170A Walnut L•Verett, NIIi 96201 252-8202 <br />Mnu�ooncss artr nn a�ror+e <br />1ENAMC..., <br />�1� M�II �[1�q[55 CIiY 21P FIIONE <br />RRLMIiCLi O� ALS�fNER <br />MAIL AV�RESS CITY 21P PNONE <br />CONTf14Q0�1 ._� � � <br />Vd118 Nd cirr ziv PIIONE uceHse. <br />MECII�NIGL LONiMC10R MMl �OOR[55 <br />PW MpMG CONtP�CTOR <br />M�II.AD�RESS C�T4 21P f910NE IICENSE• <br />CUSS Oi \VpRn <br />❑ NEW <br />n �oomoN <br />CONTRACT PRICE Of WORK: S <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />COM ACT �'ERSON ANO P110N@ NO If OTH[R THPN nUUv[ <br />. � r� •� . R •�. _ <br />IEG�L UESCA��TION OF PROFERTV �SNOW OELOW 0� PTTACN fOU� COP'ESI <br />lOT � BLOCK - Of <br />J0� <br />, PLUMOIN(i <br />NO. TYPE OF <br />MECHANICAL <br />FEE NO. TYPE OF EOUII <br />A�C — A/HNDLG UNITS — H P. <br />cnoccn eiR SVSTFMS — �I <br />UNIT MEATERS — B TL. <br />LAVATORVIW��M BASIN� <br />CLOTMES DRYERS �tI <br />SMOwER <br />VENTILATION FAN �� <br />K�TCMEN SINK 6 DISP. <br />RANGENOOD �'' <br />DISMWASHER <br />WATER HEATER H <br />UUNDHY TRAY <br />WOODSTOVE b <br />CLOTNES WA5F7ER <br />METAL FIREPLACE 8 CHIMI� <br />UR�NAL <br />ORINKINGFOUNTAIN FIHEPLACEINSERT C <br />HEATPUMP <br />FLOOR DM�N <br />GAS PIPING <br />BACKFLON�PREVENTERS <br />E%HhUSTFAN <br />ROOF DRAINS — RAINLEADERS �rizontal 75cnUt <br />nu¢ iscaviCe — 9AR. ETC.1 . <br />ZONE <br />OfCONSiNUGIqN <br />ov oioc <br />:urnnc� wno <br />sow ron svni� <br />SUB TOTIIL f <br />PEqM1T s <br />TOTALFEE f <br />REARSET9nCN SIDESETORCN <br />LOTANEI. VRCRNTSRE <br />❑ VES ❑ NO <br />LYiEOFLONSIPUGii0NAC1UAl °'���.,�' NOO�MhIIPILI <br />NOO�SiO��ES OASEMENT <br />❑ VES O NO <br />�IR[$PP�NKLERSRW� NEIG11TlIMITATION <br />If"1 VES ❑ NO _ <br />CITY OF EVERETT <br />LOCALSALES <br />7AX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />SUBTOTAL <br />PEPMR <br />FEE <br />FEES <br />DUILDING 5 <br />PLUMBWG <br />MECHANICAL <br />OTNER <br />STATE BUILDING SURCNARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VAI. <br />A�DRESS I'ILE <br />� <br />f <br />f <br />HL'CEIPT NO. <br />FEE <br />YOU <br />2�39e <br />