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L'J�� <br />�O '.ti CL <br />9H5y <br />H x� <br />�C C� <br />O SO <br />"{7 N'il <br />V1 H <br />� O� <br />OH <br />��g <br />� Y �] <br />t" y � <br />HH <br />g �' <br />c� C N <br />��M <br />HOy <br />°��F�`��'�,`.of C'�NSTRUCTlON � <br />everett PERMIT PERM�T ��. _�� �' �� � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION BUILDiNG ❑ MECHANICAI ❑ PLUMBING ❑ SIGN <br />ON9�EA 1JpIL ADDPE55 <br />u.v zir vr,a.c <br />H6R R F� 7ifll R k I� i'+ rnf-1- _9A��1 <br />icwnr+* <br />r.ia�noon[s.. c t nc nno�+c <br />qRO�ii[Ci OR DFSIGNEII MAIL ADDPE55 <br />Gilv 2it �HONE <br />LENERPLCONiPACiOF <br />1AAIL AOD�EiS GI1V Z�P �HO�IE LICENSE • <br />fiverett 98205 334-6103 LEHSARC246L0 <br />��i� Z�p CI�ONE UGENSE • <br />NEb�nNICAL LONIDnCIOR MRLL ��DRE :i <br />CLUMOING CONTOI.CTOR MA�L ���RCSS <br />arr ziv rr�o!�[ ucEruc. <br />CLP55OI WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION C�NEPAIR ❑ DEMOUTION ❑ BUILOINGRELOCATI <br />CONTRACTPRICEOFWORN:S 396i <br />oescaioe wonK nrvo sounne roo*nce iNvoivm <br />Reroof <br />v��oroseo use or owioirvc <br />BEttt%1fXM% Cleaners <br />iean� o[scniarwr+ar veo�cmv isr�ow ee�rnv on nnnc�� roun eoriesi <br />LCi � f110i.N—� �� <br />PLUMBING <br />NO. TYPE OF FI%TURE OR <br />SHOWER <br />IUTCHEN SINK 8 DISP. <br />DISMWASHER <br />LAUNpRYTRAY <br />CLOTMES\4ASMER <br />USE20NF. <br />FLOOR ORAIN <br />BAGKFLOW PREVENTERS <br />ROOF ORAINS — RAMlEAO <br />SINK �SERVICE — BAH, ETC <br />SUB TOTRL <br />PERMIT <br />TOTAIFEE <br />REAR SE1�nt1( <br />LOT PRE� <br />IYttQCLK111UG➢VIAII%1=91E fll'COICON5IPVC�iUNnbiun <br />5¢[ oF OL�G rvo of 5ton�ES <br />OCCl1PANG�LOAO iiPESPRiNKLC�5RE00 <br />❑ YES ❑ NO <br />P(ASON fOP SPRMNlEi15 <br />APPLICATIONALC OY PLANSAPCf10V[DOY <br />s. tt. <br />GONI ACi PCPSOH AfID PNONE NO IL OTMER TMAN AOOI E <br />MECHANICAL <br />NO. TYPE OF EOUIPI <br />4�C — A'MNpLG UNIT$ — <br />FORCED AIR SYSTEMS —�� T U <br />UNIT MEATERS — 0 T U <br />CLOTMES ORYEfiS <br />VENTILATION i4N <br />RANGEHOOD <br />\V�TER f1EATER <br />WOO�STOVE <br />METAL FIREPLACE S GHIA1kEV <br />FlREPLAGEINSERT <br />HEAT PUh1P <br />G�5 PIPING <br />E%MAUSTFAN <br />�SUB i'OTAL <br />f PEPMIT <br />s TOTALGEE <br />��ovccinsre TPLANGHECKNUMBER �fCE <br />VACA'�TSIiE FEES BU1L� <br />❑ YES ❑ NO <br />`NOOFONiLLmGt�Y�S BUILDI4G S <br />PLUh1BING <br />pASGMENi <br />O �ES ❑ NO MECNANICAL <br />r�[iGNiuurtn*io�v pT1iER <br />STATE DUILOING SURCNARGE <br />$TATE ENE(iGV SURCHARGE <br />CITY OF EVERETT pU0LICIVORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALIDA <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN i11)UIIC55 FILF <br />180 DAYS OR CEASES FON MORE THAN 180 DAYS. <br />�f <br />RECEIPT NO <br />IS <br />246i� <br />67 I50 <br />