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_ ¢ <br /> 'h'�'�'`�'�"'"" rONSTRUCTION <br /> c��� o� <br /> - everett PERMIT PERMITNO. 23689 <br /> 259 -8810 <br /> ❑ DEMOLITION I�COMBINATION ❑ BUILDING �7 MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONTIEA MAll6p0�E55 QTV FiP PMOM1E <br /> 6 Gene D. Lillev 51:9 Seahurst Ave. Everett 98203 259-6477 <br /> ICNeM MAILADDF[SS LIT' TIP MONE <br /> Aq�NItECTORDES�GNCR MI.ILApDRL55 CIiY 21P 1'MON[ <br /> H�H G[NER�I CONTPACTOR A�AIL AODRE55 QiY 21P 1'110Nr �IGCNSE� <br /> I <br /> l9 � Owner <br /> � U[CHANIULCONTPAClO� MRILAOORL55 biV Zlf' �'HONE UC[NSC• <br /> ��� 1'IUNBINAfOMRACTOR MRILPLOPE55 GiY ZIP PIIONc UCCNSE� <br /> CLASS Of WO�K <br /> R�� ❑ NEW �7 ADDITION ❑ALTERATION ❑ REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br /> CONTACT ttR50N ANO P��ONE NO 1(OTHER TIIAN PtlOVE <br /> ��� CONTPACT PRICE OF WORK'$ <br /> oescniee woaK nr+o sou�i�c�oo*ac[ivvou•eo <br /> Qp�I-� 487 sf addition <br /> M 0� <br /> Qyy� <br /> Vj u i'RO�OSED USE OF BURDiNG <br /> r�� Sin le famil residence <br /> ���{ �cc�to[ScainnoHormo�rr+*r�snowauowonnTrncHrouncoaiesl <br /> fAy <br /> �LI LO)� BLUGN�O� <br /> M <br /> �� Att hed <br /> � � JOB PDD9E55 <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TUFE OR ITEM FEE NO. 7YPE OF EOUIVMENT FEE $ <br /> 1 WATERCLOSEi�TOILET) S OO A'C—AiMNDIGUNITS— L <br /> 1 �ATHTUB S OO FORGED AIR SYSTEMS—8 T U �M EA. • <br /> 1 LAVATORY(WASHBASIN) S OO UNITMEATERS—B.TU <br /> SHOWER GLOTNESDRVERS _ <br /> �� � NITCHENSINN8015P 1 VENTIL�TIONFAN <br /> I C��� OICHWASNER RANG[NOOD <br /> � � IAUN�RYTRAV WATERHEATER <br /> 1 � CLOTHES WASNER �YOOOSTOVE - � <br /> � URINAI METAL FIREPLACE 6 CIiIMNEY <br /> � FIREPLAGEINSEflT <br /> I 0:11NKING FOUNTAIN <br /> �� FLOOR�PAIN MEAT PUMP <br /> � BACKFLO\Y PREVENTEFS GAS PIPING <br /> ROOF DRAINS—RA�NLEA�ERS E%NAUST FHN <br /> I L <br /> ' SINK ISERVICE—BAP.ETG) <br /> �� <br /> suerorn� s 15 00 sueror�� s 1 00 <br /> =��1 GERMIT f PERMIT f <br /> TOTAL FEE f LS OO TOTAL FEE f 1 00 <br /> fPDNTSETARCK �EhR5Ei9ACn SiD[SEipACN PLANCHeGKNUMOER FEE AECEIPTNO. <br /> 20 Zp 10 s 6 <br /> �� '=1�' usc mr+e �o*Aaen vacnr�*sae FEES eunoinc eooc FEE <br /> p YES J�NO � <br /> R-1 <br /> irrtacorvsmm�,anai�owneic nrtorm,su�am��r��mni ,,,,,%• r+oorowuur,urc�s oui�DiHG 515,000.00 162 00 <br /> � V—N R�3 1 PLUMBING LS OO <br /> V—N <br /> �,_1�� 512[O�OLDG NOO�SiORIES F1I.SEMENT <br /> �� 987 add 1 ❑�es �o M[c�aNicn� 15 00 <br /> occucFr�ev�ono naescaiHKieasncon r�eiaHtiiurtnnorv OTHER <br /> N � ❑VES p;]NO ZB i <br /> STATE�UILDING SURCHARGE 9 50 . <br /> RERSON FOfI SPRMNlERS <br /> STATEENERGVSUI7CHAflGE <br /> nrrucnnoNncc ev rinksnaaaovEonr CITY OF EVERETT <br /> LOCALSALES PueucwoaKs = <br /> TAX CODE IS TOTAL 196 50 <br /> s.�i. n.e. 3105 — <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS ERPIRE IF WOiiK IS NOT COMMENCED WITHIN " � ' ' ` '� � <br /> noor�Ess r.iiE % ,� �? U � <br /> 180 DAYS OR CEASES FOR MOfiE THAN 180 DAYS. <br />