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ll�rF.tv'r4/rrn C�- �STRUCTION <br /> �,:� '.7i <br /> everett PERMIT PERMIT NO. 261 �� <br /> 259 -8810 <br /> , DEMOLITION ❑ COMBINATION SC7CBUILDING C MECHANICAL ❑ PLUMBING v SIGN <br /> r.mi�no;��:[ss <br /> c,r. zia ne:✓a <br /> ��Michael Smith 623 Warren P^e Evemtt 98201 259-1575 <br /> r✓.�.� <br /> w�annoaF=.; crtr z�r ����cut <br /> rt�'�a:ECiO��ESiGI:EP MRRADDAESS LRv b0 YnONE <br /> — eANLA�DRE55 GitV ZiP �NONE ULENS[� <br /> i r;p�q�CONTR�LION <br /> Oc.mer <br /> eCtr4NIC4LCONTRnQOF I.IRILPDDRE55 CRY IiP FHONE LILENSE• <br /> P�VUbiNGCON�R.�C.tOR MA�LP�ORESS CITv 21P �'HOy[ LICCNSE� <br /> Ci�.�5 OF W DqK <br /> _ �� ❑ NEW (xADDITION ❑ A�TENATION ❑ AEPAIR ❑ DEMOUTtON � BUILDING RELOCATIO <br /> y <br /> ; C�NTPCT VERSON AN�PIIO!'E t!0 If OTHER 1HA4 f.UOVL <br /> p�q� CONTRACi PRICE OF WORN S <br /> C A� DESG�iOE WOnn PND WUARE fOOiNGC���V�LYfO <br /> �, yxy y Stair addition & lower basement floor <br /> HxH <br /> fC c1 <br /> y�1 ��ao�o�Eo use o�E+uiioir+c <br /> ^�d H� Single famil residence <br /> �Hr �m>�oc sc�ionov or vnocemv is�ow o[�ow on nr1Fu�rou4 cones <br /> � Z 3 Lot 11 & 1/2 lot 10 block 12 of Rucker Park Addn t��*H�r �^+h rhP <br /> y�:� i o.— oiocK—or <br /> M <br /> south half of vacated alle ad'acent <br /> ��g <br /> �. n <br /> � N mn noor:�ss <br /> � H y 623 W rr n <br /> �y PLUMBING MECHANICAL <br /> C.dg N NO. TYPE OF FI%TUPE Oli ITEM FEE NO. 1'YPE OF EOUIPMENT FEE <br /> 3 LV r WATER CLOS[T ITOILET� A-0—A:11NDI G UNITS—H P <br /> ['�Jyy �ATH7U0 FORCEDAIR.`YSTEMS—�TU TAEA <br /> � UNITHEATERi—BT.0 M <br /> H O V� LAVFTORY(WASH�ASiN) <br /> SMOWER CLOIHESORVERS <br /> � KITCHEN 5!NK d OISP. V[NTiL4T10N fAN <br /> DISNW'SMER RANGE HOOG <br /> LAUNpRYTqAY WAT[��iEATGR <br /> � CLOTMESN'ASH[R V:OOD STOJE <br /> I �� MErn�viaEv�ncEacNnA1kS25/91 2�15F' OOOPt16664 <br /> URINAL <br /> ORINKMG FOUNTAIN FIREPLACE INSERT � <br /> FicoNoanirv Nearrurnr U000�`u193 __ <br /> BACNFLOWPREVENTERS GASPIPiNG E%�UG f��� . <br /> ' ROOFDRAINS—RAINLEADERS E%IIAUSTPAN f'L"! CH �ill.l <br /> P. SRCH 9�4., 7 <br /> I �� SINK�SERVIGE—�A�.ETC.1 CNEG. <br /> SUBT0T4L S SUBTOTAL f _ <br /> i �1= PENMIT f PEHMIT S _ <br /> TOTALFEE f TOTALFEE f � <br /> �no•:iseipe�K nEeRs[icacre sio[s[Tfinck �'LNNCHEGNNUM1I�ER FELl4(�.Zsf �ECEIPTNO <br /> _ 20' 20' S' 2/10' C 91/26193 (pd 35.10) 95564 <br /> _'_ urs.uue wtnaEA vacnHrsrte FEES awiowacoo[ FEE _ <br /> � BLZSf G YES �NO <br /> 1�IS0'LY,WSLPUf,1�4NCLLlIWABIE N�LOffOM1514UC➢ONPGIWI ,�f�" N�OfOWE1lING114:�5 �UIL�ING S 21�4rJ8 225 �� <br /> —1� V-N V-N R-3 1 p�uMoinlc <br /> t •�¢coreio, voorsonics oaseeiert <br /> 1 .�'.'ES ❑NO MECHANICAL <br /> " occu�nrvaiono �mcsreirvKicnsNEoo �iemNrwai*nnor+ pTHERdddl p1a11 CheC 111 15 <br /> n/a ❑VES C,V.;{JO 28� <br /> inn.=or+voa5vr+ivKLenS STATEDUILDINGSURCHARG[ 4 Q <br /> STAiEENEFGVSURCHARGE <br /> r.vrucnnoNncc or v�nHsnrrnovcoor CITY OF EVERETT <br /> LOCALSALES rueucH�or�Ks <br /> JH TAX CODE IS TO7AL 4 <br /> __ 3105 y/HEk FROPERLY VALiDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMFNr,ED WtTHIN , , � ' �l . .. ' ,� <br /> 180 DAYS OR CEASES FOR MORE Tl1AN 189 DAYS. <br />