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/hrF.'rerti�r�rn C-INSTRUCTION <br /> or, ,:� <br /> everett PERMIT PERMIT NO. - <br /> 259 - 8810 <br /> �-� DEMOLITION ❑ COMBINATION S7 BUILDING ❑ MECHANICAL ` Ci pLUMBING,'E U SIGN <br /> I.Itll\[1�(IESS IIIY <br /> �:.'.�:" EveretY, I�n 98203 347-2292 <br /> t•]iliam Opstrup 3618 Shore Ave ,,,,,t, <br /> hUILACLfitS`.. 'IlY <br /> I r..V ll <br /> �IAIL AOOAE55 <br /> CRY 21P M�ONE <br /> :.n:�a1EGT OP�CSiG4ER <br /> I.IAIL A��RE55 CRY <br /> ZIP t'HONC LICEN`F• <br /> .,;y[IIAL LONiPM1CiCO <br /> o-�1lleT �iLV Z�P pNONE IICENSE• <br /> ...(]�>wf nL CONTitACiOR M1��IL NOCRE55 <br /> :tl. PHONC LiCCNS[. <br /> ,�,u+•mnccorvrnnc*an <br /> A•PR AD�AE55 ��T� <br /> c�ass oF wonK BUILOING RELOCATION <br /> H � � �NEW ❑ ADDITION ❑ ALTERA710N ❑ REPAIfl ❑ DEMOLITION ❑ <br /> CONi4Ci PEf.�011 A40{'l1pNC NO I�OTNCR TNAN AtlOVE <br /> A � .K'. <br /> CONTRACT PRICE OF WORK:S SOO.00 <br /> [ y� D6CRI�EY:O��MA6050UMEfOOLnGCI"i\'OIYf� <br /> H � Foundation 6 6 x 6 Beams to repair (rotting hfembers <br /> H � I-� <br /> fC C] <br /> H�7 <br /> O x O w�oroseouseof ewiowe <br /> �y N���411 Shop/Storage SFR <br /> yz � LEf.ALCCSCBIPTIONO�VPOf'01iY15HON'�ELOIVOR/11ACN40UNCUVIE51 <br /> � <br /> � CJ LOT�� OLOLK�Of <br /> ON <br /> H �g <br /> �1]Y (� <br /> ay� <br /> ti �, y�.pnnon[se <br /> hi y 3G18 Shore Ave. <br /> q� MECHANICAL <br /> �b N PLUMBING --- FEE <br /> FEE NO. TYPE OFEOUIPMENT <br /> ��r Np, TYPE Of FIXTURE OR ITEM ,�� _q HNo�G uNiTS-���� — � , <br /> x y � \yAiER CLOSET ItOILET� FONGE��IF StSTE615- �� ���'}� � <br /> y� � E1qTHTUB UNIT HEATERS-�1 T U �•� <br /> LAVATOHY�WASMBASIN� CLO7MESDRYE�S � � � <br /> � SHOW[R VEYTIIATIONFAN � . <br /> NITCHEN SINN 6 OISP. qANGE NUOD <br /> pI5MWA5MER WATE����EAIEfi R <br /> 1 LAUM1�RY TPAV \4'000 STOVE H � � <br /> I CLOTMESWASHER <br /> �_1 —_ METALFIREPLAGEBCH�M1W@V — <br /> _ URINPL FIRECLACEINSEHT <br /> DRINNING FOONTNN ryEp7 p�IAP <br /> FLOOR ORAIN GAS PIPING <br /> . O�GKFIOW PREVENTLRS E%HAUST FAN — <br /> ROOF ONAINS-AA�N�EAOER$ — <br /> � $INK�SERVILE-�/R.ETC I <br /> SUB TOTAL S <br /> SUBTOTAI. f S <br /> PERMIT -- <br /> ��� PERMIT f f <br /> S TOTALFEE <br /> TOTAL FEE qCC@IPT NO <br /> rnoH*seioncK <br /> ��t>n5[m�.rn sicEs[inn0� PIANCMECKNU1.1F1E� PEL <br /> �' <br /> vnc�•m=irc FEES em�mrvccooc FEE <br /> _t� USE20NE l(`1 nPFP - <br /> i ❑YES ❑NO S SOO.00 1S 00 <br /> luF nr cON51euC110xnLL0�ta8iE tYff or roaAnucTOY atruu� '`�,'i.�" <br /> -• i,00�cr.u".:�v.:��s Ow�owc <br /> � V-N PLUh1BING <br /> �'� SiZCO��LDG NOO�SiORi6 PASEIAENT <br /> 1 ❑YES 6N0 �dECHANICAL <br /> 480 9 75 <br /> cr,cuv�r�atono twe=_ani�uK�ensneoo ��eimttu�nitnriou piHEN pldtf Che'ck <br /> ❑VES CXNO <br /> STATE OUILDING SURCHARGE <br /> �:i e-,-i i en srniHx�U�s <br /> STATEENERGVSUNCHARGE <br /> a�ruc.+noun�c iav v�nHsn�v��oeco�3r CITY OF EVERETT pUouCwonKs <br /> LOCAL SALES =— — z� ZS <br /> �i� TAX CODE IS TOTAL <br /> 3105 ydHEN PROPEHLY VALIDATED THIS IS YOUR PERMIT <br /> �� <br /> ii � <br /> PERMITS EXPIRE IF WORK IS NOT COMMENf.ED WITH�N AD�RESS flLS (. l) ' '-' - <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />