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CITY OF EVERETT <br />� �`°�;ONSTRlJCTION �" � <br />PERMIT PERMITNO. 27�53 <br />259-88f0 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINCa ❑ SIGN <br />OWNER MAILADORESS CITY ZIP PHONE <br />Eugene Dvornick 5511 Sound Ave Everett 98203 347-3642 <br />TENANT M41lADDRESS LITV 71P PHONE <br />ARGIIITECTOFDESIGNEP MAILFDDRESS CITV Z�P PNONE <br />GENERALCONTRAOTOF MRILAOORE55 CITY 21P PMONE UCEHSE� <br />MECNANICALCONTPAGTOR MAILPDORESS QTY ZIP PMONE LICENSE� <br />owner <br />PLUMBINGCONTRRCTOP h1AILADORE55 CITY 21P PHONE LICENSE� <br />❑ NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILUING RELOCATION <br />I CONTACT PERSON FN� PNJNC N0. IF OTMER THAN ABOVE <br />CONTRACT PRICE OF WORK: S <br />SaUARE FOOTFGE INVOLVED <br />e insert <br />PROPOSEU USE OF UUIL�ING <br />SFR <br />LEGAI O[SCRIPTION OF PROPERtt �SNOW UELOW OR ARACH FOUR COPIES� <br />io;i4iq1 io:4san 000anos-; i:r�:: <br />�or_ oiocK —oF , <br />5511 Sound Ave <br />FLUMBING <br />115E ZONE <br />rvPE <br />Si]E <br />ITEM <br />BATHTUB <br />CKFLOW PREVENTEqS <br />IOF ORAINS - RAINLEADEIiS <br />JH (SERVICE - BAR, ETC.) <br />SUB TOl'AL <br />PERMIT <br />TOTALFEE <br />�CK R[ARSETOACN <br />IOTAREA <br />RIICt10NALLOWAB:E TYGEO�LONSiROCTiONACiUAL <br />,_ NOAFSTORIES <br />LOAD FIRESPRINKLERSREOD <br />❑ YES ❑ NO <br />SPRINNLERS <br />FEE <br />5 LJ NO <br />NEIGHi UMIiAI ION <br />ncc.ov In�nrvsnaraoveour CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />H000�795' <br />i1ECH 5;p,00 <br />vASH 430.OD <br />OF E; �.UIPMENT <br />'STEMS—B.T.U. MEA. <br />—B,TU. M <br />VENTILATION FAN <br />RANGEHOO� <br />WATER HEATER <br />WOODSTOVE <br />METAI FIREPLACE R CHIh1NEV <br />FIREPLA:F. INSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />CHECKNUM�ER <br />FEE <br />FEE <br />OUILDING S <br />PLUM�ING <br />MECHANICAI <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SUPCIIARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VALIDATED THIS IS YOUR <br />� �� <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 9 5 3 <br />780 DAYS OR CEASES FOR MORE THAN 180 DAYS. Nc�URF�5 �ll r_ <br />