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"1e�'�" ��`�� f�NSTRUCTION -� "� <br />CITY OF C <br />everett PERMIT PERMI7'NO. 234J� <br />259-8810 <br />❑ DEMOLITION � COMBINATION ❑ BUIIDING ❑ MECHANICAL ❑ PLUMdING ❑ SIGN <br />ON'NER MNL Rp�R[55 CITV ZIP FHONE <br />Blank & Slank Properties P.O. Box 226G Everett 98203 355-9725 <br />TEN�NT RfAILA00PE55 GTY ZIP PMONE <br />ARCNrtELTOR0E5iGNER MFIIADORESS CItY Z6' PMONE <br />Papidesign 12811 Eight Ave. W. #D101 F.verett 90209 3A7-0944 <br />GEN[RnLCONTRACTOR MPILPDDRE55 QTY ZIP PnONE LICENSE• <br />Owner BLANKBP110LL <br />MECIIANiC�L CONTPFCTOq f.1A1L PDORE55 CITY ZIP PMONE LICENSE • <br />PLLIM�INGCONiNA^.TOR �1AILAppRE55 CITY ZIP PMONE LICENSE� <br />LL455 OF WORN <br />❑ I�EW ❑ ADDITION ❑ ALTERATION _ ❑ REPAIH ❑ DEMOLITtON ❑ BUIIDING RELOCATION <br />CONTRAGT PRICE OF WORK: S <br />DESCFiOE WORN PND SOUAPE fOOTAG[ iNVOLVED <br />New Construction <br />vReroseo use or ouuowc <br />Single family residence <br />LEG/•L CSCRIPTION OF PRJP[Rtt �SHOW DELOW OR niIACM fOUR COMES� <br />�or 23-zoioc� 909oF St. NIcholas Add <br />PLUMBING <br />NO. TYPE OF <br />WATER CIOSET (T( <br />BhTHTUB <br />9 LAVATOFYIWASHI <br />SINK d DISP. <br />TRAY <br />WASHER <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEAOERS <br />SINK �SERVICE— BAR. ETCJ <br />20 <br />US[20NE <br />R-2 <br />trM a mnsrnur,rmn auwiaeie <br />V-N <br />SiZ[ OF BLDG <br />11Si <br />OCCUPPNCv�O�D <br />N/A <br />nensor� ron svairvntcas <br />CONTAGT PEPSON AN� PHONF No. If v I ntn i nnrv nuwo <br />MECHAN�CAL <br />FEE NO. TYPE OF EQUIPMENT <br />1 OO aC—A�'HNDLGUNITS—HP. <br />OO PORCED AIR SVSTEMS — B T.U. M EA. <br />1 O UNITHEATERS—�.TL. M <br />� CLOTHES ORYERS <br />OO 2 VENTILATION FAR <br />RANGEHOOD <br />WATERHEATER <br />\vOOD S70VE <br />h1ETAl FIREPLACE 8 CHIMNEY <br />FIFEPLACEINSERT <br />MEAT PUMP <br />GAS FIPING <br />E%MAUSTFAN <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />R[AR SETpACN 9DE5[TBACK <br />20 5 <br />LOT APEA <br />6200 <br />V-S N <br />�. OF STORiES <br />1 <br />IE SPRiNKLERS REO'0 <br />YES R] NO <br />'4CANT SITE <br />�YES ❑ NO <br />� ;�;;o•�• tro or m <br />R-3 1 <br />BASEMENT <br />] VES �NO <br />NEIGNi LIMItRT10N <br />28 <br />PERMIT � S <br />CHECKNUMDER <br />89/23457 <br />�UILDING4.�� nn_?9 25 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE �UILDING SURCHARG <br />STATEENERGVSURCHARGE <br />NOOD274�� <br />CHECI; <br />�ATIONACC 9V PLAhSAPPROVEDOY CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS rorn� <br />S,�i, J.w. 3105 yyHEN PROPERLY VALI�ATED THIS IS <br />Credit $29.25 on building permit fee for overpayment of plan check fee. <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIM qDDRESS FIL[ <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FEE <br />f NO. <br />26695 <br />MIT <br />��r? <br />i <br />!,J,�!i <br />