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a <br />��� <br />��� <br />9HxV� <br />H Z� <br />�H� <br />'�d Ix-i "�+� <br />V! H <br />�xp <br />HC <br />��g <br />�j] Y (% <br />ry�N <br />N <br />g�y <br />�O� <br />fheEvrrR�'crn �� � �,NyTRUCTION ��� � �� <br />CITy OF <br />eve�ett PERMIT PERM!TNO. � �n7� <br />259-8810 <br />❑ DE�IOLITION CX COAl81NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ fi1GN <br />O\':N[q MAIL ADDPE55 CITY ZiP PIIONE <br />Greg ISeclanan POB 2184 Lynnwood WA 98036 338-2535 , <br />1ENANt M�ILADO�ESS bTv ZIP ���ONE I <br />ARCMR[CiOli�[SIGNCfI M1�/�l/000[55 Cliv 21V i'MONE � <br />GLN[�ALCONiRACi00 MNLA�pRE55 QTY . PIIONE LICENS[• I <br />IIlack Hawlc Cc <truction same as owner BI,ACKHC127B7 <br />l�CCHANICAICONTR�CIOB R�AILF��F[55 QTV Z�C FMONE LICENSE� <br />vLUMEINGCONTRFCTOR MAII��DRE55 CITV 210 VMONE LICENSE� <br />CL/ 55 OP \40RK <br />I%� NEW ❑ ADDITION ❑ ALTERATION ❑ AEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />corvrncrv[nsorvnrvurnoncrvo n I <br />CONTRACTPRICEOFWORK�.S Greg Beckman 338-2535 . <br />._,�o:"... ....V,�. _uar�..,_.. ,.�.,. <br />OESCfUflE WO�K AN� SOUAR[ LOOTPGE INYOLVEO / <br />New house - basic if115 - 1410sf living/440sf gar <br />i JJ'.N(`�L4 . <br />IdRTEn: 'sbSQ.OJ ' <br />anovw[o use ov Nm�o�hr, �r�uJ-_cJ� � I <br />Single family residence =���-.cK '}�`�.CO <br />LEGAIO[SCiiIPT10NOfFROPERTY�5H01YBElOWOq/.TTACNFOURCOPIES� A:!1'J >WL.I: , <br />�.�oa� �o � <br />ior31&32eiccn53fi-ov _�,_,;> >�i��..:u <br />' _t:i, ��5.00 <br />. _..,i�, r-n -u�� <br />� _�1 GH g'.q.; <br />. Ory.�.f'�. AY.J <br />ioo nooness it � U„",' '�620.O1� <br />2432 lliehland Ave <br />PLUMBING <br />NO. <br />) WATEfl <br />1 KITCIIEN SINK 8 DISP. <br />1 OISHWASHER <br />'� � LAUNDRV TRAY <br />�� ' I CLOTMES WASHER <br />URINAL <br />'� � DRINKING FOUNTAIN <br />�� 1 FLOOROPAIN <br />BACKFLOW PREVENTEfiS <br />ROOF DRAINS — PAINIE/ <br />SINN �SERVICE — OAfl. ET <br />� �� <br />� 1 i <br />' 'w' <br />' '� <br />!PO JT SETpFGK <br />::0' <br />USC 20NE <br />R-2 <br />iYR Of COhS'AU:II;H AIIC <br />V-N <br />5¢f af F�OG <br />L410 + 440 <br />OCGUPANCYLOAO <br />na <br />SU6TOTAL <br />PEPMIT <br />TOTAL FEE <br />REPR $EipPLB <br />20' <br />LOTPR[4 <br />6,000 <br />nrt or cass�r,uc�mx acm� <br />V-N <br />NO Cf SiORiES <br />1 <br />vine svnir�.�Ens aeo�o <br />❑ YES IS NO <br />PF RtiON �OR Si�R�NeI EIl` <br />APPLICATIC'��•�.�. UY PLANSAPPPOVED <br />jh <br />MECHANICAL -��� � � <br />FEE NO. TYPE OF EOUIPMENT <br />A'C — 0.'HNDLG UNITS — HP. <br />FORCED AIR SVSTEMS — B.TL. M EA <br />UNIT IIEATER$— BSL M <br />CLOTHESDRVEFS <br />VENTILATION FAN <br />RANGEHOOD <br />WA1ER MEATER <br />WOODSTOVE <br />METAL PIPEPLACE 8 CHIMNEV <br />FIREPlACE1N5ERT <br />HEAT PUMP <br />GAS PIPING <br />� E%HAUSTFAN <br />S SUBTOTAL f <br />s PERMIT = <br />s TOTAI FEE S <br />sm[ SeiO�Cn PLFN CIIECK NUM�GR FEE � <br />5'610'(25tL S[ 91/27071 330.85 <br />vncnr�tsrte FEES � <br />�}S'ES ❑ NO <br />cc��•�.,.�• no m m�iwacu�:a5 BUILDING $ <br />R-3 1 PLUMBING <br />�ASEMENT <br />❑ YES IS NO M1�ECHANIC�L <br />uEm�rtur.utniioN OThIER Additional Pl ❑ <br />28� <br />STATE F3UILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT pU�LIC\VORKS <br />LOCAL SALES <br />TAX COD[ IS rorn� <br />3105 yyHEN PROPERLY VALI <br />PERMITS EXPIRE IF WORK IS NOT COMMENrED WITHIN qODflESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 780 DAYS. <br />THIS IS <br />NO <br />57741 <br />FEE <br />45 <br />�10 <br />C9 <br />N <br />