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CON�.�TRUCTION <br />PERMIT <br />PERMIT NUMBER: C0012-004 DATE: <br />ioa nnnRess: 3233 54TH ST S W <br />�: 3967003011 �.ocnnoN: <br />owt+�x: MACH LADISLAV <br />828 NW 125TH <br />SEA7TLE <br />P"o"'E (206)367-8592 <br />CO1l11` OWNER <br />rxonE <br />�mEa: <br />RS <br />20 <br />0[C GRWP: <br />R-3 <br />IYPEOFCOYSiR: <br />VN <br />28.0 <br />ItN SEfBACk <br />20 <br />OCC IAM: <br />NA <br />NO <br />FVlEA1.�RMREQ'D: REASON: <br />NO <br />Bazic Conswctlon Permit Fee <br />Sute Building Code Surcharge <br />Plan Check Fee <br />Additlonal Plan Check <br />Piumbing Fees <br />Mechanical Pelmit Fees <br />WA 98t77 <br />1 <br />5 <br />N0.5IORffS: <br />1 <br />USfi OF BURDING: <br />SFR <br />�,vrr: <br />CIC7Y OF EVERETT <br />PERMIT 5ERVICES <br />3200 CF.DAR STREET <br />EVERETT, WA 98201 <br />(425)257-8810 <br />MEQInNICAL EQUIPMENT <br />xhaust Fan 1 � <br />PNONE <br />DfiSCR�f10NOF WORK: <br />REMODEL GARAGE TO LIVING SPACE <br />C <br />wrs¢s <br />12.500 <br />SmE561HM <br />10 <br />BASEMENf: <br />NO <br />FEES: <br />5279.25 <br />54.50 <br />5172.41 <br />59.10 <br />521.00 <br />szoo <br />504 <br />� � <br />GAS 1H <br />rt v,�w�norr: <br />16,732 <br />R&1 <br />TOTAL FEE f49336 � � �N � <br />TOTAL FEES PAID 5172A �� D �� <br />TOTAL FEES DUE 3320•� �E� <br />TOT <br />RF.MARKS: DEC <br />CITY OF EVEReTT <br />Permils acpirc U work nd co�mced within 180 diqs or oenses marc Ihan 18D days <br />T6e Qly of Everett fe nut responsibk ro review the applkaMlity ot plol coveoanta b tHs permM. Campliance <br />with plal a�mants is t6e sde respm�bility of the applic�tbwcer. <br />PLUMBING EQUIPMENT <br />:r Cbxl 1 <br />(wuhbasin) � <br />Ntt I <br />2:�BPM <br />OOi2�12 <br />J`�J.00 <br />0012004 <br />299.25 <br />4.50 <br />9.10 <br />c^5.00 <br />7.00 <br />375.85 <br />CHEK <br />A OM 785 <br />ay�rs.�m �i s.r n cde <br />Y 7101 <br />PERMIT NO: <br />C0012-004 <br />ADDRESS FlLE COPY <br />