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Hx c� -�+ <br />t+7L'��y <br />C�^, � H <br />9HCn <br />H�� <br />�H� <br />'�J H 'i1 <br />ti H <br />yMc rYp <br />L`1 � L'l <br />H t7 <br />OH7 <br />H^l�T1() <br />y, V �] <br />t-� y � <br />HH <br />gy <br />H <br />C']C❑Jy <br />�`�� <br />xym <br />H O CA <br />� a� <br />� s <br />fheFrer�;rt���n � �NV�i 1���'�,�/ <br />C17Y OF /� s <br />��erPv�� PERi1111T PERMITNO. _ �'+��`� <br />259-8810 <br />❑ DEMOLITION fr„�COMBINA710N ❑:fUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ov.r�e�� n�nanooivess c�rr ziv cHa�/% UI/�5�j1'( <br />Sue Vib6ert 10105 19th Ave. N% SE Everett 98208 337-3514 (�ii�u <br />IR:ANT h1AILPODlIE55 CRY ZIP VMONE �.�[�� <br />���CIiITEGTCR0E51GNER M1IAILAOOPE55 CIiY ZIP Pf10Nc <br />('.fiNEqnICONTRACTOfl MARnDDRE55 .i. 21P P��ONE IiCENSr= <br />Owner <br />I,�CGNANICPLCOHTRAGTOR MAILA�DRE55 LITY 21P PIIONE LICENSEc <br />m i iva�un c�NTRACTOF I.IA�L A�OPE55 CITY ZIP FIION[ LICENSE e <br />cinss oF wonK <br />❑ NEW OxADDITION Cj�ALTEHATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTAQ PEfi50N AN� FHurvE NU. i� ���2n i nnn nu�vc <br />CONTqACT PiiICE OF WORK: $ <br />cE5CRI0E W ORH ANO SOLITR[ FOOiPGE INVOIVED <br />addition and �H%ffi enclose front <br />�POFOSED USE OF BULL�ING <br />Sin le famil residence <br />LEG�L DESLRIPTION OF GHOPERTY �SHOYJ �ELOW OR 4TfpCH FOUH COPiES� <br />�or— o�ocK 357 oF Bast 40' of lots 13� 14� 15 � 16 <br />r•.vnratt niv X <br />,00aooaEss DE✓��i90 2:47FH OOOAfl�219 kK�::i: <br />PLUMBING 4fM0^'+444 <br />NO. i YPE OF FIXTURE OR <br />\V4TER CLOSET (TOILETI <br />OAIHTUB <br />LAVATORV(WASH BASIN� <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />l AIJNORV TRAY <br />OiiINKING FOUNTAIN <br />FLOOR DRAIN <br />DACKFLOW PREVENTERS <br />FOOF DRAINS — RAINLEADERS <br />SINK (SERVICE— BAR. ETC.) <br />20' <br />USEZONc <br />R-2 <br />iYFE 0' LONSifUCtION ALLONnBt <br />V-N <br />SIZE OF OLOG <br />317 SP I�DDN <br />OCCUPPNCYLOnD <br />N/A <br />P[�SONFO(iSPRINNLL�S <br />MECHANICAL � <br />FEE N0. TYPE OF EOljl �NT "� FEE <br />lO OO A%C—NHNDLGUNITS—H. . `��� � <br />S OO FOP.CEDAIRSYSTEM$—� . MEA.rJ . B�— <br />IO OO UNITHEATEPS—B.T.U. � jY1 <br />� ui <br />1 CLOTHESDRYERS <br />S OO VENTI�ATIONFAN �- <br />1 RANGEHOOD � • ' � • <br />1 WATERHEATER <br />5 00 �vOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLt.CEiNSERT <br />HEAiPUMP <br />GAS PIPING <br />� E%HAUSTFAN <br />SUB TOTAL 5 3S OO SUB TOTAL S <br />PEflM1T f PEPMIT 5 <br />TOTALFEE S 3S OO TOTALFEE 5 <br />iEne 5[iOaCK SiDE SEioncK PLAH CHECK N11A1�ER FLE RECEIPT NO. <br />20 5� 90/24494 46.80 33353 <br />�ornnen �acnutsrte FEES emqoinccaoe FEE <br />4 , OOOSF ❑ ves ❑ No <br />nacovcrosrxucuor�ncrun� . ��r+ooFm�Fwzcm;ns eui�oiNG $5,000.00 Sg��R�R�C <br />V—N ���R— 1 PLUMBING <br />NO.OFSTORI[5 f1A5EMENT <br />1 ❑ VES L�NO MECHANICAL <br />Fwesaair�rc�[nsneoo Neientur.+irnrio�v O7HER <br />C YES IXNO 28 � <br />STATE BUILDING SURCHARGE <br />STATEENERG�SURCHARGE <br />nNsnaPaovEuer CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />JH TAX COUE IS TOTAL <br />3105 yyHEN ppOPERLY VALIDATED THIS IS YOUR PE <br />PERI141TS EXPIRE IF WORK IS NOT COMMENf:ED WITHIN <br />S80 f�.l'S �EASFS FOR P:iORE THAN 180 DAYS. <br />AUURcSSfILG <br />9 I 50 <br />