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"" �� ^ �NSTRUCTION - <br />everett PERMIT PERMITNO. 23277 <br />259-8810 <br />❑ DEMOLITION C� COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBINO ❑ BIQN <br />OYMEfl MMl ��DRE55 CITY SIP MONE <br />Nuckols Conatruction 2425 198th P1. SW Lynnwood 98036 774-3256 <br />TEN�N1 �uil �DDRESS Crtv 110 P1qNE <br />�HCMITECT ON OESIONEN M�II �OORESS CIiY ZIP VIqNE <br />OfNEA�I CONTR�CTOR M�IL �DDPESS CRv T�v P1qNE IICENSE � <br />Owner NUCKOL237J8 <br />MECIUNIUi CONTA�CTOR MNl AODRE55 GTv ZIP PHOIiE LICENSE � <br />RUMOiNOCONTP�CTOR M�RADWIE55 CitY 21P OHONE L u^E� <br />CL�33Oi WORK <br />� NEW ❑ ADDITION <br />CONTRACT PRICE OF WORN� E <br />DESCRIBE WORR �ND SOU�RE F001AOE INVOLVEO <br />New Conetruction <br />❑ AItERATIeN <br />vnovoseo use w ewioiNa <br />Single family reeidence <br />IEO�I DESCRIPTION OF PRpPEqtY �SMOW BELOW OR �TGCH FOUR WVIESI <br />l0T ? ELOCM _ OF <br />See Attache9 <br />❑ REPAIR ❑ DEMOLITION <br />CONT�f,T PEBSON AND %IONE NO If C <br />❑ BUILOINO RELOCATION <br />TN�N�POVE <br />JOB AOd1E45 <br />7�f1 N'�LL 04 CL� / <br />v�uMsiNa <br />N0. TYPE OF fIXTURE OR ITEM <br />WATER CLOSET ITOILET� <br />7 B�THTUB <br />Fii�� <br />CLOTME6 W�BMER <br />URINAL <br />DRINNINO FOUNTAIN <br />FLOOR DfiAIN <br />BACKFLOW PREVENTEFS <br />ROOF ORAINS - RAINLEADERS <br />91NK ISE(iVICE - B�R,ETCJ <br />ws ror�� <br />P[RMIT <br />TOTAIFEE <br />RE�R SFTB�CR <br />20 <br />LOT 11RE11 <br />7 6 <br />AILMIABIF �YROftOM51RULLqNACi'J�L <br />NO Of STORiES <br />OCCUP�NCYIOAp <br />N/A <br />PE�SON FIXV SPf11NNLEPS <br />APVLIC�TION ACC BY <br />S.H <br />VES �7 NO <br />J.H. <br />D <br />MECMANICAL <br />E NO. TYPE OF EI <br />1 QO NC - NHNOLO UNI7S - <br />ZO OO 1 FORCED AIR SYSTEMS - <br />iS OO UNITHEATERS- BT.0 <br />1 CIOTMES DRYENS <br />5 QQ 4 VENTILATIONFAN <br />5 �� 1 RAN.fEHOOD <br />1 W�TERHEATEp <br />S 00 wOOD 57(lVE <br />1 METAL FIREPL�CE 8 CHIA <br />FIREPUCE INSEHT <br />HEAT PUMP <br />OAS PIPING <br />E%HAUSTFAN <br />� 55 <br />i <br />i <br />SiOE SETB�CK <br />M <br />M <br />6U! TOTAL <br />PERMIT <br />TOT�LFEE <br />INCHECMNUMBER �EE <br />89/23277 298.68 <br />V�C�NTSITE <br />[�res ❑ No �EB <br />�,��,�• raaoxfwr�um�s BUILDING S <br />1 PLUMBING <br />B�9EMENT <br />❑ VES NO MECHANICAL <br />MEIONTLIMIT�TION OTHER <br />28 <br />STATE 9UILDING SURCMARGE <br />STATEENEPGYSURCNARGE <br />CITY OF EVERETT pUBLIC WORNS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLV VALI <br />PERMITS EXPIRE IF VVORK IS NOT COMMENf:ED WITHIN <br />100 DAVS OR CEASES FOR MORE THAN 1B0 DAYS. <br />ADDRESS HLE <br />� <br />FEE <br />ECEIPT NO <br />26613 <br />FEE <br />678 <br />��,j��� 1' <br />