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Q'i ' � <br />� <br />H <br />� Hm N <br />H Z �n <br />� H 'A <br />O C70 <br />'y M �q <br />N N <br />� H � <br />� � � <br />� � <br />t+ y <br />H <br />N <br />41 <br />C N <br />°ror <br />� o � <br />1 -. <br />w � <br />s� � <br />;' ,�„�„`,' ��NSTRUCT14t� <br />��T, o� C <br />everett PERMIT PERMITNO. ��`�' <br />259 - 8E10 ��G�� <br />DEMOLITION ❑ COMBINATION �� BUILDING O MECHANICAL ❑ PLUMBING �' - <br />� �a�ii eooricss cirr ..a o c <br />�n <br />Karen Stanford 920 N Broadwav � rr qa�ni 252-66i3. — <br />- MnR PODAE55 G T 2iP CNO�+E <br />.. .'wiECT OH DESIGNER <br />MAII ADOPES° CITY ZIP PHONE — <br />MAILAD�RESS LITY ZIV PNON[ UCV�'�C• <br />OCNCR�LCANTR�CTOP <br />Ace Neon 3512 ith ��ry � Zip �pryE ur.r•;� �• <br />M[CMANIG�L CONTRRCTOF MAIL �OORE55 <br />MAILPDONESi CITY 21P %10NE LICC�:.f.e <br />Il 111d0iNG CONTRRCTOP <br />LL��9;0f WORtl <br />� ucw ❑ ADDITON O ALTENATION <br />p pEpp�p ❑ DEMOLiT10N ❑ BUIIDING RELOCAT14N <br />� I CqNT�CT PERSON ANO W�OH[ rv0 ir o i ncn "'^" ^°"•` <br />CONTRACT PRICE OF WOFk S (�000 00 <br />ecscaiee wonK nNo saunae roouee irvvoiveo <br />Neon 1' t <br />�•�o�'OSEo u5E oF Builo�rvc <br />t <br />i fGaL DESGRIPTION OF PPOPEATV �SHOW BC�OW OR RTT/.CH FOUR COPi[5� <br />� pi � BLOCN � OF <br />J�L'Ap�FG:; <br />PLUMBING <br />NO. TYPE OF <br />WATER LlOSET �T� <br />BATHTUB <br />KITCIIEN SINK d <br />DISHWASHEfl <br />I Al1NOPY TRAY <br />URINAL <br />11RVJKR�G FOUNTAIN <br />FLOOR �RAIN <br />0'CKFLOW PREV[NTE <br />ROOF DRAINS — �7A�NI <br />oINK BERJILE — BM, <br />MECHANICAL <br />UR ITEM FEE NO. TYPE OF EOUIPMENT <br />A: C-- �'Ht��LG UNITS — H P. <br />FO�CE�AIRSVST[MS—BTU. MEA <br />UNIT HEATEPS— BS.U. M <br />CLOTHESORVEPS <br />— VENTILFTIOK �AN <br />IiANGE HOOD <br />WATERHEATER <br />WOODSTnVE <br />METAL FIPF.PLACE d CN'MNEY <br />FlREPLACEINSfRT <br />I/EAT PUMP <br />GAS PIPING <br />,,,, E%NAUST FAN <br />SUBTOTAI <br />PERMIT <br />iOTALfEE <br />fRONT SETORCN REn�SElOnfv <br />usEzor+E �crnnEn <br />e-i <br />tt140itOMSiPUf,iWHRII�WAPLE n'�EOfLON51PUCi <br />OF BLO� NO OF STONiES <br />UPANCYLOAO FlRESVRINNI[fiSAEOJ <br />❑ YES ❑ NO <br />SON FOR SPnMKlERS <br />liCAiIOIJACO �V PLRNS/PPROVEO�Y � <br />SXH � B.E. <br />f <br />SUBTOTAL <br />PERMIT <br />7�0TA�L FEE <br />I�EE <br />vnr.nr�r sirE FEES ouumna cooe <br />❑ VES ❑ NO <br />"Uap� raamhci,;ucu,��rs oui�owc �s� <br />FLUMBING � <br />ORSEMENT j U.: i <br />❑ VES ❑ NO MECHANICAL <br />HEIGNTLIMITFTIOfI QtHER HOOOOc7�� <br />.:� <br />ST4TE OUILDING SURCHARGE i - <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT pU�LIC WORKS <br />LOCAL SAl_ES I <br />TAX CODE IS TOTAL <br />31J5 WHEN PROPERLY VALIDATED THIS <br />PERMITS EXPIRE IF WORK IS NOT COMMENCcD WITHIN qDDRE55 HLC <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FEG <br />�S <br />RECEIPT NO <br />2 00 <br />PERMIT <br />L � i i.+ �.' � <br />