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CON� rRUCTION <br />PERMIT <br />PERMIT NUMBER: B0104-012 <br />�on nonRess: 4027 RUCKER AVE <br />errt 58210120I500 iocnnon: <br />own�rx�. HENDRICKS FRED <br />323 N SSTH ST <br />SEATTLE Wp 98�03 <br />euo.E (206)851-3094 <br />CO''�-' CARBON RIVER CONTR <br />227 TACOMA AVE <br />TACOMA WA98402 <br />rnonr- �Z53)3961IXFt <br />IINOf.R. <br />USf;20\'[: IRI1Mff <br />D•2 <br />FRSET8�0: RNShiBACA <br />OC[ GROIIP: OCC IAAO: <br />0 20 <br />ivr�[nFconstx: <br />VN <br />srRinv;u:a xeo'm. ausou: <br />NO <br />19Rf:ALARMR[QD�. NGSON: <br />NO <br />Oasic Consttuction Pcttnit Fcc <br />Sta1c Ruilding Calc Surchargc <br />Rli\fANKS: <br />NO. UNITS <br />CI� �Y OF EVERETT <br />PERMIT SERYICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425)257•8810 <br />uAh� ��l�n�� ME4iANICALEQUIpMENT <br />�rrvnnT: ppLLARWISCCNECKCASHING <br />nion�e <br />DfSCPIPIlO:�'OF WORA. <br />T.1. - DIVIDF.R WALL <br />B <br />SIDLSITIHACA SIDf:51ilAACK <br />NO.SIDPIfS: fiA5fJ.1(1.T: <br />I NO <br />USG OP PUIIDING� <br />OFTICE <br />TOTAI. FEF: <br />TOTAI, FEFS 1'AID <br />TOTALFEE <br />FEES: <br />5391 �5 <br />ES.50 <br />jJ95.75 <br />S0.0o <br />j;95.75 <br />M.ANKINC NO: <br />RLNODI�l.RI15�1 <br />2000 <br />IIEATTPIi: <br />OTHFIt <br />rinMrrvn�vnn <br />25,000 <br />BUIIDING (SFl <br />I'LUMBING EQl1IPMFNi <br />•; � �_ . .. ;; �:.;,. <br />.. .. `�,.!'...;�.i��� <br />� 3q' .-- <br />�. " <br />� - 4. F�i: <br />'_r ;95.?. <br />'_ i;' <br />--�1-ii_.i: _}:i.:. <br />ciryefEKan I.mISJe Ta cde <br />PermiLs expirc if wnrk n�l mmmenced Nilhin IBO de�s or ceases mare ihan 180 days �� nos <br />The Cilr• of Ererett ts nol re�pnn961e to re�iew Ihe appGcabitity of plel meenants fo lhts permit. Conpliance pERMIT NO: <br />With plet rnrenanis is lhe sde respm96ility of the applica�lbMner. <br />B0104-012 <br />ADDRESS FlLE COPY <br />