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CITY OF EVERETT <br /> � �'` �'"CONSTRUCTION �"+ � <br /> PERMIT PERMITNO. 2�739 <br /> �-se�o <br /> �OEM��mpN ❑COMBINATION ❑BU�LDING CKMECHANICAL O PLUMBING ❑SIGN <br /> ���, z�p PMONE <br /> OW�R MAIIADOPESS <br /> David Earley 2212 Adams Ave Everett 98203 290 923C1ry ZP pHpNE <br /> ��T lMILRODRE55 <br /> ApCHITEGT Oi10ESK3NER MFII ADDRFSS <br /> CITY ZIP PHONE <br /> GE��C�T�� MAllA00RESS <br /> CITV ZIP PHONE 110ENSEY <br /> MFIIRDORESS CIN ZIP PHONE IICENSEY <br /> yE��WlIC�LCONTPACTOR THOMAH*140BM <br /> Thomas Heating 14522 NE 190th St Woodinville 98072 486-6883 ZP pHONE LICENSE♦ <br /> PIIMA&NG CONIMCTOfl <br /> MAILADDRESS CITV <br /> ` r��:t: <br /> ClASS OF WORK <br /> � NEyr ❑ADD1710N �ALTERATION ❑ REPAIR ❑ DEMOLITION JO BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO�IF OT <br /> n�cH $ss.oa <br /> CONTMCT PRICE OF WORK $ 21 <br /> p��p�y�pqK NW SpU�pE F00T�GE INVOIVED MECH SbS.�O <br /> Convert to gas furnace and water heater i <br /> MECH $55.00 <br /> L <br /> rporoseots�oceui�ar+� MECH $SS.OQ <br /> Single family res �. <br /> �p�p�S�RpTpN�F pqppERTV lSHOW 6ELOW OR ATTACH FOUR GOFES) MECH �65.00 <br /> lOT_�_BLOCK_�OF �0 �L ^ . <br /> !fECH 430e'�Q <br /> a000z���+i <br /> n�cw sss.00 . <br /> i <br /> ���� nEc� ass,� <br /> 2212 Adams Ave q�027739 <br /> MECHANICAL � <br /> PLUMBMIG FEE <br /> Np, TYPE OF FIX7URE OH ITEM FEE NO. TYPE OF E�UI , <br /> A/C-AMNOLG UNRS-H.P. <br /> WATER CLOSET(TOILEn <br /> 1 FORCEDAIRSVSTEMS-B.T. EA. <br /> BATMTUB M <br /> UNIT HEATERS-B.T.U. . <br /> u�ATOR�(�N�H BAS�17 CLOTHES ORYERS � <br /> $HOWER VENTILATION FAN <br /> KRCHEN SINK d DISP. RANGE HOOD <br /> DISHWPSFIER 1 y,/pTERHEATER <br /> UIUNDRY TRAV y,/ppD STOVE <br /> CLOTHES W�1.+MEp <br /> METAL FIREPLACE 8 CHIMNEV <br /> � URINAL PIREPLACE INSERT <br /> pRINKING FWNTA�N HEAT PUMP . <br /> F��R�pA�N Z GAS PIPING <br /> BACKFLOW PREVENTERS E%HAUST FAN <br /> ROOF DMINS-AA�NLEADERS . <br /> SINK�SERV�CE-BAR,ETC.) _ . <br /> SUBTOTAL 1 � <br /> SUBTOTAL s pEpMR f � <br /> PERMR S <br /> 7pT��FEE Y .. <br /> TOTALFEE 5 FEE RE�EIPTNO�. - �� <br /> �����K REAP SETBACK SIDE SETBNCK PLAN CHECK NUMESEf1 <br /> �SEZIXJE LOTAFEA VACRNTSITE FEES U � FEE <br /> ❑VES ❑NO $ <br /> rypEpFCON$TpUCTIqlALLOlIABLE N����STRUCTIONRCNRL ��pr Np.OFDWELLINGUNRS BUILDING <br /> PLUMBING <br /> NO.OFSTOR�ES BFSEMENT <br /> siZE OF B��' MECHANICAL <br /> ❑YES ❑NO <br /> OCCUP/�NCVLORU FINESPRINNLERSREO'D H'cIGHTIIMITRTION O7HER <br /> ❑vES ❑No STATE BUILDIN6 SURCHARGE <br /> RE�S�N FOR SPRINN�ERS <br /> SiATEENERCaYSURCHARGE <br /> �PGLIC�TIONPCC.BV PLrWSAPVRO�EDBV CITY OF EVERETf pUOUC WORKS <br /> LOCAL SALES 65 0 <br /> TAX CODE IS TOTAI <br /> 3105 yyMEN PROPERLY VALIDATED TFIIS 13 VOUR PERMIT <br /> I <br /> PERMITS EXMRE IF WORK IS NOT COMMENGED WrrHIN A��RESS F��.� 2 7 7 3 9 � , <br /> 1!0 DAYS OR CEASES FOR MC)�iE TMAN 1i0 DAYS. <br />