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CITY OF EYERETT <br /> '� "�ONSTRUCTION ^ �' <br /> PERMIT PERMITNO. 27g63 <br /> 259-88�� <br /> ❑ DEMOLMON G COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMOING ❑ SIGN <br /> OWNEP M�iLADDHE55 CITY Zi� PhONE <br /> Siane Sheflo 1913 Bailey Ave Everett 98203 355-3545 <br /> TENAMT M�ILR�DPESS CiT� 2iP FNp1E <br /> nRCHITEGTORDEEIONER M4ILADDRE55 CITY ZIP PHONE <br /> GENERQCONTR�CiOR M�I��DDAESS CITY 21P FI•QNF LICENSEI <br /> MECM�NIC�LCONTR�GtOR MAIL�OORESS CITY ZiP PHONE I.ICENSE� <br /> Vsllev Natural Gas 2605 MCDouqall Everett 98201 259-5492 VALLENG153L1 <br /> PLUMBINOCONTR�LTOR MAI�AO�RE55 pTV ZiP PHONE LILENSE� <br /> CLA55 OF WORN <br /> ❑ NE:'. ❑ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> COfRAGT PERS(k!M10 PMONE NO IF pTM[R TM4N ABOVE <br /> CONTRACT PRICE OF WORK: S 1676.00 <br /> DESLHIBE WORN�ND SIX1�RE FOOT�GE INVOLVED <br /> Install furnace & HWH <br /> PPOPOSEO USE OF BUILDINO <br /> SFR _ <br /> LEOIiL LG.[RIPIION OF PROPERTV�SHOW BC'OW OR 1TTACH FOUR LOPIES� <br /> LO7__O/OCN_OF 1`. �i�J ---�,' <br /> � <br /> HECH� 555.00 <br /> 100ADDRE55 L <br /> 1913 Bailey Ave MECH 845.00 <br /> PLUMBING MECHANICAL � � <br /> N0. TYPE OF FI%TURE OR REM FEE NO. TVPE OF EOUI fEE <br /> WATER CLOFET(TOILETI NC—A?iNDLG UNITS—H.P <br /> BAIMTUB FOFCEDAIRSYSTEMS—B.T.u��pN <br /> UVATOFY�WASHBASIN) UNITHEATERS—BT.U. M�� M a• � <br /> SHOWER ClO7HESDRYERS rum�r ^ <br /> KITCHEN SINK 6 OISP. VENTILATION FAN _ <br /> DISHWASHER NANGEHO00 <br /> LAUNDRV THAV V/ATER HEATEfi <br /> CLOTHES WASHER WM J STOVE <br /> URINAL MLTAL fIREPLACE 8 fHIMNEV <br /> DRINNINO FOUNTAIN FIREPLACE INSF.RT <br /> � FLOOR DRAIIi MEAT Pl1MP <br /> BACNFLO'N PREVENTERS GAS PIPING <br /> ROOF DHAINS—RAINLEADERS EXHAUS7 FAN <br /> SINK(SEHVICE—BAH,ETC.� <br /> SUB TOTAI. f 6UB TOTAL f 4 OO <br /> PERMR f PERMR S 15 00 <br /> TOTALFEE f TOTALFEE t S <br /> FRONI SEtBACN � FE�R SETB4CR SIpE SETBRCR PLAN CHECN NUMBER FEE RECHPT NO. <br /> usezor+� IOT�RE• veceNTsrte FEES ui�oiH co e FEE <br /> Oves ❑r+o <br /> LYVEOGfANSLNUCipNALLONAOtE TYGE(�CpI51RUGTIq1AG'JAL ���� ���'ELLI���i15 BUILDING S <br /> PWMBING <br /> SRE OF BLDG. NO OF STONIES OASf MENT <br /> ❑vES ❑No A�ECNANICAL SS OO <br /> OGLUP�NCYIO�D FiFESPRINNLERSRFOD NEIGMiLiMitAtION OTHEF <br /> ❑vE5 CI NO <br /> RE�SON fOP SPPoNRLFNS STATE BUILDING Sl1RCHARGE <br /> STATEENERGVSURCMARGE <br /> �PPLIC�710N�CC PV PUNS�PPROVFDBV CITY OF EVERETT <br /> L.00AL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL po <br /> ^105 — <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> AEFtMIiS EXPIRE IF WORK IS N07 COMMENCFD WITHIN 2 7 9 6 3 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ""'" � ';`, ' '� r <br />